测量结构性种族主义对美国社区的持久印记
Zachary Dyer1, Matthew J Alcusky2, Sandro Galea3
1Zachary Dyer (zachary.dyer1@umassmed.edu), University of Massachusetts, Worcester, Massachusetts.
Health affairs (Project Hope)
|October 2, 2023
概括
美国的结构性种族主义造成了社区资源差异,影响了健康公平. 一个新的结构性种族主义影响指数比其他指数更好地与健康结果相关,帮助政策推进健康公平.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 社会学 社会学 社会学
背景情况:
- 美国历史上的歧视政策导致了社区资源的巨大差异.
- 这些差异不成比例地影响了少数民族群体,导致了健康不平等.
- 现有的以区域为基础的指数不能完全捕捉结构性种族主义对健康的复杂影响.
研究的目的:
- 量化与结构性种族主义相关的社区资源差异.
- 开发和验证一个新的指数,衡量结构性种族主义对健康的影响.
- 评估与现有措施相比,这种新指数与健康结果的关联.
主要方法:
- 编制了42个变量在9个领域 (建筑环境,刑事司法,教育,就业,住房,收入/贫困,社会凝聚力,交通,财富) 在人口普查区层面的数据.
- 开发了特定领域的分数和总结结构性种族主义效应指数 (SREI),使用来自多个来源的公开数据.
- 检查了SREI,其他基于区域的指数和健康结果 (如预期寿命) 之间的相关性.
主要成果:
- 结构性种族主义影响指数显示,与其他常用的基于区域的指数相比,与健康结果的关联更强.
- SREI的域名和总结分数有效地描述了社会风险因素的差异.
- SREI提供了结构性种族主义对人口健康影响的更强有力的衡量标准.
结论:
- 结构性种族主义影响指数是一个强大的新工具,用于理解和解决健康不平等问题.
- SREI可以指导政策决策和旨在促进健康公平的投资.
- 量化结构性种族主义的影响对于制定有针对性的干预措施来减少健康差异至关重要.
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