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种族医学,色盲病:医学中的种族主义如何伤害我们所有人。

Race Based Medicine, Colorblind Disease: How Racism in Medicine Harms Us All.

机构信息

Saint Louis University.

出版信息

Am J Bioeth. 2021 Feb;21(2):19-27. doi: 10.1080/15265161.2020.1851811. Epub 2020 Dec 5.

Abstract

The genome between socially constructed racial groups is 99.5%-99.9% identical; the 0.1%-0.5% variation between any two unrelated individuals is greatest between individuals in the same racial group; and there are no identifiable racial genomic clusters. Nevertheless, race continues to be used as a biological reality in health disparities research, medical guidelines, and standards of care reinforcing the notion that racial and ethnic minorities are inferior, while ignoring the health problems of Whites. This article discusses how the continued misuse of race in medicine and the identification of Whites as the control group, which reinforces this racial hierarchy, are examples of racism in medicine that harm all us. To address this problem, race should only be used as a factor in medicine when explicitly connected to racism or to fulfill diversity and inclusion efforts.

摘要

不同社会群体之间的基因组差异在 99.5%-99.9%之间是相同的;在同一种族群体内,两个无关个体之间的差异最大,可达 0.1%-0.5%;而且没有可识别的种族基因组聚类。尽管如此,种族在健康差异研究、医学指南和护理标准中仍然被用作生物学现实,这强化了一个观念,即种族和族裔少数群体是劣等的,而忽视了白人的健康问题。本文讨论了在医学中继续错误使用种族以及将白人作为对照组的做法,这种做法强化了这种种族等级制度,是医学领域种族主义的例子,它伤害了我们所有人。为了解决这个问题,只有当种族与种族主义明确相关或为了实现多样性和包容性努力时,才应在医学中使用种族。

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