"C2DREAM"框架:研究种族健康不平等背后的结构机制
Kene Orakwue1,2, Anna K Hing1,2, Tongtan Chantarat2
1Division of Health Policy and Management, University of Minnesota, Minneapolis, MN, USA.
Journal of clinical and translational science
|May 15, 2024
概括
种族主义通过影响健康的社会决定因素 (SDoH) 来显著影响健康. C2DREAM框架帮助研究人员了解种族主义如何导致健康不平等和慢性疾病.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 健康 公平 研究 健康 公平 研究
背景情况:
- 种族主义深深地影响了跨种族群体的健康社会决定因素 (SDoH) 的分布.
- 虽然研究证实了种族主义对健康的负面影响,但它在健康差异中的作用在研究和干预中往往被低估了.
- 持续的健康不平等与种族主义的多面和累积影响有关.
研究的目的:
- 引入C2DREAM框架,指导研究种族主义对健康的影响.
- 促进对种族主义在多个层面的影响进行批判性评估和测量.
- 阐明种族主义导致心血管疾病,高血压和肥胖的途径.
主要方法:
- 概念框架的发展 (C2DREAM).
- 生活过程视角的整合.
- 强调衡量多种形式的种族主义及其累积影响.
主要成果:
- C2DREAM框架将暴露于各种形式的种族主义与SDoH联系起来.
- 它强调了种族主义,SDoH和诸如心血管疾病,高血压和肥胖等不良健康结果之间的联系.
- 该框架强调了种族主义,SDoH和影响健康的生命过程之间的相互联系.
结论:
- C2DREAM框架提供了一种结构化的方法来理解种族主义在健康不平等中的作用.
- 应用这个框架可以带来更强大的研究和更有效的干预.
- 解决种族主义复杂和累积的影响对于推进健康公平至关重要.
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