Structural Racism, Health Inequities, and the Two-Edged Sword of Data: Structural Problems Require Structural Solutions.
Structural Racism, Health Inequities, and the Two-Edged Sword of Data: Structural Problems Require Structural Solutions.
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DOI：
10.3389/fpubh.2021.655447
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发表时间：
2021
影响因子：
5.2
通讯作者：
Krieger N
中科院分区：
文献类型：
--
作者：
Krieger N
分析结构性种族主义系统地产生健康不平等的各种方式，需要应对深刻的挑战，即概念化、可操作性和分析所部署的数据--即种族主义类别--以记录种族主义的健康不平等。这篇文章写于2021年1月6日反民主白人至上主义者义警袭击美国国会大厦之后，呼吁人们关注正在发挥作用的数据双刃剑，反映了支持和反对白人至上和科学种族主义的长期历史。正如过去和现在的例子--包括新冠肺炎--所表明的那样，争论的焦点既是关于种族主义群体的数据的不使用(边缘1)和有问题的使用(边缘2)。认识到结构性问题需要结构性解决方案，在本文中，我提出了一个新的两部分机构任务，关于报告和分析涉及种族主义群体的公共资助工作，以及卫生数据和文件，以说明为什么拟议的任务是可行的。提案/第一部分是实施可执行的要求，即所有由政府资金支持的美国健康数据集和研究项目必须明确解释并证明其种族主义群体的概念化以及用于对其进行分类的指标。提案/第二部分是，按种族主义群体成员分列的任何个人一级的健康数据也必须结合有关种族主义社会不平等的相关数据进行分析。随着美国政府机构走出特朗普政府投射的白人冤情政治的阴影，重新参与他们的工作，一个新的机会出现了，以推进这项帮助医疗公平工作的结构性提案。
Analyzing the myriad ways in which structural racism systemically generates health inequities requires engaging with the profound challenges of conceptualizing, operationalizing, and analyzing the very data deployed—i. e., racialized categories—to document racialized health inequities. This essay, written in the aftermath of the January 6, 2021 vigilante anti-democratic white supremacist assault on the US Capitol, calls attention to the two-edged sword of data at play, reflecting long histories of support for and opposition to white supremacy and scientific racism. As illustrated by both past and present examples, including COVID-19, at issue are both the non-use (Edge #1) and problematic use (Edge #2) of data on racialized groups. Recognizing that structural problems require structural solutions, in this essay I propose a new two-part institutional mandate regarding the reporting and analysis of publicly-funded work involving racialized groups and health data and documentation as to why the proposed mandates are feasible. Proposal/part 1 is to implement enforceable requirements that all US health data sets and research projects supported by government funds must explicitly explain and justify their conceptualization of racialized groups and the metrics used to categorize them. Proposal/part 2 is that any individual-level health data by membership in racialized groups must also be analyzed in relation to relevant data about racialized societal inequities. A new opportunity arises as US government agencies re-engage with their work, out of the shadow of white grievance politics cast by the Trump Administration, to move forward with this structural proposal to aid the work for health equity.
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影响因子：
6.3
作者：
Braveman, P;Gruskin, S
通讯作者：
Gruskin, S
影响因子：
5.6
作者：
Scannell Bryan M;Sun J;Jagai J;Horton DE;Montgomery A;Sargis R;Argos M
通讯作者：
Argos M
DOI：
10.1007/s41996-020-00068-9
发表时间：
2020
期刊：
Journal of economics, race, and policy
影响因子：
--
作者：
Benitez J;Courtemanche C;Yelowitz A
通讯作者：
Yelowitz A
影响因子：
168.9
作者：
Bailey, Zinzi D.;Krieger, Nancy;Bassett, Mary T.
通讯作者：
Bassett, Mary T.