一个基于股权的评分系统,用于评估公共卫生危机中与监视相关的伤害
Bita Amani1,2, Breann McAndrew1, Mienah Z Sharif2,3
1Department of Urban Public Health, Charles R. Drew University of Medicine and Science, Los Angeles, CA.
Ethnicity & disease
|June 7, 2024
概括
公共卫生监测系统可能会伤害有色人种社区. 开发了一个基于股权的评分系统来评估这些风险,在研究的一半系统中发现了潜在的危害.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 监控研究 监控研究
背景情况:
- 监控系统虽然对公共卫生至关重要,但在历史上通过犯罪化等机制不成比例地伤害了有色人种社区.
- 现有的监控做法可能会加剧与警务,拘留,驱逐出境和获得社会服务有关的脆弱性.
研究的目的:
- 开发和试验一种新的,基于公平的评分系统,以评估监控系统的潜在和实际风险.
- 确定与监视相关的特定危害,并评估它们对弱势群体的影响.
主要方法:
- 文献审查和专家小组调查,以确定与监视相关的危害.
- 基于数据类型和执法共享的评分系统 (0-2,U) 的开发.
- 在44个与COVID-19,行为健康和种族主义相关的监控系统进行试点测试.
主要成果:
- 91%的系统获得了风险评分 (0-2),其中9%无法评估 (U).
- 一半的系统 (50%) 获得1分,表明潜在的危害.
- 12%的系统 (n=5) 得分为2,显示了实际损害的证据.
结论:
- 监控系统对种族化和弱势群体产生负面影响的潜力是显著的,而且研究不足.
- 开发的评分系统为评估和减轻这些风险提供了一个工具.
- 将公共卫生目标与防止对脆弱社区造成伤害的必要性相协调是必不可少的.
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