在德克萨斯州哈里斯县的妇女中,肤色歧视和避孕避孕:一个横截面研究
Kimberly Baker1, Susan Tortolero Emery2, Evelyn Spike2
1School of Public Health, The University of Texas Health Science Center at Houston, 1200 Pressler, Houston, Texas, 77030, United States. kimberly.baker@uth.tmc.edu.
BMC public health
|September 2, 2024
概括
基于肤色或色彩主义的歧视显著影响了获得生殖健康的机会. 肤色较深的女性更有可能因为感知到的歧视而避免避孕服务.
科学领域:
- 生殖健康 生殖健康
- 健康 公平 卫生 公平
- 卫生社会学 卫生社会学
背景情况:
- 结构性种族主义是生殖健康不平等的关键驱动力.
- 肤色歧视,即基于肤色的歧视,加剧了医疗保健获取和服务提供方面的差异.
- 对色彩主义对生殖健康的影响的定量研究是有限的.
研究的目的:
- 评估肤色歧视与避开生殖健康服务之间的关系.
- 调查是否种族/民族,肤色和先前的歧视经历预测由于感知歧视而避免避孕护理.
主要方法:
- 在德克萨斯州哈里斯县,对1299名18至44岁的女性进行了在线调查.
- 该调查收集了有关人口统计,自我报告的肤色和歧视经历的数据.
- 二元逻辑回归分析了皮肤色调,种族/种族,歧视和避免避孕护理之间的关联.
主要成果:
- 与肤色较浅的女性相比,肤色较深的女性报告说,由于担心歧视,避免避孕的几率更高.
- 在调整了种族/种族和社会人口统计因素后,更深色肤色和避免避孕护理之间的这种关联仍然很重要.
- 在样本中,大约有五分之一的女性被确定为最深的皮肤色调.
结论:
- 皮肤颜色歧视明显与负面的生殖健康经历有关,包括避免避孕.
- 在生殖健康保健中解决色彩主义至关重要,扩大人们的理解,超越传统的黑白二进制.
- 调查结果强调了结构性和个人种族主义对医疗保健准入和结果的普遍和有害影响.
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