偏好共同的语言,以实现跨政治范围的健康平等
Samantha X Y Wang1, Sujin Song2, Margaret C Nikolov2
1Division of Hospital Medicine, Department of Medicine, Stanford School of Medicine, Stanford, California.
JAMA network open
|March 6, 2026
概括
了解健康公平语言对于公共支持至关重要. 使用有共的术语和集体框架的战略沟通可以弥合意识形态上的分歧,促进卫生倡议的接受.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 健康的社会决定因素
背景情况:
- 讨论健康公平的语言越来越受到争议.
- 跨意识形态群体的有效沟通对于推进以公平为重点的倡议至关重要.
研究的目的:
- 检查语言和框架如何影响公众对健康公平概念的看法.
- 评估健康公平定义与共同价值观以及公众对特定术语和框架陈述的反应的协调程度.
主要方法:
- 对1000名美国成年人进行了一项横截面在线调查.
- 参与者被随机分配给健康公平或平等的定义,并评估常用术语和框架陈述.
- 用描述性统计数据分析数据,根据政治意识形态分层.
主要成果:
- 卫生公平定义显示了比健康平等定义更高的个人价值观对齐.
- 诸如"可访问的医疗保健"和"社区健康"等术语受到好评,而"边缘化社区"和"包容性健康"则表现出不同的反应.
- 在各个意识形态群体中,集体主义和肯定框架是首选的.
结论:
- 公众对健康公平语言的反应在意识形态上有所不同,但存在一些趋同的领域.
- 战略性地使用共的术语和集体的,肯定的框架可以增强对健康倡议的理解和支持.
- 这些发现为为不同受众量身定制健康公平沟通提供了见解.
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