Department of Community Health Sciences, University of California, Los Angeles, CA, USA.
Am J Public Health. 2012 May;102(5):967-74. doi: 10.2105/AJPH.2012.300666. Epub 2012 Mar 15.
Recent studies show that racism may influence health inequities. As individuals grow from infancy into old age, they encounter social institutions that may create new exposures to racial bias. Yet, few studies have considered this idea fully. We suggest a framework that shows how racism and health inequities may be viewed from a life course perspective. It applies the ideas of age-patterned exposures, sensitive periods, linked lives, latency period, stress proliferation, historic period, and cohorts. It suggests an overarching idea that racism can structure one's time in asset-building contexts (e.g., education) or disadvantaged contexts (e.g., prison). This variation in time and exposure can contribute to racial inequities in life expectancy and other health outcomes across the life course and over generations.
最近的研究表明，种族主义可能会影响健康的不平等。随着个体从婴儿期成长到老年期，他们会遇到可能产生新的种族偏见暴露的社会机构。然而，很少有研究充分考虑到这一观点。我们提出了一个框架，从生命历程的角度来看待种族主义和健康不平等问题。它应用了年龄模式暴露、敏感时期、关联生活、潜伏期、压力扩散、历史时期和队列的思想。它提出了一个总体理念，即种族主义可以构建一个人的资产建设环境（如教育）或不利环境（如监狱）中的时间。这种时间和暴露的变化可能会导致整个生命历程和几代人中预期寿命和其他健康结果的种族不平等。
