STRUCTURAL RACISM AND HEALTH INEQUITIES: Old Issues, New Directions.
STRUCTURAL RACISM AND HEALTH INEQUITIES: Old Issues, New Directions.
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DOI：
10.1017/s1742058x11000130
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发表时间：
2011-04
期刊：
影响因子：
--
通讯作者：
Ford CL
中科院分区：
文献类型：
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作者：
Gee GC;Ford CL
少数种族在发病率和死亡率方面承担着不成比例的负担。这些不平等可以用种族主义来解释，因为种族主义在历史上一直限制着少数种族和移民的生活。最近的研究表明，报告遭受种族主义的人患病的比例更高。虽然这一研究体系在增进关于卫生不平等的知识方面具有不可估量的价值，但它仍然将种族主义的经历定位在个人层面。然而，社会群体的健康可能受到结构现象而非个人现象的最强烈影响。种族主义的结构形式及其与卫生不平等的关系仍未得到充分研究。本文回顾了几种概念化结构性种族主义的方法，重点是社会隔离、移民政策和代际影响。对不平等的研究应更认真地考虑结构性种族主义的多个方面，作为健康不平等的根本原因。
Racial minorities bear a disproportionate burden of morbidity and mortality. These inequities might be explained by racism, given the fact that racism has restricted the lives of racial minorities and immigrants throughout history. Recent studies have documented that individuals who report experiencing racism have greater rates of illnesses. While this body of research has been invaluable in advancing knowledge on health inequities, it still locates the experiences of racism at the individual level. Yet, the health of social groups is likely most strongly affected by structural, rather than individual, phenomena. The structural forms of racism and their relationship to health inequities remain under-studied. This article reviews several ways of conceptualizing structural racism, with a focus on social segregation, immigration policy, and intergenerational effects. Studies of disparities should more seriously consider the multiple dimensions of structural racism as fundamental causes of health disparities.