0330/2025 - O racismo como um determinante social da saúde e os seus mecanismos de atuação no Brasil: uma revisão de escopo Racism as a social determinant of health and its mechanisms of action in Brazil: a scoping review
No Brasil, o mito da democracia racial contribuiu para a invisibilização do racismo como determinante das desigualdades sociais e de saúde no Brasil. Apesar da influência do racismo em adoecimentos e mortalidade, ainda são escassos os estudos que o abordam como determinante social da saúde, sendo frequentemente tratado como fator secundário. Este estudo realizou uma revisão de escopo com o objetivo de identificar teorias do racismo que expliquem seus efeitos sobre a saúde da população brasileira. Foram identificadas quatro teorias que posicionam o racismo como determinante social: racismo estrutural, institucional, vicário e antinegro. Tais teorias operam por meio de processos históricos, sociais e simbólicos que estruturam desigualdades nas relações interpessoais e institucionais. Os achados evidenciam que o racismo impacta negativamente a saúde da população negra e reforçam a necessidade de produção científica e formulação de políticas públicas que enfrentem as iniquidades raciais, promovam a equidade e assegurem os direitos humanos no campo da saúde.
Palavras-chave:
racismo, discriminação racial, determinantes sociais da saúde, saúde da população negra, Brasil
Abstract:
In Brazil, the myth of racial democracy has contributed to the invisibility of racism as a determinant of social and health inequalities in Brazil. Despite the influence of racism on illness and mortality, there are still few studies that address it as a social determinant of health, and it is often treated as a secondary factor. This study conducted a scoping review with the objective of identifying theories of racism that explain its effects on the health of the Brazilian population. Four theories that position racism as a social determinant were identified: structural, institutional, vicarious and anti-black racism. These theories operate through historical, social and symbolic processes that structure inequalities in interpersonal and institutional relationships. The findings show that racism negatively impacts the health of the black population and reinforce the need for scientific production and formulation of public policies that address racial inequities, promote equity and ensure human rights in the field of health.
Keywords:
racism, racial discrimination, social determinants of health, health of the black population, Brazil
Racism as a social determinant of health and its mechanisms of action in Brazil: a scoping review
Resumo (abstract):
In Brazil, the myth of racial democracy has contributed to the invisibility of racism as a determinant of social and health inequalities in Brazil. Despite the influence of racism on illness and mortality, there are still few studies that address it as a social determinant of health, and it is often treated as a secondary factor. This study conducted a scoping review with the objective of identifying theories of racism that explain its effects on the health of the Brazilian population. Four theories that position racism as a social determinant were identified: structural, institutional, vicarious and anti-black racism. These theories operate through historical, social and symbolic processes that structure inequalities in interpersonal and institutional relationships. The findings show that racism negatively impacts the health of the black population and reinforce the need for scientific production and formulation of public policies that address racial inequities, promote equity and ensure human rights in the field of health.
Palavras-chave (keywords):
racism, racial discrimination, social determinants of health, health of the black population, Brazil
Costa, ACO, Jardim, LL, Paes-Sousa, R. O racismo como um determinante social da saúde e os seus mecanismos de atuação no Brasil: uma revisão de escopo. Cien Saude Colet [periódico na internet] (2025/set). [Citado em 17/06/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-racismo-como-um-determinante-social-da-saude-e-os-seus-mecanismos-de-atuacao-no-brasil-uma-revisao-de-escopo/19806
