Why Racial Justice Matters in Radiation Oncology
Why Racial Justice Matters in Radiation Oncology
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DOI：
10.1016/j.adro.2020.06.013
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发表时间：
2020-09-01
影响因子：
2.3
通讯作者：
Winkfield, Karen M.
中科院分区：
文献类型：
--
作者：
Chapman, Christina Hunter;Gabeau, Darlene;Winkfield, Karen M.
最近的事件再次证明，种族主义是困扰美国并渗透到这个国家结构中的一种普遍疾病。作为致力于了解和减轻疾病的医疗保健专业人员，许多放射肿瘤学家未能认识到结构性种族主义如何影响我们所服务的患者的健康和福祉。文献充满了描述性统计数据，显示黑人人口在从婴儿死亡到传染病（包括2019年冠状病毒病（COVID-19））等健康状况方面的发病率和死亡率较高。承认这个国家黑人所经历的健康差异的根源是种族主义，对于推动国家和放射肿瘤学领域的发展至关重要。通过这个透镜，结构性和体制性种族主义的简要概述形成了关于辐射肿瘤学家和代表他们的组织可以做些什么来解决这一祸害的讨论。作为技术领域的一员，我们经常利用数据的力量来促进人类健康，并乐观地对待具有挑战性的疾病，认为多学科的努力可以治愈疾病。通过ATIP（承认，透明度，意向性和重新呈现）和LEADS（学习，参与，倡导，捍卫，支持）方法，建议了一些原则，以减轻该领域长期存在的黑人边缘化问题。然而，鼓励更多的自省。正如个人、实践和组织团结起来确定如何最好地解决与COVID-19大流行相关的问题一样，必须将同样的调查热情应用于种族主义问题，以对抗这种险恶且往往致命的疾病。(C)2020作者（S）爱思唯尔公司出版代表美国放射肿瘤学会。
Recent events have reaffirmed that racism is a pervasive disease plaguing the United States and infiltrating the fabric of this nation. As health care professionals dedicated to understanding and alleviating disease, many radiation oncologists have failed to acknowledge how structural racism affects the health and well-being of the patients we aim to serve. The literature is full of descriptive statistics showing the higher incidence and mortality experienced by the Black population for health conditions ranging from infant mortality to infectious disease, including coronavirus disease 2019 (COVID-19). Acknowledgment that the root of health disparities experienced by Black people in this country are based in racism is essential to moving the nation and the field of radiation oncology forward. With this lens, a brief overview of structural and institutional racism shapes a discussion of what radiation oncologists and the organizations that represent them can do to address this scourge. As members of a technological field, we often harness the power of data to advance human health and approach challenging diseases with optimism that multidisciplinary effort can produce cure. A few principles to mitigate the longstanding issues of Black marginalization within the field have been recommended via the ATIP (Acknowledgment, Transparency, Intentionality, and rePresentation) and LEADS (Learn, Engage, Advocate, Defend, Support) approaches. However, additional introspection is encouraged. Just as individuals, practices, and organizations rallied to determine how best to address the issues related to the COVID-19 pandemic, the same investigational fervor must be applied to the issue of racism to combat this sinister and often deadly disease. (C) 2020 The Author(s). Published by Elsevier Inc. on behalf of American Society for Radiation Oncology.