Building Meaningful Community Advocacy for Ethnic-based Health Equity: TheRoAd4HealthExperience
Building Meaningful Community Advocacy for Ethnic-based Health Equity: TheRoAd4HealthExperience
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DOI：
10.1002/ajcp.12443
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发表时间：
2020-07-22
影响因子：
3.1
通讯作者：
Albar-Marin, Maria J.
中科院分区：
文献类型：
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作者：
Miranda, Daniela E.;Garcia-Ramirez, Manuel;Albar-Marin, Maria J.
旨在克服欧洲罗姆人所遭受的卫生不平等的政策普遍失败，反映了西方世界许多少数民族的压迫和贫困生活条件。罗姆人所经历的多重社会不平等以及对他们健康的累积影响证明，影响罗姆人的卫生政策之所以失败，必须归因于这些政策的改善性质。这些政策使维持不平等的压迫机制合法化，助长了对少数群体的宿命态度，而这些少数群体则将耻辱感内化，并试图在社会边缘生存。本文介绍了RoAd4Healthproject，一个社区倡议，学术研究人员与罗姆人社区合作，以克服健康不平等。我们提出了多种方法用于建立有意义的宣传，如照片语音和资产映射由罗姆人的变革代理人领导。这些方法提供了能力，以发展当地的不平等叙述，建立联盟，以获得应对不公正的能力，并采取行动，促进社会变革。所有重要利益攸关方（即，沿着讨论的还有经验教训。
The pervasive failure of policies aimed at overcoming health inequities suffered by European Roma reflects the oppressive and impoverished living conditions of many ethnic minorities in the Western world. The multiple social inequities that Roma experience and the cumulative effect on their health prove that the failure of health policies that impact Roma must be attributed to their ameliorative nature. These policies legitimize the mechanisms of oppression that sustain inequities, fueling fatalistic attitudes toward minorities, while these minorities internalize the stigma and attempt to survive on the margins of society. This paper presents theRoAd4Healthproject, a community initiative in which academic researchers partnered with Roma communities to overcome health inequities. We present the multiple methods utilized for building meaningful advocacy, such as photovoice and asset mapping led by Roma agents of change. These methods provided the capacity to develop a local narrative of disparities, build alliances to gain capacity to respond to injustices, and take actions to promote social change. The results of effectively involving all significant stakeholders (i.e., community agents of change, residents, health and social care providers, Roma community grassroots organizations, and institutional actors) are discussed along with lessons learned.