解决社会和医疗保健系统中的结构性和系统性种族主义问题,以促进健康公平.
Marshall H Chin1, Amy Gyau-Moyer2, Allison Kelliher3
1Department of Medicine, University of Chicago, Chicago, IL, USA. mchin@medicine.bsd.uchicago.edu.
Journal of general internal medicine
|December 2, 2025
概括
结构性种族主义通过限制机会和创造劣势,对健康和福祉产生负面影响. 解决社会和医疗保健系统中的系统性种族主义对于促进所有人口的健康平等至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 健康的社会决定因素
背景情况:
- 主要的卫生组织承认种族主义是一种公共卫生危机,因为它对个人护理和人口健康有不利影响.
- 由于种族主义造成的系统压迫,为公平的健康结果造成了重大障碍.
研究的目的:
- 加强对结构性种族主义的理解和促进行动,这种种族主义推动了健康不平等.
- 引入一个概念模型和可行的策略,以应对种族主义对人口健康的影响.
主要方法:
- "影响人口健康的系统:过去和现在"一书的概述.
- 讨论书中提出的概念模型和可行的解决方案.
- 利用国家医学院健康文化计划的支持和罗伯特·伍德·约翰逊基金会的资金.
主要成果:
- 结构性和系统性种族主义限制了在经济,教育,住房,司法和医疗保健领域获得基本机会的机会.
- 种族主义直接使个人面临慢性压力,歧视和耻辱等健康风险,导致隔离社区和累积劣势.
- 可行的解决方案可以针对医疗保健和社会系统 (例如,经济,教育,司法,媒体) 内的结构性种族主义,以促进健康公平.
结论:
- 加强社会和医疗保健系统有利于边缘化的白人人口,有色人种和整个国家.
- 解决结构性种族主义对于实现全面的健康平等至关重要.
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