| Id |
Subject |
Object |
Predicate |
Lexical cue |
| T179 |
0-26 |
Sentence |
denotes |
Public Health Implications |
| T180 |
27-191 |
Sentence |
denotes |
The SHUR is a great resource for researchers and policymakers interested in understanding and addressing factors relevant to the health of marginalized populations. |
| T181 |
192-393 |
Sentence |
denotes |
Research published using SHUR data can contribute significantly to ongoing conversations around the connections between police brutality and health, especially access to care and medical mistrust [18]. |
| T182 |
394-426 |
Sentence |
denotes |
Nevertheless, there are caveats. |
| T183 |
427-476 |
Sentence |
denotes |
First, SHUR does not employ probability sampling. |
| T184 |
477-628 |
Sentence |
denotes |
Therefore, estimates from the survey might be sensitive to systematic errors because respondents might differ from non-respondents in significant ways. |
| T185 |
629-731 |
Sentence |
denotes |
Second, we did not assess respondents’ perceptions of the necessity of each negative police encounter. |
| T186 |
732-911 |
Sentence |
denotes |
Instead, we asked respondents to think about their most recent experiences with the police and to state their perceptions about whether the action(s) of the police were necessary. |
| T187 |
912-1106 |
Sentence |
denotes |
While we wanted to capture more recent exposures to police brutality, we think that perceptions about the necessity of negative police encounters might be different for different police actions. |
| T188 |
1107-1277 |
Sentence |
denotes |
For example, an individual might perceive the police patting them down before an arrest as necessary and a previous encounter where the police kicked them as unnecessary. |
| T189 |
1278-1411 |
Sentence |
denotes |
These actions have implications especially for assessing mental health correlates of police brutality such as anxiety and depression. |
| T190 |
1412-1500 |
Sentence |
denotes |
Despite these limitations, SHUR can support health disparities research in several ways. |
| T191 |
1501-1883 |
Sentence |
denotes |
First, the survey is informed by the experiences of racialized populations—specifically Black men, Latinxs, and immigrants—and assesses salient conditions including sources and spaces of discrimination, social exclusion, experiences of police brutality and stressful anticipations of these experiences, housing-related stress, as well as stress-related to arrests and incarceration. |
| T192 |
1884-2057 |
Sentence |
denotes |
These data can help us identify connections between specific social determinants and a range of indicators of access to care and health status that are included in the data. |
| T193 |
2058-2170 |
Sentence |
denotes |
These connections are important for formulating and implementing targeted policies to address health inequities. |
| T194 |
2171-2352 |
Sentence |
denotes |
Second, SHUR measures relational aspects of care such as mistrust and perceptions of respect that we know are important indicators of the delivery of patient-centered care [27, 28]. |
| T195 |
2353-2537 |
Sentence |
denotes |
When patients feel respected, they might then feel supported and empowered to share their own needs, perspectives, and preferences, and therefore engage in shared-decision making [29]. |
| T196 |
2538-2674 |
Sentence |
denotes |
This might also equalize the inherent power differentials between clinicians and patients, regardless of race and socio-economic status. |
| T197 |
2675-2827 |
Sentence |
denotes |
The data have the potential of helping researchers understand factors that shape relational aspects of care to improve engagement and reduce unmet need. |
| T198 |
2828-2872 |
Sentence |
denotes |
Third, SHUR includes respondents’ zip codes. |
| T199 |
2873-3336 |
Sentence |
denotes |
This presents researchers with the rare opportunity to link the data to zip code-level health system characteristics including the availability of physicians, housing characteristics, foreclosure rates, food insecurity, incarceration rates, voting and other indicators of political participation, as well as population-level indicators of structural racism such as Black to White ratios in rates of unemployment, poverty, health insurance, and college graduation. |
| T200 |
3337-3464 |
Sentence |
denotes |
These larger structural factors, including structural racism, shape health beyond individual behaviors and attributes [30, 31]. |
| T201 |
3465-3564 |
Sentence |
denotes |
Therefore, examining their interaction with individual factors in multi-level analyses is critical. |
| T202 |
3565-3779 |
Sentence |
denotes |
In addition, researchers using these data can explore how variation in characteristics of urban areas, including population density, might be associated with variation in a range of experiences and health outcomes. |
| T203 |
3780-4151 |
Sentence |
denotes |
The approach employed in SHUR—co-creating measures of salient stressors with communities for which our work bears relevance is important for understanding the mechanisms through which social conditions affect health, the contextual specificity of these mechanisms, and what kinds of interventions might help eliminate health disparities caused by structural inequalities. |
| T204 |
4152-4299 |
Sentence |
denotes |
Measures in the current survey are critical for providing evidence needed to inform policies that would improve health among urbanized populations. |
| T205 |
4300-4338 |
Sentence |
denotes |
We encourage others to use these data. |
| T206 |
4339-4535 |
Sentence |
denotes |
Community-driven approaches to creating measures related to navigating COVID-19 that are salient to the experiences of populations marginalized by structural inequalities are important next steps. |
