在美国医疗保健中质疑反黑人:背景因素和政策影响
Tonia C Poteat1, Allysha C Maragh-Bass2
1Professor, Duke University School of Nursing, Co-Director, Duke Sexual and Gender Minority Health Program, Duke University, Durham, NC.
HealthcarePapers
|October 27, 2023
概括
医疗保健中的系统性反黑人种族主义加剧了健康不平等,并导致黑人社区的疾病和早期死亡. 通过结构性变化解决种族主义问题,并集中黑人经验,对于实现健康平等至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 随着COVID-19的蔓延,现有的种族不平等现象进一步加剧,尤其突出了系统性反黑人种族主义对健康的负面影响.
- 反黑人种族主义嵌入了医疗保健系统,体现在临床算法和提供者偏见中.
- 系统性种族主义导致生理性死亡,导致美国黑人人口的疾病和过早死亡.
研究的目的:
- 检查医疗保健系统中反黑人种族主义的普遍性质.
- 了解系统性种族主义对黑人个人和社区的健康后果.
- 倡导实现健康公平所需的结构性变化.
主要方法:
- 对嵌入式种族偏见的医疗保健系统和临床算法的分析.
- 关于种族主义对黑人人口生理影响的文献综述.
- 检查历史删除作为系统种族主义的工具.
主要成果:
- 系统性的反黑人种族主义对健康结果产生了负面影响,加剧了不平等.
- 医疗保健算法和提供者偏见延续了种族差异.
- 消灭黑人历史阻碍了朝着种族正义和健康平等的进步.
结论:
- 实现健康平等需要拆除一切形式的系统性反黑人种族主义.
- 结构性变化,包括政策和法律改革,是必不可少的.
- 集中黑人生活经验对于有效的干预和在健康方面实现种族正义至关重要.
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