Nickens H
Division of Minority Health, Association of American Medical Colleges, Washington, DC 20036.
J Natl Med Assoc. 1990 Apr;82(4):239-42.
In the black community, many health indicators are going in the wrong direction. Black life expectancy is going down. Our middle class is growing but our poor are growing also. It is no longer even jarring to talk about black males as an endangered species. Black women are groaning under family responsibilities. Too many of our young people are better armed than the police and kill each other for "diss'in," ie, he was disrespecting me. It is appropriate that AIDS be responded to as a crisis, but we also have a weighty, preexisting set of long-standing and equally lethal health and social ills. The infrastructure we build in response to AIDS and the lessons we learn from this disease must be developed with this broader view in mind.
在黑人社区,许多健康指标正朝着错误的方向发展。黑人的预期寿命在下降。我们的中产阶级在壮大,但贫困人口也在增加。现在谈论黑人男性是濒危物种甚至都不再令人震惊。黑人女性在家庭责任的重压下呻吟。我们有太多年轻人比警察拥有更好的武装,还会因“不尊重”彼此而互相残杀,也就是说,他不尊重我。将艾滋病视为一场危机来应对是恰当的,但我们还有一系列长期存在且同样致命的严重健康和社会问题。我们为应对艾滋病而建立的基础设施以及从这种疾病中学到的经验教训,必须从更广泛的视角来发展。