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推进口腔健康中的种族公平(研究):仅仅维持现状是不够的。

Advancing racial equity in oral health (research): more of the same is not enough.

机构信息

Department of Public Health, Federal University of Santa Catarina, Florianópolis, Brazil.

Department of Preventive and Social Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.

出版信息

Eur J Oral Sci. 2020 Dec;128(6):459-466. doi: 10.1111/eos.12737. Epub 2020 Sep 23.

Abstract

By critically appraising the literature on the oral health effects of race-based oppression, this focus article makes four recommendations that may both facilitate more nuanced research on the topic and mitigate racial/ethnic inequities in (oral) health. The first is recognizing that science itself may perpetuate racial/ethnic injustice, such that adopting a 'neutral' position must be replaced with actively fostering anti-racist narratives. The second is to not imply that racial oppression is bad because it harms oral health. Rather, studies should help build a fairer world, wherein oral health inequities would not abound. The third recommendation is encouraging initiatives that understand systems of oppression as conjointly operating to shape oral health. The fourth and final recommendation is taking race-based oppression as a multi-level system that operates on three inter-related conceptual levels - intra-personal, inter-personal, and structural. The extent to which scholars, practitioners, and policymakers are willing to follow these recommendations may determine how successful attempts to eradicate (oral) health inequities might be. Learning from, and avoiding mistakes made in, previous publications is one ethical pathway towards this end.

摘要

通过批判性地评价种族压迫对口腔健康影响的文献,本文提出了四项建议,这可能既有助于更细致地研究该主题,又能减轻(口腔)健康方面的种族/民族不平等。第一项建议是认识到科学本身可能会延续种族/民族不公正,因此必须摒弃“中立”立场,转而积极培养反种族主义叙事。第二项建议是不要暗示种族压迫是有害的,因为它会损害口腔健康。相反,研究应该有助于建立一个更公平的世界,在这个世界里,口腔健康的不平等现象不会普遍存在。第三项建议是鼓励那些将压迫制度理解为共同作用以塑造口腔健康的倡议。第四项也是最后一项建议是将种族压迫视为一个多层次的系统,该系统在三个相互关联的概念层面上运作——个体内部、人际间和结构层面。学者、从业者和政策制定者愿意在多大程度上遵循这些建议,可能决定了消除(口腔)健康不平等的尝试会取得多大的成功。借鉴和避免之前出版物中的错误是实现这一目标的一个道德途径。

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