The structuring of ethnic inequalities in health: Economic position, racial discrimination, and racism
The structuring of ethnic inequalities in health: Economic position, racial discrimination, and racism
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DOI：
10.2105/ajph.93.2.277
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发表时间：
2003-02-01
影响因子：
12.7
通讯作者：
Nazroo, JY
中科院分区：
文献类型：
--
作者：
Nazroo, JY
美国和英国都有记录表明不同种族群体之间存在健康差异。社会经济不平等在多大程度上是造成这种差异的基础，仍然存在争议，许多人反而侧重于文化或基因方面的解释。在美国和英国，数据的局限性极大地阻碍了对健康方面种族不平等的调查。其中最主要的或许是对种族的衡量不充分，但缺乏关于社会经济地位的良好数据也很重要，特别是涉及生命历程问题的数据。社会不利因素的其他方面，特别是种族主义经历，也被忽视。作者回顾了现有证据，并提出新的证据表明，以种族主义为支撑的社会和经济不平等是健康方面种族不平等的根本原因。
Differences in health across ethnic groups have been documented in the United States and the United Kingdom. The extent to which socioeconomic inequalities underlie such differences remains contested, with many instead focusing on cultural or genetic explanations. In both the United States and the United Kingdom, data limitations have greatly hampered investigations of ethnic inequalities in health. Perhaps foremost of these is the inadequate measurement of ethnicity, but also important is the lack of good data on socioeconomic position, particularly data that address life-course issues. Other elements of social disadvantage, particularly experiences of racism, are also neglected.The author reviews existing evidence and presents new evidence to suggest that social and economic inequalities, underpinned by racism, are fundamental causes of ethnic inequalities in health.