Studies from Harvard T.H. Chan School of Public Health Further Understanding of Managed Care (Structural Racism-related State Laws and Healthcare Access Among Black, Latine, and White Us Adults): Managed Care

2026 JUL 31 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Fresh data on Managed Care are presented in a new report. According to news reporting out of Boston, Massachusetts, by NewsRx editors, research stated, “Racialized healthcare inequities in the USA remain glaring, yet root causes are understudied. To address this gap, we created a state-level structural racism legal index (SRLI) using the Structural Racism-Related State Law Database and analyzed its association with racialized inequities in four outcomes (lacking health insurance coverage, lacking a personal doctor, avoiding care due to cost, lacking a routine check-up) from the 2013 Behavioral Risk Factor Surveillance System (N = 454,834).”

Financial support for this research came from Harvard University.

Our news journalists obtained a quote from the research from the Harvard T.H. Chan School of Public Health, “To obtain predicted probabilities by SRLI quartiles (Q1 = less structural racism, Q4 = more structural racism) and racialized group, we fit survey-weighted multilevel logistic models adjusted for individual- and state-level covariates. We found substantial healthcare access inequities across racialized groups within SRLI quartiles and less pronounced, but still meaningful, inequities within racialized groups across SRLI quartiles. For example, the predicted probabilities of lacking health insurance coverage across SRLI quartiles ranged from 13 to 20% among Black adults, 31 to 41% among Latine adults, and 8 to 11% among White adults. Across racialized groups in Q4 states, predicted probabilities ranged from 11% among White adults to 41% among Latine adults. Similar patterns were observed for lacking a personal doctor and avoiding care due to cost.”

According to the news editors, the research concluded: “Findings underscore the need to address structural racism in laws and policies to mitigate these inequities.”

This research has been peer-reviewed.

For more information on this research see: Structural Racism-related State Laws and Healthcare Access Among Black, Latine, and White Us Adults. Journal of Racial and Ethnic Health Disparities, 2025;12(3):1432-1445. Journal of Racial and Ethnic Health Disparities can be contacted at: Springer Int Publ Ag, Gewerbestrasse 11, Cham, Ch-6330, Switzerland.

Our news journalists report that additional information may be obtained by contacting Dougie Zubizarreta, Harvard T.H. Chan School of Public Health, Dept. of Social and Behavioral Sciences, Boston, MA 02115, United States. Additional authors for this research include Jarvis T. Chen, S. Bryn Austin, Ariel L. Beccia, Jaquelyn L. Jahn and Madina Agenor.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s40615-024-01976-4. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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