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Mapping the expressions and impacts of racism on health in Brazil: a scoping review

Sato, Priscila de Morais; Lopes, Fernanda; English, Sonora; Oliveira da Silva, Silvana; Lalane, James Berson; Deivanayagam, Thilagawathi Abi; Ramos da Silva Costa, Rute; ... Devakumar, Delan; + view all (2026) Mapping the expressions and impacts of racism on health in Brazil: a scoping review. The Lancet Regional Health - Americas , 54 , Article 101323. 10.1016/j.lana.2025.101323. Green open access

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Abstract

Summary: We conducted a scoping review to examine how racism affects the health of minoritized populations in Brazil. A comprehensive search was carried out, and identified articles underwent independent double screening. The 145 included studies consistently highlighted structural health inequities, with White advantage functioning as a protective factor. Institutional racism restricts healthcare access and availability, exacerbating minoritized populations’ vulnerability to violence and disease through discrimination and substandard care. Spatial segregation further exposes minoritized populations to harmful environmental conditions and limited infrastructure, while traditional and migrant communities experience marginalization, social isolation, increased disease exposure, and poorer livelihoods. Interpersonal racism negatively impacts mental and physical health across the lifespan, with gender and socioeconomic conditions intersecting and shaping these experiences. The study provides critical insights for practice, policy, and research by demonstrating how racism at multiple levels shapes health inequities in Brazil and by emphasizing the need for human rights-centred, redistributive interventions that promote justice, equity, and inclusive care for minoritized populations.

Type: Article
Title: Mapping the expressions and impacts of racism on health in Brazil: a scoping review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.lana.2025.101323
Publisher version: https://doi.org/10.1016/j.lana.2025.101323
Language: English
Additional information: This work is licensed under a Creative Commons License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc/4.0/
Keywords: Racism, Health, Health equity, Health system, Racial and ethnic equity, Brazil
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10219021
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