公平的减少伤害是什么样子的?
Oluwole Jegede1, Julio C Nunes2, Terence Tumenta3
1Assistant professor of psychiatry at the Yale School of Medicine in New Haven, Connecticut.
AMA journal of ethics
|July 3, 2024
概括
卫生框架的结构性决定因素需要反种族主义来解决记录的种族不平等问题. 减少危害计划必须整合社会正义和公平,以打击使用毒品的人 (PWUD) 的边缘化.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 社会正义,社会正义.
背景情况:
- 种族和民族不平等在医疗保健中仍然存在,包括减少伤害计划.
- 目前的降低伤害策略往往缺乏明确的反种族主义框架.
- 仅仅以个人为中心的干预措施无法解决系统差异.
研究的目的:
- 检查卫生框架的结构性决定因素如何可以纳入反种族主义.
- 确定减少伤害计划如何有效地解决种族不平等问题.
- 为反种族主义减伤计划提供建议.
主要方法:
- 对健康框架现有的结构性决定因素的分析.
- 审查记录的种族和种族不平等在减少伤害.
- 检查药物使用政策和实践中的种族化模式.
主要成果:
- 减少伤害计划必须积极表达社会正义和健康公平.
- 承认毒品使用的历史和持续的种族化是至关重要的.
- 当前的框架往往无法充分解决系统性歧视问题.
结论:
- 有效的降低伤害需要明确的反种族主义政策和做法.
- 整合社会正义原则可以缓解使用毒品的人 (PWUD) 的边缘化.
- 提供了实施公平,反种族主义护理的建议,以减少危害.
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