结构性种族主义是健康不平等的根本原因:一个范围审查
Adnan Kisa1,2, Sezer Kisa3
1School of Health Sciences, Kristiania University of Applied Sciences, Oslo, Norway.
International journal for equity in health
|October 8, 2025
概括
结构性种族主义对各个部门的健康结果产生重大影响,导致持续的健康不平等. 解决这些差异需要全面的,跨部门的政策改革和问责制措施.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 研究 健康 公平 研究
- 健康的社会决定因素
背景情况:
- 结构性种族主义是健康不平等的根本原因,通过系统性做法不成比例地影响少数群体.
- 现有的关于结构性种族主义和健康的研究是跨学科的碎片化,需要一个全面的综合.
- 本综述探讨了将结构性种族主义与健康差异联系起来的途径,结果和干预措施.
研究的目的:
- 综合对结构性种族主义对健康的多方面的影响进行同行评审的研究.
- 确定结构性种族主义运作和影响健康结果的关键机制.
- 评估旨在缓解结构性种族主义造成的健康差异的干预和政策.
主要方法:
- 一个范围审查框架 (Arksey和O'Malley,Levac等人,JBI) 指导了这项研究.
- 在六个主要数据库中搜索了2025年2月15日之前发表的英语同行评审研究.
- 在两个审稿人独立选和提取数据后,采用了主题综合.
主要成果:
- 83项研究显示,结构性种族主义与母亲健康,癌症和心血管疾病等领域的不良健康结果之间存在一致的联系.
- 发现的关键机制包括红线,住宅隔离,监狱做法和环境不公正.
- 黑人,土著,LGBQ,移民和社会经济边缘化群体的交叉健康负担最严重.
结论:
- 结构性种族主义在制度和社会系统中延续了健康差异.
- 虽然干预措施显示出希望,但缺乏可扩展的,基于证据的改革和严格的评估.
- 实现健康公平需要优先考虑跨部门行动,以拆除维持种族不公正的结构性条件.
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