种族调整隐藏并延续系统性种族主义:使用生命表的现实世界例子
Shabbar I Ranapurwala1,2, Serita A Coles2,3, Scott K Proescholdbell4
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC.
American journal of epidemiology
|November 19, 2024
概括
预期寿命计算中的种族调整低估了黑人美国人的社会负担,掩盖了显著的种族健康差异,并延续了公共卫生方面的不平等.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
背景情况:
- 流行病学研究中的种族调整可以掩盖系统性种族主义.
- 丧失的生命年数 (YLL) 是评估过早死亡对社会负担的关键指标.
- 赛事调整对YLL估计的影响需要彻底调查.
研究的目的:
- 为了比较种族调整和未调整的YLL估计.
- 量化种族调整对不同种族群体YLL计算的影响.
- 了解YLL估计中的种族调整如何影响种族健康差异的可见性.
主要方法:
- 使用北卡罗来纳州暴力死亡报告系统数据 (2006-2019).
- 与疾病控制和预防中心 (CDC) 的种族调整和未调整的生命表相关联的数据.
- 计算了非西班牙裔黑人和非西班牙裔白人居民自杀和杀人的总年龄和每人死亡的年龄.
主要成果:
- 种族调整对非西班牙裔白人YLL估计的影响很小.
- 种族调整后的生命表显著低估了非西班牙裔黑人居民的总年龄和每人死亡的年龄.
- 由于种族调整,在黑人居民中观察到低估了14907 YLL的谋杀和4414 YLL的自杀.
结论:
- 对于黑人美国人来说,YLL计算中的种族调整掩盖了严重的种族健康差异.
- 种族调整的做法通过隐藏边缘化人口中过早死亡的真正社会负担来延续不平等.
- 重新考虑在公共卫生指标中使用种族调整对于解决系统性种族主义和促进健康公平至关重要.
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