美国30个最大城市的种族健康公平计划
Maureen R Benjamins1, Jennifer Poonsapaya2, Emily Laflamme3
1Sinai Urban Health Institute, 1500 S. Fairfield Ave, Chicago, IL, 60608, USA. Maureen.Benjamins@sinai.org.
美国主要城市的当地卫生部门 (LHD) 并没有将反种族主义支持完全转化为正式计划. 很少有LHD设定可衡量的种族健康公平目标,尽管承认差异.
科学领域:
- 公共卫生政策 公共卫生政策
- 健康 公平 研究 健康 公平 研究
- 城市卫生研究 城市卫生研究
背景情况:
- 在美国城市的预期寿命中存在显著的种族不平等,差距超过10年.
- 这些差异是由系统性种族主义,社会结构和政策所延续的,需要人口层面的干预.
- 当地卫生部门 (LHD) 处于战略地位,能够实施这些关键的变化.
研究的目的:
- 评估30个人口最多的美国城市的LHD将种族健康平等纳入其正式战略健康计划的程度.
- 评估在这些计划中包含特定的,可衡量的股权目标和相关的组织实践.
主要方法:
- 环境扫描和文档审查来自LHD的正式健康计划,涵盖美国30个人口最多的城市.
- 评估与种族平等相关的平等优先事项,可衡量的目标,组织结构,数据利用和正式声明.
- 数据收集是在2022年1月至8月期间进行的.
主要成果:
- 29个LHD中只有13个在他们的计划中明确关注种族健康平等;只有七个有具体的,可衡量的目标.
- 25个LHD提供了关于种族健康不平等的当地数据.
- 大多数LHD宣称种族主义是公共卫生危机,大约一半的人有专门的股权职位或专注于COVID-19的努力.
结论:
- 很少有大型城市有效地将反种族主义原则纳入正式的LHD战略规划.
- 虽然LHDs认识到种族健康不平等并收集相关数据,但需要确立具体,可衡量的公平目标并为实现这些目标分配资源.
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