Diversions: How the Underrepresentation of Research on Advantaged Groups Leaves Explanations for Health Inequalities Incomplete
Diversions: How the Underrepresentation of Research on Advantaged Groups Leaves Explanations for Health Inequalities Incomplete
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DOI：
10.1177/00221465211028152
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发表时间：
2021-08-06
影响因子：
5
通讯作者：
Garcia, San Juanita
中科院分区：
文献类型：
--
作者：
Link, Bruce G.;Garcia, San Juanita
我们在健康不平等研究中发现了一个社会学家特别擅长填补的空白——对优势群体在造成不平等中所起作用的研究的代表性不足。我们将造成不平衡的过程称为健康不平等转移。我们从已授予的资助（349）、主要健康相关数据集(7)、研究文章（324）和健康人政策建议中收集证据。我们评估优势群体产生不平等的行为是直接通过捕捉他们的行为还是间接通过询问弱势群体对优势群体的歧视或剥削来考虑的。我们进一步评估是否存在将问题定位于经历健康不平等的个人或群体的趋势。我们发现，在研究过程的所有步骤中，转移都很普遍。转移概念提出了社会学研究的新思路，以理解为什么会发生转移，以及如何填补有关优势角色的证据空白。
We identify a gap in health inequalities research that sociologists are particularly well situated to fill-an underrepresentation of research on the role advantaged groups play in creating inequalities. We name the process that creates the imbalance health-inequality diversions. We gathered evidence from awarded grants (349), major health-related data sets (7), research articles (324), and Healthy People policy recommendations. We assess whether the inequality-generating actions of advantaged groups are considered either directly by capturing their behaviors or indirectly by asking disadvantaged people about discrimination or exploitation from advantaged groups. We further assess whether there is a tendency to locate the problem in the person or group experiencing health inequalities. We find that diversions are prevalent across all steps of the research process. The diversion concept suggests new lines of sociological research to understand why diversions occur and how gaps in evidence concerning the role of the advantaged might be filled.