A Socio-Ecological Approach to Addressing Digital Redlining in the United States: A Call to Action for Health Equity.
A Socio-Ecological Approach to Addressing Digital Redlining in the United States: A Call to Action for Health Equity.
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DOI：
10.3389/fdgth.2022.897250
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发表时间：
2022
影响因子：
--
通讯作者：
Wang, Karen H.
中科院分区：
文献类型：
--
作者：
McCall, Terika;Asuzu, Kammarauche;Oladele, Carol R.;Leung, Tiffany I.;Wang, Karen H.
关键词：
由于冠状病毒(新冠肺炎)大流行而产生的物理距离要求增加了对宽带互联网接入的需求。世界卫生组织将健康的社会决定因素定义为通过影响人们出生、成长、工作、生活和年龄的条件来影响健康结果的非医疗因素。根据这一定义，宽带互联网接入是健康的一个社会决定因素。数字红线是特定群体被剥夺平等使用互联网等数字工具的系统性过程，在获得教育和就业机会以及医疗保健信息方面造成了不平等。尽管众所周知，互联网服务提供商系统地将低收入社区排除在宽带服务之外，但几乎没有采取什么行动来阻止这种歧视性做法。在这篇文章中，我们试图扩大针对美国数字红线做法的行动呼吁，描述它如何在广泛的范围内以及在新冠肺炎大流行的背景下造成健康差距，并使用社会生态框架提出解决这种不平等的短期和长期行动。
Physical distancing requirements due to the coronavirus (COVID-19) pandemic has increased the need for broadband internet access. The World Health Organization defines social determinants of health as non-medical factors that impact health outcomes by affecting the conditions in which people are born, grow, work, live, and age. By this definition broadband internet access is a social determinant of health. Digital redlining—the systematic process by which specific groups are deprived of equal access to digital tools such as the internet—creates inequities in access to educational and employment opportunities, as well as healthcare and health information. Although it is known that internet service providers systematically exclude low-income communities from broadband service, little has been done to stop this discriminatory practice. In this paper, we seek to amplify the call to action against the practice of digital redlining in the United States, describe how it contributes to health disparities broadly and within the context of the COVID-19 pandemic, and use a socio-ecological framework to propose short- and long-term actions to address this inequity.
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