Culture, Race/Ethnicity and Disparities: Fleshing Out the Socio-Cultural Framework for Health Services Disparities
Culture, Race/Ethnicity and Disparities: Fleshing Out the Socio-Cultural Framework for Health Services Disparities
复制标题
DOI：
10.1007/978-1-4419-7261-3_19
复制
发表时间：
2011-01-01
期刊：
影响因子：
--
通讯作者：
Canino, Glorisa
中科院分区：
文献类型：
--
作者：
Alegria, Margarita;Pescosolido, Bernice A.;Canino, Glorisa
毫无疑问，“健康差异”问题近来已成为整个医学和当代社会的中心位置（例如，Institute of Medicine 2002）。从研究到政策，甚至到大众媒体，揭露属于某些种族和族裔群体的个人在健康和医疗保健方面的差异一直是一个突出的主题（van Ryn 和 Fu 2003）。虽然社会学家和其他社会科学家欢迎对这些问题的关注，但健康、疾病和治疗方面存在的不平等很难被揭露。从我们历史上最早的时期开始，人们就关注婴儿死亡率的差异；疾病的发生率和患病率；任何社会中处于阶层低端的人们获得医疗服务、获得治疗以及获得护理的结果一直是社会学和公共卫生事业的支柱。从马克思到涂尔干，再到社会学领域的韦伯，从魏尔啸到斯诺，再到社会学领域之外的罗默斯，对分层在发病率和死亡率统计中部分发挥作用的理解代表了理论、实证研究和干预设计的主要主题（Pescosolido 和 Kronenfeld 1995）。
There is little question that the issue of “health disparities” has been given a central place across medicine and contemporary society of late (e.g., Institute of Medicine 2002). From research, to policy and even to the popular press, the unmasking of the disparities in health and health care for individuals who belong to certain race and ethnic groups has been a prominent theme (van Ryn and Fu 2003). While the attention to these matters is welcome by sociologists and other social scientists, the existence of inequality in health, illness, and healing is hardly a revelation. From the earliest times in our history, the focus on the differential in infant mortality; the incidence and prevalence of disease; and access to, treatment in, and the outcomes of care for those at the lower ends of the stratification hierarchy in any society have been the mainstay of both the sociological and public health enterprises. From Marx, to Durkheim, to Weber in sociology, and from Virchow to Snow to the Roemers outside of sociology, the understanding that stratification plays itself out, in part, in morbidity and mortality statistics represented a principal theme of theory, empirical investigation and the design of interventions (Pescosolido and Kronenfeld 1995).