人種差別と健康に関する交差点の洞察: 単なるアイデンティティの問題ではない
Geordan Shannon1, Rosemary Morgan2, Zahra Zeinali3
1Institute for Global Health, University College London, London, UK.
Lancet (London, England)
|December 12, 2022
まとめ
人種差別や外国人嫌悪といった 権力の重なり合いが 健康上の不平等を 生み出すことを示しています これらの構造的な問題に対処するには,保健分野を超えた正義に基づく行動が必要です.
科学分野:
- 公衆衛生
- 社会流行病学
- 健康に関する公平性
背景:
- 健康上の不平等は 孤立した要因ではなく 交差する権力システムによって 悪化することが多いのです
- 複雑な健康格差の理解と対処には 横断的なアプローチが不可欠です
- 人種差別,外国人嫌悪,その他の形態の抑圧は,健康上の結果に大きな影響を及ぼします.
研究 の 目的:
- 人種差別や外国人嫌悪を含む 相互に交差する抑圧のシステムが 健康にどのような影響を及ぼすかを調べる
- 差別が様々なグローバルコンテキストでどのように作用するかの共通点を強調する.
- 健康不平等の根本原因に対処するための 公正に基づく行動を 特定すること
主な方法:
- 健康格差を分析するために 交差する枠組みを利用する.
- カースト,民族,先住民,宗教,肌の色に基づく差別を詳細に説明する5つの世界的な事例を紹介します.
- 差別の体系的・構造的性質とその健康への影響について分析する.
主要な成果:
- 差別は歴史的要因や 植民地主義や 法律や医療制度の 制度化によって生じます
- 人種差別は社会的階層を作り出し 少数派集団に影響を与える 構造的な暴力の形態です
- 差別の経験は様々ですが 健康と福祉に影響する共通した経路があります
結論:
- 医療における不平等の多面性を理解するための枠組みを提供する.
- 医療の格差を解決するには 医療分野を超えた 制度的で正義に基づいた 介入が必要です
- 健康上の不平等の根本的な原因に対処するには 国境を越えた連帯と行動が不可欠です
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