Hastings Cent Rep. 2021 Mar;51(2):6-9. doi: 10.1002/hast.1240.
The Covid-19 pandemic has revealed myriad social, economic, and health inequities that disproportionately burden populations that have been made medically or socially vulnerable. Inspired by state and local governments that declared racism a public health crisis or emergency, the Anti-Racism in Public Health Act of 2020 reflects a shifting paradigm in which racism is considered a social determinant of health. Indeed, health inequities fundamentally rooted in structural racism have been exacerbated by the Covid-19 pandemic, which calls for the integration of antiracist praxis to promote ethical public health research processes. This commentary describes ways in which antiracist praxis-which emphasizes empowerment of traditionally marginalized populations-offers strategies to explicitly address power imbalance, stigmatization, and other consequences of structural racism in public health research.
新冠疫情揭示了大量的社会、经济和健康不平等现象，这些不平等现象不成比例地加重了那些在医学上或社会上处于弱势地位的人群的负担。受将种族主义宣布为公共卫生危机或紧急状态的州和地方政府的启发，2020 年《反种族主义公共卫生法》反映了一种范式转变，即将种族主义视为健康的社会决定因素。事实上，新冠疫情加剧了原本根植于结构性种族主义的健康不平等现象，这呼吁将反种族主义实践纳入其中，以促进合乎道德的公共卫生研究进程。本评论描述了反种族主义实践（强调赋予传统上处于边缘地位的人群权力）提供的策略，这些策略旨在明确解决公共卫生研究中权力失衡、污名化和其他结构性种族主义后果的方法。
