脆弱性:一个范围审查,探讨对生活在脆弱的人的歧视
Philip Braude1, Emma Grace Lewis2, Steve Broach Kc3
1University of the West of England, School of Health and Social Wellbeing, Bristol, UK; Collaborative Ageing Research (CLARITY) group, North Bristol NHS Trust, Bristol, UK; Research in Emergency Care, Avon Collaborative Hub (REACH), Bristol, UK.
The lancet. Healthy longevity
|January 13, 2025
概括
生活在脆弱的人面临歧视,这在法律上没有受到保护. 这次审查发现了直接和间接的歧视,通常与年龄和残疾偏见重叠,突出了需要法律保护的需要.
科学领域:
- 老年学是一门学科.
- 卫生法 法律 卫生法
- 社会科学 社会科学 社会科学
背景情况:
- 虚弱是一种与衰老相关的临床综合征,增加了对疾病,残疾和死亡的脆弱性.
- 经历脆弱的个人遇到歧视,但它缺乏对年龄或残疾等特征提供的法律保护.
- 了解对脆弱人群的歧视范围对于解决医疗保健不平等至关重要.
研究的目的:
- 在医疗保健文献中进行范围审查,调查在医疗保健文献中对患有脆弱性的人群的歧视程度.
- 识别和分类歧视的类型 (直接,间接,骚扰,受害),并制定背景主题.
- 探索基于脆弱性的歧视与其他受保护特征之间的关系.
主要方法:
- 在五个医疗保健数据库和灰色文献中进行全面搜索,截至2022年6月.
- 根据歧视类型识别和分类144个相关文本.
- 诱导性开发9个主题,描述对脆弱人群的歧视行为.
主要成果:
- 直接歧视 (63%) 和间接歧视 (46%) 是最常见的形式.
- 对有脆弱的人的歧视经常与年龄和残疾歧视重叠,有时甚至被强化.
- 确定了九个不同的歧视行为主题,表明与受保护特征的复杂相互作用.
结论:
- 脆弱性歧视是医疗保健中的一个重要问题,经常与年龄和残疾歧视相交.
- 有证据表明,脆弱性歧视可以独立地或与其他受保护特征结合而起作用.
- 建议进行进一步的研究,以防止基于脆弱性的歧视,并考虑其法律保护.
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