结构性暴力,人口健康和健康公平
Teri A Murray1, Suellen Breakey2, Christopher L Coleman3
1Trudy Busch Valentine School of Nursing, Saint Louis University, Saint Louis, MO.
Nursing outlook
|February 12, 2026
概括
结构性暴力 (SV) 通过不公平的政策和经济结构来伤害边缘化群体. 解决这些系统力量对于推进健康平等和改善人口健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生公平研究 卫生公平研究
背景情况:
- 结构性暴力 (SV) 是一个嵌入政策和经济结构的系统性问题,在几代人之间造成伤害.
- 苏维埃的特点是其广泛的地理范围,权力差异,历史上的压迫和不平等的社会结构.
- 少数群体和边缘化群体不成比例地遭受结构性暴力的不利影响.
研究的目的:
- 检查导致结构性暴力的社会结构,政策和过程.
- 激发关于社会结构与健康不平等之间的联系的政策讨论.
- 提出参与战略,优先考虑受结构性暴力影响的人口的健康.
主要方法:
- 使用Bronfenbrenner的社会生态模型 (SEM) 作为框架.
- 提出多层次的立法策略,以减轻结构性暴力.
- 解决结构性暴力的根本原因和人口层面的影响.
主要成果:
- 结构性暴力对经济稳定,社区状况和获得食物,医疗保健和教育等基本资源的机会产生负面影响.
- 了解SV的普遍性,可以识别影响健康结果的看不见的力量.
- 通过认识到它对边缘化群体的影响,护士可以有效地检测和干预SV.
结论:
- 作为全球公民,护士必须倡导促进健康公平的政策行动.
- 实现公平的健康成果需要对抗系统力量,包括不公平的政策和资源分配.
- 推进健康公平需要解决健康的社会决定因素和塑造它们的结构力量.
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