对种族主义和健康的交叉洞察:不仅仅是一个身份问题
Geordan Shannon1, Rosemary Morgan2, Zahra Zeinali3
1Institute for Global Health, University College London, London, UK.
Lancet (London, England)
|December 12, 2022
概括
跨界性揭示了如何重叠的权力体系,如种族主义和仇外心理, 解决这些结构性问题需要在卫生部门之外采取基于正义的行动.
科学领域:
- 公共卫生
- 社会流行病学
- 医疗公平
背景情况:
- 健康不平等往往是由交叉的权力体系加剧的, 而不是单独的因素.
- 跨界方法对于理解和解决复杂的健康差异至关重要.
- 种族主义,仇外和其他形式的压迫对健康状况产生重大影响.
研究的目的:
- 检查种族主义和仇外情绪等相互交叉的压迫体系如何影响健康.
- 突出歧视在全球不同环境中的共同点.
- 确定基于正义的行动来解决健康不平等的根本原因.
主要方法:
- 使用跨界框架来分析健康差异.
- 详细介绍了基于种姓,种族,原住民,宗教和肤色的歧视.
- 分析歧视的系统性和结构性及其对健康的影响.
主要成果:
- 歧视是通过历史因素,殖民和法律和卫生系统的制度化而产生的.
- 种族主义创造了社会层级,
- 虽然歧视的经历不同,但影响健康和福祉的共同途径是相同的.
结论:
- 跨界性为了解健康不平等的多面性提供了框架.
- 解决健康差异需要系统性,以正义为基础的干预措施,不仅限于卫生部门.
- 跨国团结和行动对于解决健康不平等的根本原因至关重要.
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