Relative Roles of Race Versus Socioeconomic Position in Studies of Health Inequalities: A Matter of Interpretation.
Relative Roles of Race Versus Socioeconomic Position in Studies of Health Inequalities: A Matter of Interpretation.
复制标题
健康不平等研究中种族与社会经济地位的相对作用：一个解释问题。
DOI：
10.1146/annurev-publhealth-040617-014230
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发表时间：
2018-04-01
影响因子：
20.8
通讯作者：
LaVeist, Thomas A.
中科院分区：
文献类型：
--
作者：
Nuru-Jeter, Amani M.;Michaels, Elizabeth K.;Thomas, Marilyn D.;Reeves, Alexis N.;Thorpe, Roland J., Jr.;LaVeist, Thomas A.
关键词：
大量研究记录了美国按种族和社会经济地位(SEP)划分的健康不平等现象。然而，概念和方法上的挑战使对研究结果的解释复杂化，从而限制了在理解健康不平等和实现健康公平方面的进展。这些挑战的根本是对什么是种族以及这种模棱两可的含糊不清对科学研究的影响缺乏明确性。此外，在如何概念化和衡量SEP方面存在很大的差异，导致各研究之间缺乏可比性，并且对风险进行了严重的错误分类。这篇综述的目的是综合关于检查种族和SEP健康不平等的常见方法的文献，并讨论与种族和SEP如何被用于公共卫生研究相关的概念和方法挑战。随着美国逐渐成为一个少数族裔占多数的国家，解决健康不平等问题变得越来越重要。对未来的研究提出了建议。
An abundance of research has documented health inequalities by race and socioeconomic position (SEP) in the United States. However, conceptual and methodological challenges complicate the interpretation of study findings, thereby limiting progress in understanding health inequalities and in achieving health equity. Fundamental to these challenges is a lack of clarity about what race is and the implications of that ambiguity for scientific inquiry. Additionally, there is wide variability in how SEP is conceptualized and measured, resulting in a lack of comparability across studies and significant misclassification of risk. The objectives of this review are to synthesize the literature regarding common approaches to examining race and SEP health inequalities and to discuss the conceptual and methodological challenges associated with how race and SEP have been employed in public health research. Addressing health inequalities has become increasingly important as the United States trends toward becoming a majority-minority nation. Recommendations for future research are presented.
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