The Critical Role of Racial/Ethnic Data Disaggregation for Health Equity.
The Critical Role of Racial/Ethnic Data Disaggregation for Health Equity.
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DOI：
10.1007/s11113-020-09631-6
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发表时间：
2021
影响因子：
2.4
通讯作者：
Scheitler AJ
中科院分区：
文献类型：
--
作者：
Kauh TJ;Read JG;Scheitler AJ
人口水平的健康结果和福利措施往往相对于广泛的种族/族裔类别，如白人或高加索人来描述；黑人或非裔美国人；拉丁裔或西班牙裔；亚裔美国人;夏威夷土著和太平洋岛民；或美国印第安人和阿拉斯加原住民。然而，将数据汇总到这些群体掩盖了群体内部的关键差异和差距，限制了卫生和社会服务领域将其资源用于最需要的地方的能力。尽管研究人员和政策制定者已经认识到将种族/民族数据分类的重要性——多年来许多组织也一直在提倡这一做法——但进展缓慢且参差不齐。由于持续缺乏种族/族裔数据分类，在获得能够确保健康和福祉的急需资源方面存在不平等现象。罗伯特·伍德·约翰逊基金会在努力帮助建立健康文化和促进健康公平的过程中，支持了旨在推动在收集、分析和报告阶段对种族/族裔数据进行有意义的分类的活动。本期特刊进一步证明了分类的重要性、在实践中创造变革所面临的技术和政策挑战，以及改进使用种族和族裔数据以确定和解决健康差距的影响。
Population-level health outcomes and measures of well-being are often described relative to broad racial/ethnic categories such as White or Caucasian; Black or African American; Latino or Hispanic; Asian American; Native Hawaiian and Pacific Islander; or American Indian and Alaska Native. However, the aggregation of data into these groups masks critical within-group differences and disparities, limiting the health and social services fields’ abilities to target their resources where most needed. While researchers and policymakers have recognized the importance of disaggregating racial/ethnic data—and many organizations have advocated for it over the years—progress has been slow and disparate. The ongoing lack of racial/ethnic data disaggregation perpetuates existing inequities in access to much-needed resources that can ensure health and well-being. In its efforts to help build a Culture of Health and promote health equity, the Robert Wood Johnson Foundation has supported activities aimed to advance the meaningful disaggregation of racial/ethnic data—at the collection, analysis, and reporting phases. This special issue presents further evidence for the importance of disaggregation, the technical and policy challenges to creating change in practice, and the implications of improving the use of race and ethnicity data to identify and address gaps in health.