Where next for understanding race/ethnic inequalities in severe mental illness? Structural, interpersonal and institutional racism
Where next for understanding race/ethnic inequalities in severe mental illness? Structural, interpersonal and institutional racism
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DOI：
10.1111/1467-9566.13001
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发表时间：
2020-02-01
影响因子：
2.9
通讯作者：
Rhodes, James
中科院分区：
文献类型：
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作者：
Nazroo, James Y.;Bhui, Kamaldeep S.;Rhodes, James
在这篇文章中，我们使用的种族/民族不平等的严重精神疾病的例子来证明一种新的综合方法的实用性理论的作用，种族主义在产生不平等。英国的少数民族比白色英国人被诊断患有严重精神病相关精神疾病的风险要大得多，对于那些加勒比黑人或非洲黑人血统的人来说尤其如此。关于我们如何理解这种不平等的驱动因素，存在着根深蒂固的争议。为了解决这一争端，我们建立在，并在一定程度上完善，建立理论化的结构和制度的种族主义的方法，并将其纳入一个理论框架，也包括种族主义/歧视性的相互作用（人际种族主义）。我们认为，这提供了一个概念上强大的和彻底的分析种族主义的相互关联的层面在塑造严重精神疾病的风险，获得护理，政策和实践的反应的作用。这一分析对更广泛但综合地理解健康方面种族/族裔不平等的根本驱动力和反种族主义公共卫生议程具有影响。
In this article we use the example of race/ethnic inequalities in severe mental illness to demonstrate the utility of a novel integrative approach to theorising the role of racism in generating inequality. Ethnic minority people in the UK are at much greater risk than White British people of being diagnosed with a severe - psychosis related - mental illness, and this is particularly the case for those with Black Caribbean or Black African origins. There is entrenched dispute about how we might understand the drivers of this inequality. To address this dispute we build on, and to a certain extent refine, established approaches to theorising structural and institutional racism, and integrate this within a theoretical framework that also incorporates racist/discriminatory interactions (interpersonal racism). We argue that this provides a conceptually robust and thorough analysis of the role of inter-related dimensions of racism in shaping risks of severe mental illness, access to care, and policy and practice responses. This analysis carries implications for a broader, but integrated, understanding of the fundamental drives of race/ethnic inequalities in health and for an anti-racism public health agenda.