*National Center for Cultural Competence, Center for Child and Human Development, Georgetown University Medical Center, Washington, DC †Department of Epidemiology and Biostatistics, University of Maryland College Park, School of Public Health, MD ‡Institute on Development & Disability, Oregon Health & Science University, Portland, OR §Disability Rights Education and Defense Fund, Berkeley, CA.
Med Care. 2014 Oct;52(10 Suppl 3):S3-8. doi: 10.1097/MLR.0000000000000201.
Public policy driving health disparities research has overwhelmingly focused on racial and ethnic populations other than non-Hispanic whites; these groups have historically been and continue to be disproportionately impacted by health disparities. Only recently has public policy focused on the inclusion of people with disabilities as a distinct health disparities population. These 2 areas of research have traveled parallel paths with little recognition of the health disparities that affect people at the intersection of race, ethnicity, and disability. This commentary reflects on the history, foci, and current status of these 2 separate tracks of health disparities research. We conclude the commentary with suggestions for merging the 2 tracks to develop research that addresses both disability as well as race and ethnicity.
公共政策推动健康差异研究的重点主要集中在非西班牙裔白人以外的种族和族裔群体上;这些群体历史上一直并且继续受到健康差异的不成比例影响。直到最近,公共政策才开始关注将残疾人士纳入一个独特的健康差异群体。这两个研究领域平行发展,很少有人认识到影响到种族、族裔和残疾交叉点人群的健康差异。本评论反思了这两个独立的健康差异研究领域的历史、重点和现状。我们在评论的最后提出了一些建议,将这两个研究领域合并起来,以开展既解决残疾问题又解决种族和族裔问题的研究。