From the, Food and Drug Administration, Heyman Fellow at Harvard Law School, The Justice Initiative, Cambridge, MA, USA.
Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
J Intern Med. 2021 Aug;290(2):416-420. doi: 10.1111/joim.13270. Epub 2021 Mar 6.
In the recent past, there has been rising attention to systemic racism. The ensuing discussions have largely focused on COVID-19 and policing. Despite long-standing disparities in obesity across racial and ethnic groups and obesity's important role in COVID-19 disparities, there has been minimal attention to whether obesity itself could be a manifestation of systemic racism. Nor has there been serious policy attention dedicated to alleviating obesity and its disproportionate burden on BIPOC (Black, Indigenous, and People of Color). We discuss whether obesity's disproportionate harms to BIPOC may be attributed to systemic racism, and we provide a ten-point strategy for studying and solving the core public health issues at the intersection of obesity and systemic racism.
在最近的一段时间里,人们对系统性种族主义的关注度日益提高。随后的讨论主要集中在 COVID-19 和警务上。尽管在肥胖问题上,不同种族和族裔群体之间存在长期存在的差异,并且肥胖在 COVID-19 差异中起着重要作用,但几乎没有关注肥胖本身是否可能是系统性种族主义的表现。也没有认真关注专门用于减轻肥胖及其对 BIPOC(黑人、原住民和有色人种)不成比例的负担的政策。我们讨论了肥胖对 BIPOC 的不成比例的伤害是否可以归因于系统性种族主义,并提供了一个十点策略,用于研究和解决肥胖与系统性种族主义交叉点的核心公共卫生问题。