Strategic Messaging to Promote Policies that Advance Racial Equity: What Do We Know, and What Do We Need to Learn?

被引:9
|
作者
Niederdeppe, Jeff [1 ,4 ]
Liu, Jiawei [1 ]
Spruill, Mikaela [1 ]
Lewis, Neil A. A. [1 ]
Moore, Steven [2 ]
Fowler, Erika Franklin [2 ]
Gollust, Sarah E. [3 ]
机构
[1] Cornell Univ, Ithaca, NY USA
[2] Wesleyan Univ, Middletown, CT USA
[3] Univ Minnesota, Sch Publ Hlth, Minneapolis, MN USA
[4] Cornell Univ, 476 Mann Lib Bldg, Ithaca, NY 14853 USA
来源
MILBANK QUARTERLY | 2023年 / 101卷 / 02期
基金
芬兰科学院;
关键词
social policy; racial justice; health equity; antiracism; communication; messaging; framing; narrative change; PUBLIC-OPINION; SOCIAL DETERMINANTS; SEXUAL ORIENTATION; HEALTH DISPARITIES; STRUCTURAL RACISM; TELEVISION-NEWS; MEDIA MESSAGES; ISSUE FRAMES; GROUP CUES; RACE;
D O I
10.1111/1468-0009.12651
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Policy PointsMany studies have explored the impact of message strategies to build support for policies that advance racial equity, but few studies examine the effects of richer stories of lived experience and detailed accounts of the ways racism is embedded in policy design and implementation.Longer messages framed to emphasize social and structural causes of racial inequity hold significant potential to enhance support for policies to advance racial equity.There is an urgent need to develop, test, and disseminate communication interventions that center perspectives from historically marginalized people and promote policy advocacy, community mobilization, and collective action to advance racial equity. ContextLong-standing racial inequities in health and well-being are shaped by racialized public policies that perpetuate disadvantage among Black, Brown, Indigenous, and people of color. Strategic messaging can accelerate public and policymaker support for public policies that advance population health. We lack a comprehensive understanding of lessons learned from work on policy messaging to advance racial equity and the gaps in knowledge it reveals. MethodsA scoping review of peer-reviewed studies from communication, psychology, political science, sociology, public health, and health policy that have tested how various message strategies influence support and mobilization for racial equity policy domains across a wide variety of social systems. We used keyword database searches, author bibliographic searches, and reviews of reference lists from relevant sources to compile 55 peer-reviewed papers with 80 studies that used experiments to test the effects of one or more message strategies in shaping support for racial equity-related policies, as well as the cognitive/emotional factors that predict their support. FindingsMost studies report on the short-term effects of very short message manipulations. Although many of these studies find evidence that reference to race or use of racial cues tend to undermine support for racial equity-related policies, the accumulated body of evidence has generally not explored the effects of richer, more nuanced stories of lived experience and/or detailed historical and contemporary accounts of the ways racism is embedded in public policy design and implementation. A few well-designed studies offer evidence that longer-form messages framed to emphasize social and structural causes of racial inequity can enhance support for policies to advance racial equity, though many questions require further research. ConclusionsWe conclude by laying out a research agenda to fill numerous wide gaps in the evidentiary base related to building support for racial equity policy across sectors.
引用
收藏
页码:349 / 425
页数:77
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