Tackling racism as a "wicked" public health problem: Enabling allies in anti-racism praxis
Tackling racism as a "wicked" public health problem: Enabling allies in anti-racism praxis
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DOI：
10.1016/j.socscimed.2017.03.028
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发表时间：
2018-02-01
影响因子：
5.4
通讯作者：
Griffith, Derek
中科院分区：
文献类型：
--
作者：
Came, Heather;Griffith, Derek
种族主义是一个“邪恶的”公共卫生问题，助长了新西兰、美国和其他地方人口群体之间系统性的卫生不平等。虽然文献研究了种族主义及其对健康的影响，但描述如何干预以解决公共卫生中的种族主义问题的工作却不太发达。虽然通过社会政治教育提高对种族主义认识的概念并不新鲜，但鉴于种族主义在卫生机构环境中演变成新的说法，支持盟友作出知情努力，将种族主义作为卫生不平等的根本原因加以解决，已变得至关重要。在本文中，我们提出了反种族主义实践的情况下，作为一种工具，以解决公共卫生的不平等，并专注于描述一个反种族主义的实践框架，告知盟友的培训和支持。关于反种族主义的有限工作很少阐明种族主义盟友或目标的独特挑战或需要，但我们力求帮助填补这一空白。我们的反种族主义实践的盟友包括五个核心要素：反思关系实践，结构性权力分析，社会政治教育，监测和评估和系统变革的方法。我们认识到，种族主义是健康的一个可以改变的决定因素，种族不平等可以通过必要的政治意愿和有计划的制度变革办法来消除。反种族主义实践提供了工具，可用来审查文化和体制因素之间的相互联系和相互依存关系，以此作为审查在何处以及如何进行干预以解决种族主义问题的基础。(C)2017爱思唯尔有限公司版权所有
Racism is a "wicked" public health problem that fuels systemic health inequities between population groups in New Zealand, the United States and elsewhere. While literature has examined racism and its effects on health, the work describing how to intervene to address racism in public health is less developed. While the notion of raising awareness of racism through socio-political education is not new, given the way racism has morphed into new narratives in health institutional settings, it has become critical to support allies to make informing efforts to address racism as a fundamental cause of health inequities. In this paper, we make the case for anti-racism praxis as a tool to address inequities in public health, and focus on describing an anti-racism praxis framework to inform the training and support of allies. The limited work on anti-racism rarely articulates the unique challenges or needs of allies or targets of racism, but we seek to help fill that gap. Our anti-racism praxis for allies includes five core elements: reflexive relational praxis, structural power analysis, socio-political education, monitoring and evaluation and systems change approaches. We recognize that racism is a modifiable determinant of health and racial inequities can be eliminated with the necessary political will and a planned system change approach. Anti-racism praxis provides the tools to examine the interconnection and interdependence of cultural and institutional factors as a foundation for examining where and how to intervene to address racism. (C) 2017 Elsevier Ltd. All rights reserved.