DOI: 10.1093/eurpub/ckag169.142 ISSN: 1464-360X

Critical reflection for equity in public health: examining bias, power and assumptions

N Skogberg

Abstract

Problem

European populations are becoming increasingly diverse, requiring systematic consideration of diversity in public health research, practice and policy. Failure to account for diversity in health equity work risks reinforcing existing inequities by creating or maintaining barriers to inclusion and participation. This has consequences not only for individuals, but also for society, affecting social cohesion, increasing pressure on health systems and generating avoidable healthcare costs.

Description of the problem

Strengthening critical reflection on equity, diversity, and inclusivity aspects is a key foundation for more equitable and diversity-sensitive public health research, practice, and policy. However, it is often not systematically integrated into professional practice, and opportunities to reflect on biases, assumptions and power remain limited.

Effects

This presentation introduces the concept and practical application of critical reflection on equity, diversity, and inclusivity aspects in research, practice and policy, with a focus on strengthening critical reflection. Participants will be guided to reflect on their own biases, assumptions, privileges and positions of power, and how these may shape both processes and outcomes of their work. The session establishes a common foundation for the subsequent workshop presentations on context and data, co-design and communication. Across these domains, critical reflection is further elaborated and illustrated through practical examples relevant for public health researchers, practitioners and policy-makers.

Lessons

Critical reflection is a practical starting point for advancing equity in public health. Embedding reflection into everyday research, practice and policy processes can support more inclusive, responsive and effective actions.

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