Structural racism and health inequities in the USA: evidence and interventions
Structural racism and health inequities in the USA: evidence and interventions
复制标题
DOI：
10.1016/s0140-6736(17)30569-x
复制
发表时间：
2017-04-08
期刊：
影响因子：
168.9
通讯作者：
Bassett, Mary T.
中科院分区：
文献类型：
--
作者：
Bailey, Zinzi D.;Krieger, Nancy;Bassett, Mary T.
尽管人们对了解社会因素如何导致糟糕的健康结果越来越感兴趣，但许多学者、政策制定者、科学家、民选官员、记者和其他负责界定和回应公共话语的人仍然不愿将种族主义视为种族健康不平等的根本原因。在这份概念性报告中，我们使用当代和历史的视角，讨论应对结构性种族主义对人口健康和健康不平等的影响的研究和干预措施，这是关于美国健康公平和平等的系列报告的第三份。结构性种族主义指的是社会通过住房、教育、就业、收入、福利、信贷、媒体、保健和刑事司法等相辅相成的制度来助长种族歧视的各种方式。这些模式和做法反过来又强化了歧视性的信念、价值观和资源分配。我们认为，对结构性种族主义的关注为促进健康公平和改善人口健康提供了一种具体、可行和有希望的方法。
Despite growing interest in understanding how social factors drive poor health outcomes, many academics, policy makers, scientists, elected officials, journalists, and others responsible for defining and responding to the public discourse remain reluctant to identify racism as a root cause of racial health inequities. In this conceptual report, the third in a Series on equity and equality in health in the USA, we use a contemporary and historical perspective to discuss research and interventions that grapple with the implications of what is known as structural racism on population health and health inequities. Structural racism refers to the totality of ways in which societies foster racial discrimination through mutually reinforcing systems of housing, education, employment, earnings, benefits, credit, media, health care, and criminal justice. These patterns and practices in turn reinforce discriminatory beliefs, values, and distribution of resources. We argue that a focus on structural racism offers a concrete, feasible, and promising approach towards advancing health equity and improving population health.