Is doing better science enough?: An autoethnographic study of a multidisciplinary collaboration to measure structural racism.

Authors

Paris B Adkins-Jackson, Emily A Haozous, Boeun Kim, Alicia Cooke, Melissa D Hladek, Darnell Leatherwood, Tiffany Riser, Odis Johnson, Erik Westlund, Laura J Samuel, Deidra C Crews, Gilbert Gee, Roland J Thorpe, Karen Bandeen-Roche, Sierra Grey-Coker, Sarah L Szanton

Published in

Ethnicity & health. Pages 1-21. Sep 08, 2026. Epub Sep 08, 2026.

Abstract

Addressing structural racism remains a critical challenge in population health and social sciences, as traditional quantitative approaches often fail to disrupt long-standing racialized health hierarchies. This study critically interrogates the process of a multidisciplinary scientific collaboration attempting to operationalize and measure life course structural racism while enacting an anti-racist praxis.
Utilizing a collaborative analytic autoethnography framework grounded in social cognitive theory and anti-racist praxis, our team - comprising biostatisticians, nurse scientists, epidemiologists, gerontologists, social scientists, and a nephrologist across racialized groups, career stages, and institutions - treated our team process as a socio-analytical field site. We examined the tension between individualistic paradigms and systemic measurement, gathering qualitative field data from team deliberations, and a dedicated focus group.
Three primary autoethnographic themes emerged: operationalizing and understanding structural racism, constructing methodological infrastructure, and navigating accountability and the pursuit of a multidimensional measure. While qualitative life-course history interviews, expert panels, public podcasts, and a national survey advanced conceptual and data infrastructure, significant methodological barriers - including historical address recall, geocoding missingness, and geographic mismatch - prevented immediate measure validation. Autoethnographic reflection revealed how institutional incentives, capitalistic academic pressures, and funding mechanisms complicate collective equity work.
By interrogating our collaborative process, we demonstrate that doing 'different science' requires prioritizing reflexive, collective team dynamics and infrastructure over rapid measure production. Embedding anti-racist praxis and community accountability into scientific collaborations offers a transformative pathway for advancing structural racism research and dismantling systemic health inequities.

PMID:
42710845
Bibliographic data and abstract were imported from PubMed on 09 Sep 2026.

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