A comprehensive framework for operationalizing structural racism in health research: The association between mass incarceration of Black people in the U.S. and adverse birth outcomes.
A comprehensive framework for operationalizing structural racism in health research: The association between mass incarceration of Black people in the U.S. and adverse birth outcomes.
复制标题
在健康研究中运营结构性种族主义的综合框架：美国黑人大规模监禁与不良的出生结果之间的关联。
DOI：
10.1016/j.ssmph.2022.101225
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发表时间：
2022-09
影响因子：
4.7
通讯作者：
Williams, Natasha J.
中科院分区：
文献类型：
--
作者：
Sonderlund, Anders Larrabee;Charifson, Mia;Ortiz, Robin;Khan, Maria;Schoenthaler, Antoinette;Williams, Natasha J.
关键词：
结构性种族主义是种族健康差异的一个关键决定因素，这种差异一直是美国人口存在的特征。虽然这一现实最近开始在卫生科学中得到越来越多的承认和接受，但在界定结构性种族主义的概念并将其纳入实证研究方面仍然存在相当大的挑战。在本文中，建立在现有的证据基础上，我们提出了一个全面的框架，中心结构性种族主义的历史根源和持续表现在社会的大多数领域，并提供解决方案，为研究这一现象的途径，将其连接到人口水平的健康差距。我们展示了我们的框架，将其应用到已知的空间和种族化的监禁集群之间的联系-以前引用的结构性种族主义的代表-和不利的出生结果的差异。通过这个过程中，我们假设的途径，重点是社会凝聚力和社区层面的慢性压力，社区犯罪和警察受害，以及基础设施社区撤资。首先，我们将这些机制置于相关的现存文献中。然后，我们提出了建议，为未来的实证路径分析。最后，我们确定了政策，社区和个人层面的干预措施，针对集中监禁对美国黑人出生结果的影响的关键领域。
Structural racism represents a key determinant of the racial health disparities that has characterized the U.S. population throughout its existence. While this reality has recently begun to gain increasing acknowledgment and acceptance within the health sciences, there are still considerable challenges related to defining the concept of structural racism and operationalizing it in empirical study. In this paper, building on the existing evidence base, we propose a comprehensive framework that centers structural racism in terms of its historical roots and continued manifestation in most domains of society, and offer solutions for the study of this phenomenon and the pathways that connect it to population-level health disparities. We showcase our framework by applying it to the known link between spatial and racialized clustering of incarceration – a previously cited representation of structural racism – and disparities in adverse birth outcomes. Through this process we hypothesize pathways that focus on social cohesion and community-level chronic stress, community crime and police victimization, as well as infrastructural community disinvestment. First, we contextualize these mechanisms within the relevant extant literature. Then, we make recommendations for future empirical pathway analyses. Finally, we identify key areas for policy, community, and individual-level interventions that target the impact of concentrated incarceration on birth outcomes among Black people in the U.S.
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影响因子：
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作者：
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影响因子：
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