Sue Stanley, Dhindsa Meenu K
Department of Psychology, University of California, Davis, CA 95616-8686, USA.
Health Educ Behav. 2006 Aug;33(4):459-69. doi: 10.1177/1090198106287922.
Racial and ethnic disparities in health and health care are pervasive. A number of research and policy issues have been raised in the examination of disparities. This article analyzes some methodological, conceptual, and political issues that underlie disparities research. Specifically examined are the research challenges posed by the different ways of defining disparities, heterogeneity within racial or ethnic groups, measurement issues, conceptual levels of analyses, and financial/political factors. It is suggested that research funding for disparities research be substantially supported and encouraged and that researchers more adequately address methodological and conceptual difficulties that are associated with disparities research.
健康及医疗保健方面的种族和族裔差异普遍存在。在对差异的研究中提出了一些研究和政策问题。本文分析了差异研究背后的一些方法学、概念和政治问题。具体考察的是不同的差异定义方式、种族或族裔群体内部的异质性、测量问题、分析的概念层面以及财务/政治因素所带来的研究挑战。建议大力支持和鼓励对差异研究的资金投入,并且研究人员要更充分地应对与差异研究相关的方法学和概念难题。