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从开普海岸到COVID-19:通过种族化空间,集体创伤和奴隶制时代追踪健康不平等

Eric Kyere¹, Grace Karikari², Jessica Lee³

¹Indiana University School of Social Work, Indianapolis, IN, 46202, USA. ekyere@iu.edu.

Journal of racial and ethnic health disparities

|January 6, 2026

概括

源自奴隶制和殖民主义的结构性种族主义造成了健康不平等. 解决这些历史根源对于实现健康平等和推动可持续发展目标 (SDG) 实现良好健康和福祉至关重要.

科学领域:

公共卫生公共卫生
社会学社会学社会学
医学人类学医学人类学

背景情况:

奴隶制和殖民主义的遗产使边缘化社区的健康差异延续.
结构性种族主义,根植于历史上的层次结构,显著影响当代的健康不平等,特别是在公共卫生危机期间.
历史上的种族隔离,包括奴隶制,是当前健康差距的关键决定因素.

研究的目的:

检查来自跨大西洋奴隶贸易的结构性种族主义如何导致持续的健康不平等.
探索历史上的种族隔离及其在健康差异中的作用的交集,特别是在COVID-19等公共卫生危机的背景下.

主要方法:

在参观开普海岸奴隶牢房后,对来自美国和加纳的大学生进行的焦点小组讨论进行了定性分析.
应用集体文化创伤框架来分析参与者的情感和认知反应.
探索参与者对历史背景和影响COVID-19差异的结构途径之间的联系的反思.

主要成果:

结构性种族主义培养出危害健康的环境和行为.
身体液体被认为是微型传播机制,将种族主义与健康结果联系起来.
观察到内部化的统治和劣等感,突出了对抗结构性种族主义的必要性,以解决种族健康差异.

结论:

结构性种族主义维持了健康妥协的条件,医疗不信任和基于种族的等级制度,从而重现了健康差异.
对于结构性和人口层面的干预措施来推进健康公平,有着至关重要的需要.
解决这些问题对于加速实现可持续发展目标 (SDG) 的进展至关重要,特别是SDG 3:良好的健康和福祉.

关键词:

在 COVID-19 疫情中,在健康方面存在差异.历史上的创伤.种族层次结构的种族层次.奴隶制奴隶制奴隶制结构性种族主义结构性种族主义

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