Departments of Pediatrics and
The Praxis Project, Oakland, California.
Pediatrics. 2021 Jan;147(1). doi: 10.1542/peds.2020-015602.
The field of public health has identified racial health disparities as a chief concern for decades. Although there has been a myriad of published articles in which researchers describe the severity and complexity of these disparities, they persist into present day relatively unchanged. We believe this lack of progress can be explained, in part, by a failure to acknowledge that racism is at the root of these racial disparities. Many children's health advocates believe more should be done to address our country's systemic racial inequities, but few of us feel able to create meaningful change, and even fewer feel that it is our responsibility. As a result, many opt to pursue programmatic fixes and Band-Aid solutions over addressing the underlying systemic, interpersonal, and historical racism. We hope to empower children's health advocates by introducing a solutions-centered framework for addressing racism as a root cause. This approach can help guide and structure the important work of dismantling racism so Black, Indigenous, and other racially marginalized families can finally have an equal opportunity for good health.
几十年来，公共卫生领域一直将种族健康差异视为主要关注点。尽管已经有大量研究人员发表的文章描述了这些差异的严重性和复杂性，但它们至今仍然相对不变。我们认为，这种缺乏进展可以部分归因于未能认识到种族主义是这些种族差异的根源。许多儿童健康倡导者认为，应该采取更多措施来解决我们国家的系统性种族不平等问题，但我们很少有人感到有能力做出有意义的改变，甚至更少有人认为这是我们的责任。因此，许多人选择关注方案性修复和权宜之计，而不是解决潜在的系统性、人际间和历史性的种族主义问题。我们希望通过引入一个以解决方案为中心的框架来解决种族主义作为根本原因的问题，从而赋予儿童健康倡导者权力。这种方法可以帮助指导和构建消除种族主义的重要工作，以便黑人和其他种族边缘化家庭最终能够有平等的机会获得良好的健康。
