The Contrast of Color Why the Black Community Continues to Suffer Health Disparities
The Contrast of Color Why the Black Community Continues to Suffer Health Disparities
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DOI：
10.1097/aog.0000000000004226
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发表时间：
2021-02-01
影响因子：
7.2
通讯作者：
Gillispie-Bell, Veronica
中科院分区：
文献类型：
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作者：
Gillispie-Bell, Veronica
种族健康差异的证据是深刻的。黑人母亲在孕产妇发病率和死亡率方面的差异受到了很大关注。2019年冠状病毒病（COVID-19）导致黑人死亡的差异进一步凸显了黑人健康结果的差异。尽管COVID-19是一种新疾病，但健康差异的原因与孕产妇发病率和死亡率相同：隐性偏见和结构性种族主义。卫生保健专业人员中的隐性偏见导致了卫生保健提供方式的差异。几代人的结构性种族主义通过种族居住隔离、经济压制和医疗保健不平等而延续下来，使美国黑人的健康状况变差正常化。人们很容易把这些问题当作别人的问题而不予考虑，因为医疗保健专业人员往往不承认他们自己的做法中隐含的偏见的影响。我们都需要对自己的做法持高度批评态度，并内省地寻找隐性偏见，以找到治疗方法。卫生保健组织必须投入时间和资源来消除我们自己墙壁内存在的结构性种族主义。
The evidence of racial health disparities is profound. Much attention has been given to the disparity in maternal morbidity and mortality experienced by Black mothers. The disparity in Black lives lost from coronavirus disease 2019 (COVID-19) has further highlighted the disparity in health outcomes for Black people. Although COVID-19 is a new disease, the reason for the health disparity is the same as in maternal morbidity and mortality: implicit bias and structural racism. Implicit bias among health care professionals leads to disparities in how health care is delivered. Generations of structural racism perpetuated through racial residential segregation, economic suppression, and health care inequality have normalized the poorer health outcomes for Black Americans. It is easy to dismiss these issues as someone else's problem, because health care professionals often fail to acknowledge the effect of implicit bias in their own practices. We all need to be highly critical of our own practices and look introspectively for implicit bias to find the cure. Health care organizations must invest time and resources into investigat-ing the structural racism that exists within our own walls.