A Life Course Perspective on How Racism May Be Related to Health Inequities

A Life Course Perspective on How Racism May Be Related to Health Inequities
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DOI:
10.2105/ajph.2012.300666
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发表时间:
2012-05-01
影响因子:
12.7
通讯作者:
Brondolo, Elizabeth
Brondolo, Elizabeth
中科院分区:
医学2区
文献类型:
--
作者:
Gee, Gilbert C.;Walsemann, Katrina M.;Brondolo, Elizabeth

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最近的研究表明,种族主义可能会影响卫生不平等。随着个人从婴儿期进入老年,他们遇到的社会机构可能会产生新的种族偏见。然而,很少有研究充分考虑了这一想法。我们提出了一个框架,显示如何种族主义和卫生不平等可以从生命历程的角度来看。它应用了年龄模式暴露、敏感期、关联生活、潜伏期、压力扩散、历史时期和队列的想法。它提出了一个总体概念,即种族主义可以在资产建设背景下安排一个人的时间(例如,教育)或弱势环境(例如,监狱)。这种时间和暴露的差异可能导致整个生命过程和几代人的预期寿命和其他健康结果方面的种族不平等。(Am J公共卫生。2012;102:967-974. doi:10.2105/AJPH.2012.300666)
Recent studies show that racism may influence health inequities. As individuals grow from infancy into old age, they encounter social institutions that may create new exposures to racial bias. Yet, few studies have considered this idea fully. We suggest a framework that shows how racism and health inequities may be viewed from a life course perspective. It applies the ideas of age-patterned exposures, sensitive periods, linked lives, latency period, stress proliferation, historic period, and cohorts. It suggests an overarching idea that racism can structure one's time in asset-building contexts (e.g., education) or disadvantaged contexts (e.g., prison). This variation in time and exposure can contribute to racial inequities in life expectancy and other health outcomes across the life course and over generations. (Am J Public Health. 2012;102: 967-974. doi:10.2105/AJPH.2012.300666)