分析结构性种族主义及其对健康的影响:现在是时候了
1Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, United States.
American journal of epidemiology
|October 5, 2024
概括
结构性种族主义研究正在快速增长,但很少有研究纳入生活过程的视角. 整合时间对于理解种族主义如何影响终身健康至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会医学科学 社会医学科学
- 流行病学 流行病学
背景情况:
- 自2020年以来,关于结构性种族主义和健康的研究显著增加.
- 大多数审查都侧重于测量或影响,对生命历程概念的关注有限.
- 只有2.5%的关于结构性种族主义的文章包括"生活过程"及其变体.
研究的目的:
- 突出时间和生命过程视角在结构性种族主义和健康研究中的关键作用.
- 检查时间因素如何影响结构性种族主义的体现及其健康后果.
- 通过考虑病因时期来解决使用结构性种族主义潜伏测量的研究中的不一致性.
主要方法:
- 文献综述PubMed文章的索引与"结构性种族主义"和"生命历程"的术语.
- 生态社会理论和拉丁美洲社会医学-集体健康框架的应用.
- 分析"健康-疾病-疾病过程"和"癌症控制连续"模型.
主要成果:
- 在结构性种族主义和健康文献中整合生命过程方法方面存在很大的差距.
- 时间维度,包括病因期,在结构性种族主义对健康的影响方面被低估了.
- 在使用潜在结构性种族主义措施的研究中,不一致的发现可能源于忽视了生活过程和时间因素.
结论:
- 迫切需要将生命过程和时间分析纳入结构性种族主义和健康研究.
- 了解种族主义在时间上的体现对于准确的病因学建模至关重要.
- 未来的研究应该优先考虑时间动态,以提高我们对结构性种族主义长期健康影响的理解.
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