Krieger N
Int J Health Serv. 2000;30(1):211-6. doi: 10.2190/672J-1PPF-K6QT-9N7U.
Given growing appreciation of how race/ethnicity is a social, not biological, construct, some epidemiologists are proposing that studies omit data on "race" and instead collect better socioeconomic data. This suggestion, however, ignores a growing body of evidence on how noneconomic as well as economic aspects of racial discrimination are embodied and harm health across the lifecourse. Developing a critical epidemiology of social inequalities in health will, at the very least, require incorporating thoughtful measures of race/ethnicity and social class in epidemiological studies and public health surveillance systems.
鉴于人们越来越认识到种族/族裔是一种社会建构,而非生物学建构,一些流行病学家提议研究省略“种族”数据,转而收集更好的社会经济数据。然而,这一建议忽视了越来越多的证据,这些证据表明种族歧视的非经济和经济方面是如何在整个生命历程中体现并损害健康的。至少,要发展一门关于健康方面社会不平等的批判性流行病学,需要在流行病学研究和公共卫生监测系统中纳入对种族/族裔和社会阶层的审慎衡量。