Jedi Public Health: Co-creating an Identity-Safe Culture to Promote Health Equity.
Jedi Public Health: Co-creating an Identity-Safe Culture to Promote Health Equity.
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DOI：
10.1016/j.ssmph.2016.02.008
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发表时间：
2016-12
期刊：
影响因子：
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通讯作者：
Thompson JP
中科院分区：
文献类型：
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作者：
Geronimus AT;James SA;Destin M;Graham LA;Hatzenbuehler M;Murphy M;Pearson JA;Omari A;Thompson JP
社会分配和文化介导的社会认同对健康的影响程度取决于人群之间和人群内部在日常生活中不同的社会认同偶然性。这些意外事件在结构上是根深蒂固的，因为它们会激活生理应激反应，从而损害健康。它们还会对认知和情感产生不利影响，削弱自信，降低学习成绩。这种影响减少了社会流动的机会，同时确保那些“克服困难”的人为他们的积极努力付出实际代价。最近社会认同理论的应用，通过改变教育环境的特征，而不是单个学生，来缩小种族、民族和性别的学术成就差距，已经证明是富有成效的。我们试图将这一证据与越来越多的社会流行病学证据相结合，这些证据表明，结构性的生物心理社会过程对人口健康有影响。我们解释了一个紧急框架，绝地公共卫生（JPH）。JPH侧重于改变日常生活环境的特点，而不是个人，以促进人口健康公平，这是一个高度优先但难以实现的国家公共卫生目标。我们呼吁扩大努力，并在某种程度上重新确定消除人口保健不平等现象的方向。消除和取代日常环境中不可信的线索的政策和干预措施有望破坏导致人口健康不平等的生理应激过程的反复激活，并可能得到广泛应用。
The extent to which socially-assigned and culturally mediated social identity affects health depends on contingencies of social identity that vary across and within populations in day-to-day life. These contingencies are structurally rooted and health damaging inasmuch as they activate physiological stress responses. They also have adverse effects on cognition and emotion, undermining self-confidence and diminishing academic performance. This impact reduces opportunities for social mobility, while ensuring those who "beat the odds" pay a physical price for their positive efforts. Recent applications of social identity theory toward closing racial, ethnic, and gender academic achievement gaps through changing features of educational settings, rather than individual students, have proved fruitful. We sought to integrate this evidence with growing social epidemiological evidence that structurally-rooted biopsychosocial processes have population health effects. We explicate an emergent framework, Jedi Public Health (JPH). JPH focuses on changing features of settings in everyday life, rather than individuals, to promote population health equity, a high priority, yet, elusive national public health objective. We call for an expansion and, in some ways, a re-orienting of efforts to eliminate population health inequity. Policies and interventions to remove and replace discrediting cues in everyday settings hold promise for disrupting the repeated physiological stress process activation that fuels population health inequities with potentially wide application.