DOI: 10.3390/soc16110388 ISSN: 2075-4698

Interventions on Race-Based Privilege in Health Care Settings: A Scoping Review

Antonette Mentor, Charlie H. Nguyễn, Lorraine T. Dean

White privilege permeates societal structures, including health care, and has health implications for White and racially minoritized persons. Despite well-documented racial health disparities, little is known about how health care settings address white privilege. This scoping review maps the evidence of interventions to address white privilege in health care settings. Using the JBI (formerly Joanna Briggs Institute) approach and the PRISMA Extension for Scoping Reviews (PRISMA-ScR) checklist, studies conducted in English published between September 2010 and August 2025 were identified through PubMed, CINAHL, Scopus, and Embase, using terms associated with race-based privilege, whiteness, oppression, and implicit bias. 55 of 351 citations, met the criteria, mostly published in nursing (59%) and medical journals (39%). Publications increased between 2021 and 2023. Participants included students/trainees, faculty, staff, alumni, researchers, and community members. Most studies were in professional degree schools and health care delivery settings. Interventions included workshops, cultural immersion, reflective practices, and structural improvements. Nearly all demonstrated positive outcomes on knowledge, awareness, and behaviors towards health equity. Most studies were U.S.-based, reflecting the salience of white privilege in U.S. health care settings, though commitment to these efforts decreased over time. Given the success of these interventions, health care institutions should renew their commitment: future efforts should offer a clear white privilege conceptualization, prioritize structural interventions, and ensure sustained efforts.

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