Stormy weather:: Race, gene expression, and the science of health disparities

Stormy weather:: Race, gene expression, and the science of health disparities
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DOI:
10.2105/ajph.2005.067108
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发表时间:
2005-12-01
影响因子:
12.7
通讯作者:
Krieger, N
Krieger, N
中科院分区:
医学2区
文献类型:
--
作者:
Krieger, N

文献摘要

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在当前的美国政治气候下,保守派基金会正试图将种族/民族健康差异决定因素的辩论框架为“政治正确”的非科学意识形态(关于歧视对健康的影响)与科学但“政治不正确”的根植于生物学事实的专业知识(关于基因)的问题。我利用历史和当代的例子来将保守派的争论置于背景中,并强调他们的论点中的根本缺陷,包括使用虚假的类别(例如,高加索人),逻辑谬误,时间谬误,以及错误地强调基因频率而不是基因表达。更大的目标是加强发展一门更具批判性、反思性和严谨性的科学,能够产生有助于纠正——而不是使——健康方面的社会差距永久化的证据。
In the current US political climate, conservative foundations are seeking to frame debates over determinants of racial/ethnic health disparities as a matter of "politically correct" unscientific ideology (concerning the health impacts of discrimination) vs scientific yet "politically incorrect" expertise rooted in biological facts (concerning genes).I draw on historical and contemporary examples to place conservative polemics in context, and also highlight fundamental flaws in their arguments involving the use of spurious categories (e.g., Caucasian), logical fallacies, temporal fallacies, and an erroneous emphasis on gene frequency over gene expression. The larger goal is to strengthen development of a more critical, reflexive, and rigorous science capable of generating evidence useful for rectifying-rather than perpetuating-social disparities in health.