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结构性种族主义和喘中健康的社会决定因素
Adali Martinez1, Neeta Thakur2
1Division of Pulmonary, Allergy, Critical Care and Sleep, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Advances in experimental medicine and biology
|July 18, 2023
概括
喘中的种族和民族差异与结构性种族主义和对健康社会决定因素的不平等接入有关. 解决环境和社会不平等问题可以改善高风险社区的喘结果.
科学领域:
- 环境健康 环境健康
- 健康差异 在健康上的差异
- 社会流行病学 社会流行病学
背景情况:
- 喘患病率和发病率在美国的少数群体中不成比例地高.
- 喘的种族和民族差异源于复杂的生物,环境和社会因素.
- 结构性种族主义创造了不公平的系统,影响了资源分配和健康的社会决定因素.
研究的目的:
- 概述健康的社会决定因素中的不平等与更高的喘患病率和发病率之间的联系.
- 描述慢性生理压力在喘恶化中的作用.
- 突出环境和社会干预措施对喘结果的影响.
主要方法:
- 文献综述和现有关于喘差异研究的综合.
- 分析结构性种族主义对健康结果的影响.
- 检查健康和喘表型的社会决定因素之间的关系.
主要成果:
- 住房,分区,城市规划,教育,就业和医疗保健获取/提供方面的不平等与喘患病率和发病率的增加有关.
- 慢性生理压力,加剧不公平的环境,增强神经免疫和免疫对环境暴露的反应.
- 针对身体和社会环境的干预措施在改善喘结果方面显示出希望.
结论:
- 结构性种族主义和对健康社会决定因素的不平等接入有助于喘差异.
- 解决系统性不平等问题对于减轻少数群体中喘负担至关重要.
- 环境和社会干预对于改善喘控制和减少严重疾病至关重要.
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