Carlson Elizabeth D, Chamberlain Robert M
Department of Epidemiology, Division of Cancer Prevention and Education, University of Texas M.D. Anderson Cancer Center, Houston, USA.
Public Health Nurs. 2004 Jul-Aug;21(4):372-9. doi: 10.1111/j.0737-1209.2004.21411.x.
Reducing and eliminating racial and ethnic health disparities has become a national research priority. This research agenda requires new research frameworks that encompass the social determinants of health and the translation pathways of these social contexts into physiological morbidity. Within these sociobiological research frameworks, identity and emotions are seen as crucial links in the causal pathways from stressors to biological responses. In this country, the lived social reality of African American individuals is experienced through the color of their skin. Their identity is bound with the racial inequities of our society. It has been suggested that the emotions of anger and frustration resulting from this institutionalized racial discrimination are an emotional causative pathway to the pathophysiology contributing to the health disparities experienced by African Americans. However, as much as we espouse the concept of cultural competency in health care, until recently, there has been very little honest dialogue about how race and racism influences health. This article will explore the Black-White cultural perception gap and attempt to provide insight on the relationship to African American health and implications for health disparities research.
减少和消除种族与族裔间的健康差距已成为一项国家研究重点。这一研究议程需要新的研究框架，该框架应涵盖健康的社会决定因素以及这些社会背景转化为生理疾病的途径。在这些社会生物学研究框架内，身份认同和情感被视为从压力源到生物反应的因果路径中的关键环节。在这个国家，非裔美国人的社会现实生活是通过他们的肤色来体验的。他们的身份认同与我们社会的种族不平等紧密相连。有人认为，这种制度化的种族歧视所引发的愤怒和沮丧情绪是导致非裔美国人健康差距的病理生理过程的情感因果途径。然而，尽管我们在医疗保健中大力倡导文化能力的概念，但直到最近，关于种族和种族主义如何影响健康的坦诚对话却很少。本文将探讨黑白文化认知差距，并试图深入了解其与非裔美国人健康的关系以及对健康差距研究的启示。
