为什么因果关系很重要:重新思考"种族"作为风险因素
Gabriella Mayne1, Ayisha Buckley, Luwam Ghidei
1Department of Health & Behavioral Sciences, University of Colorado, Denver, Colorado; the Department of Obstetrics and Gynecology and the Department of Maternal Fetal Medicine, Weill Cornell Medicine, New York, New York; and Reproductive Specialists of the Carolinas, Charlotte, North Carolina.
使用"种族"作为早产风险因素是有缺陷和有害的. 反黑人种族主义,而不是种族本身,通过慢性压力和隐性偏见导致更高的风险,需要反种族主义的孕产妇护理.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医学伦理 医学伦理
背景情况:
- 黑人"种族"与更高的早产率之间的相关性经常被误解为因果关系.
- 这种误解是有害的,它掩盖了导致母亲和婴儿不良后果的真正潜在因素.
研究的目的:
- 批评使用黑人"种族"作为早产直接风险因素的错误逻辑.
- 确定反黑人种族主义是增加黑人患者脆弱性的根本原因.
- 突出可治疗的途径 - 慢性压力和隐性偏见 - 通过种族主义影响出生结果.
主要方法:
- 在孕产妇健康中对现有的风险因素范式进行概念分析和批评.
- 检查将种族主义与不良出生结果联系在一起的途径.
- 建议向反种族主义的产妇护理转变范式.
主要成果:
- 将黑人"种族"作为风险因素的使用在科学上是不合理的,而且是积极有害的.
- 反黑人种族主义是黑人患者早产和其他母亲/婴儿结果差异的主要驱动因素.
- 慢性压力和隐性偏见是种族主义运作的关键机制,导致负面的出生结果.
结论:
- 消除"种族"作为风险因素,并将反黑人种族主义命名为有效干预的关键.
- 解决慢性压力和隐性偏见是反种族主义产妇护理的重要组成部分.
- 改变因果范式是实现出生平等和改善黑人母亲和婴儿健康结果的关键一步.
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