种族在高血压指南中的构造和意义:一个系统的范围审查
Anna Awolope1, Hannah El-Sabrout2,3, Anurima Chattopadhyay4
1School of Medicine, University of California, Davis (UC Davis), Sacramento, CA, USA.
Journal of general internal medicine
|July 2, 2024
概括
高血压指南经常将种族视为生物学因素,而不是社会因素,忽视了种族主义.
科学领域:
- 心血管健康 心血管健康
- 健康 公平 卫生 公平
- 医学指导方针 医学指导方针
背景情况:
- 专业协会的指导方针旨在提供标准化的护理,但在基于种族的建议方面面临批评.
- 种族主义对医疗保健不平等的影响需要检查指南如何解决种族问题.
- 高血压影响了近一半的美国成年人,使指南分析至关重要.
研究的目的:
- 系统地审查高血压指南,并分析种族类别的使用和含义.
- 了解如何在这些指南中引用种族,并制定建议.
主要方法:
- 对基本高血压管理指南进行系统范围审查.
- 分析了1977年至2022年间出版的指导方针,以寻找种族类别的提及.
主要成果:
- 37条指导方针包含990个种族提及,主要是指黑人和非洲/非洲裔美国人.
- 种族在流行,病因,研究特征,干预和社会决定因素的背景下被使用.
- 准则将种族视为生物结构,未能讨论种族主义在高血压不平等中的作用.
结论:
- 高血压指南通常将种族视为一种自然的生物类别,忽视其社会结构和种族主义的影响.
- 这种方法未能解决种族主义作为心血管健康不平等的关键驱动力.
- 需要有意义的结构性变化来促进高血压护理和研究中的公平.
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