Methods for the Scientific Study of Discrimination and Health: An Ecosocial Approach
Methods for the Scientific Study of Discrimination and Health: An Ecosocial Approach
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DOI：
10.2105/ajph.2011.300544
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发表时间：
2012-05-01
影响因子：
12.7
通讯作者：
Krieger, Nancy
中科院分区：
文献类型：
--
作者：
Krieger, Nancy
对歧视如何危害健康的科学研究需要有理论依据的方法。问题在于，歧视作为社会不公正的一种形式，如何体现为不平等，并表现为卫生不平等。正如生态社会理论所阐明的那样，方法必须解决歧视作为一种剥削和压迫的社会现象的生活现实，这种现象在多个层面上运作，涉及生命历程和历史世代的无数途径。因此，一个综合的具体研究方法必须考虑(1)过去和现在的结构层面的引诱和事实上的歧视；(2)个体层面的领域、出生、显性和隐性歧视措施的使用问题；(3)当前的研究方法可能低估了种族主义对健康的影响。[J] .中华卫生杂志，2012;42(2):936-945。doi: 10.2105 / AJPH.2011.300544)
The scientific study of how discrimination harms health requires theoretically grounded methods. At issue is how discrimination,as one form of societal injustice, becomes embodied inequality and is manifested as health inequities.As clarified by ecosocial theory, methods must address the lived realities of discrimination as an exploitative and oppressive societal phenomenon operating at multiple levels and involving myriad pathways across both the life course and historical generations.An integrated embodied research approach hence must consider (1) the structural level past and present de lure and de facto discrimination; (2) the individual level issues of domains, nativity, and use of both explicit and implicit discrimination measures; and (3) how current research methods likely underestimate the impact of racism on health. (Am J Public Health. 2012;102:936-945. doi:10.2105/AJPH.2011.300544)