美国的结构性性别种族主义和早产不平等
Taylor Riley1, Daniel A Enquobahrie2, Lisa S Callegari3
1Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
Social science & medicine (1982)
|March 28, 2024
概括
结构性性别种族主义推动了黑人和土著人民的早产分歧. 一项新的州级措施揭示了四个不同的弱势阶级,所有阶级的黑人个人都有更高的早产风险.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康 公平 卫生 公平
背景情况:
- 结构性性别种族主义,结构性种族主义和性别歧视的交叉点,是早产不平等的关键驱动因素.
- 美国的黑人和土著人口不成比例地经历过早产,突出了系统性问题.
研究的目的:
- 通过使用隐性阶级分析,制定国家层面的结构性性别种族主义衡量标准.
- 检查这项措施与2019年美国早产率之间的关联.
主要方法:
- 隐藏的个人资料分析被用来识别基于白人男性和黑人女性之间的9个不平等指标的不同阶级.
- 多级修改的波桑回归模型评估了州级班级与早产风险之间的关系.
主要成果:
- 出现了四个不同的潜阶级,所有这些都显示黑人女性的劣势和白人男性的优势,大小各不相同.
- 与白人相比,黑人分娩个体在所有阶级都有更高的早产风险.
- 在黑人分娩个体中,早产风险在各个阶级之间有所不同,但在白人分娩个体中没有变化.
结论:
- 结构性性别种族主义是理解持续的早产差异的一个关键因素.
- 对结构性性别种族主义的细微,国家层面的理解对于制定有效的,多方面的政策干预是必不可少的.
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