种族主义
卫生公平
健康的社会决定因素
衡平法
犯罪学
医疗保健
心理干预
社会学
公共卫生
人口
人口健康
公共关系
收益
卫生政策
政治学
医学
性别研究
经济
护理部
法学
人口学
会计
作者
Zinzi Bailey,Nancy Krieger,Madina Agénor,Jasmine Graves,Natalia Linos,Mary T. Bassett
出处
期刊:The Lancet
[Elsevier]
日期:2017-04-01
卷期号:389 (10077): 1453-1463
被引量:3127
标识
DOI:10.1016/s0140-6736(17)30569-x
摘要
Summary
Despite growing interest in understanding how social factors drive poor health outcomes, many academics, policy makers, scientists, elected officials, journalists, and others responsible for defining and responding to the public discourse remain reluctant to identify racism as a root cause of racial health inequities. In this conceptual report, the third in a Series on equity and equality in health in the USA, we use a contemporary and historical perspective to discuss research and interventions that grapple with the implications of what is known as structural racism on population health and health inequities. Structural racism refers to the totality of ways in which societies foster racial discrimination through mutually reinforcing systems of housing, education, employment, earnings, benefits, credit, media, health care, and criminal justice. These patterns and practices in turn reinforce discriminatory beliefs, values, and distribution of resources. We argue that a focus on structural racism offers a concrete, feasible, and promising approach towards advancing health equity and improving population health.
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