交叉性和交叉性 - - 两个世界最好的东西
Jamie White1, Amanda Cordova-Gomez2,3, Raul Mejía4,5
1Office of Research on Women's Health, National Institutes of Health, Bethesda, MD, USA.
Lancet regional health. Americas
|May 5, 2025
概括
这篇论文将早期拉丁美洲社会医学交叉性 ("interseccionalidad") 与基于身份的美国交叉性进行对比,突出了他们对压迫性系统和健康的关注. 它要求整合两种方法来实现医疗保健研究和创新的系统变革.
科学领域:
- 社会医学 社会医学
- 健康 公平 卫生 公平
- 系统理论 系统理论
背景情况:
- 20世纪初的拉丁美洲社会医学利用了交叉原则,专注于影响健康的上下文因素.
- 20世纪后期,美国发展出基于身份的交叉性.
- 这两个框架都涉及影响健康结果的权力和压迫性系统.
研究的目的:
- 将早期的"交叉性"与美国的交叉性进行对比.
- 探索系统理论的应用,以了解和解决医疗保健和健康创新的系统性问题.
- 倡导在研究和创新中整合两种交叉方法.
主要方法:
- 对"交叉性"和基于身份的交叉性的比较分析.
- 应用系统理论方法来分析医疗保健和健康创新生态系统.
- 文献审查和概念讨论.
主要成果:
- 社会医学中的"互切性"专注于影响健康的上下文系统.
- 基于身份的交叉性强调个人身份类别.
- 健康中的系统动态在医学文献中没有得到充分讨论,因此需要一种系统层面的方法.
结论:
- 整合"交叉性"和交叉性提供了对健康差异的更全面的理解.
- 系统变革对于解决医疗保健中根深蒂固的不平等至关重要.
- 进一步的研究和创新应结合上下文和以身份为中心的交叉框架.
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