将宏观现象,边缘化和健康公平原则纳入科学传播和实施的前进路径
Hannah Lf Cooper1, Kelli Hall2, Cam Escoffery1
1Emory University Rollins School of Public Health, United States.
Social science & medicine (1982)
|July 1, 2025
概括
传播和实施 (D&I) 科学必须解决宏观社会决定因素和健康公平. 历史回顾显示,D&I发展了一种"无知的认识论",服务于种族资本主义,掩盖边缘化和不平等.
科学领域:
- 公共卫生 公共卫生
- 传播和实施 (D&I) 科学科学
- 批判性社会科学 批判性社会科学
背景情况:
- 传播和实施 (D&I) 科学在分析宏观社会决定因素和实现健康公平方面面临挑战.
- 该领域的历史发展植根于三个关键时代:塔尔德的模仿法则 (1890-1903),农村社会学 (1920-1960) 和知识利用研究 (1960-1980).
- 一个意识到种族主义的批评表明,D&I开发了一个"无知的认识论",通过压制其后果的证据来为种族资本主义服务.
研究的目的:
- 批判性地审查D&I科学的理论根源.
- 检查历史D&I框架如何掩盖宏观社会现象并加强边缘化.
- 提出D&I的新时代,整合关键的社会科学观点来解决健康不平等问题.
主要方法:
- 在D&I科学基础时代的历史分析.
- 意识到种族主义的纪律性自我批评.
- 审查理论框架,如创新传播.
主要成果:
- D&I的创始时代与种族资本主义的转型相吻合,导致了新的边缘化和抵抗.
- 在这些时代开发的解释性框架往往掩盖了宏观社会现象,并将注意力转移到个人层面的因素.
- 这一历史轨迹延续了关于D&I中的宏观社会决定因素,边缘化和健康不平等的"无知认识论".
结论:
- 从历史上看,D&I科学发展的方式限制了其解决导致健康不平等的系统性问题的能力.
- 对于D&I来说,有必要通过结合关键社会科学家,从业者,活动家和受影响社区的见解来发展.
- 为D&I打造一个新时代,需要致力于理解和干预宏观社会现象,边缘化和健康不平等,以D&I历史和公共卫生关键种族实践的原则为指导.
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