Masks Are the New Condoms: Health Communication, Intersectionality and Racial Equity in COVID-Times.
Masks Are the New Condoms: Health Communication, Intersectionality and Racial Equity in COVID-Times.
复制标题
DOI：
10.1080/10410236.2020.1838095
复制
发表时间：
2020-12
影响因子：
3.9
通讯作者：
Cobb, Jasmine
中科院分区：
文献类型：
--
作者：
Hull, Shawnika;Stevens, Robin;Cobb, Jasmine
种族主义是美国健康差距最持久、最普遍和最有害的驱动因素（医学研究所利用社会科学和行为研究改善公众健康委员会，健康促进和疾病预防司，2001年），也是不公平的COVID结果的根本原因（Pirtle，2020年）。如果不系统和集体地关注种族主义问题，随着这一流行病的肆虐，与新冠病毒相关的发病率和死亡率方面的不平等将继续扩大。土著、拉丁裔和黑人社区承受着与新冠病毒有关的发病率的极高负担。根据目前的估计，占美国人口13%的黑人美国人经历了31%的COVID死亡。西班牙裔/拉丁裔人占13%，但死亡率更高，占COVID死亡人数的44%。原住民社区占美国人口不到1%，却经历了惊人的22%的COVID死亡。与COVID相关的发病率可能会遵循类似的种族和民族线。健康传播科学家和从业人员越来越多地承认，健康差距是由社会和结构因素驱动的。这些根本原因在很大程度上是那些经历不平等的人无法控制的。与这些规定相反，健康传播学术和实践不成比例地关注通过寻求改变个人行为来降低个人风险（Dutta，2008; Viswanath，2006）。这种方法假定，通过关注“个人责任”，个人将能够减轻美国黑人的结构性影响。在这样做的过程中，传播学者未能提出解决种族主义作为健康差异原因所需的解决方案。COVID危机需要新的方向;传播学者必须抵制专注于卫生系统中种族主义受害者的刻板干预，而是扩大我们在人际，社会和结构层面解决种族主义的努力。交叉性关注机构和社会力量（例如，种族主义，性别歧视，阶级歧视）与个人身份维度（例如，种族，性别，阶级）相互作用的方式，为不同社会位置的人提供不同的特权和劣势。交叉性集中在黑人妇女的经验，特别是，概括地说，历史上被边缘化的群体，
Racism is a most persistent, pervasive and pernicious driver of health disparities in the US (Institute of Medicine Committee on Capitalizing on Social Science and Behavioral Research to Improve the Public’s Health, Division of Health Promotion and Disease Prevention, 2001) and is a fundamental cause of inequitable COVID outcomes (Pirtle, 2020). Inequities in COVID-related morbidity and mortality will continue to widen as the epidemic rages on, without a systematic and collective focus on racism, specifically. Indigenous, Latinx and Black communities bear an exceedingly high burden of COVID-related morbidity. By current estimates, Black Americans, who account for 13% of the US population experienced 31% of COVID deaths. Hispanic/Latinx people account for 13% but bore an even higher mortality rate, with 44% of COVID deaths. Indigenous communities account for less than 1% of the US population and experienced a staggering 22% of COVID deaths. It is likely that COVID-related morbidities will follow similar racial and ethnic lines. Health communication scientists and practitioners increasingly acknowledge that health disparities are driven by social and structural factors. These fundamental causes lie largely outside of the control of those experiencing inequities. Contrary to these stipulations, health communication scholarship and practice has focused disproportionately on reducing individual risk by seeking to change individual behaviors (Dutta, 2008; Viswanath, 2006). This approach presumes that by focusing on “personal responsibility,” individuals will be able to mitigate the structural impact of being Black in the US In doing so, communication scholars fail to generate solutions needed to address racism as a cause of health disparities. The COVID crisis demands new directions; communication scholars must resist staid interventions that focus on victims of racism in the health system and instead broaden our efforts to address racism at the interpersonal, social, and structural levels.Intersectionality (Crenshew, 1989) is an essential framework for understanding and reducing health disparities. Intersectionality attends to the ways institutional and social forces (eg, racism, sexism, classism) interact with individual identity dimensions (eg, race, gender, class) to afford privilege and disadvantage differently for people at different social locations. Intersectionality centers the experiences of Black women in particular, and summarily, historically marginalized groups,
登录
查看更多内容
影响因子：
12.7
作者：
Levine, Robert S.;Briggs, Nathaniel C.;Rust, George S.
通讯作者：
Rust, George S.
影响因子：
5.6
作者：
Siegler, Aaron J.;Mouhanna, Farah;Sullivan, Patrick S.
通讯作者：
Sullivan, Patrick S.
DOI：
10.1080/09540121.2016.1153595
发表时间：
2016-09-01
影响因子：
1.7
作者：
Adams, Leah M.;Balderson, Benjamin H.
通讯作者：
Balderson, Benjamin H.
影响因子：
4.6
作者：
Stone, Valerie E
通讯作者：
Stone, Valerie E
影响因子：
120.7
作者：
Cooper-Patrick, L;Gallo, JJ;Ford, DE
通讯作者：
Ford, DE