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转移焦点:代表性不足的优势群体研究如何使健康不平等的解释不完整。

Diversions: How the Underrepresentation of Research on Advantaged Groups Leaves Explanations for Health Inequalities Incomplete.

机构信息

University of California Riverside, Riverside, CA, USA.

University of California Santa Barbara, Santa Barbara, CA, USA.

出版信息

J Health Soc Behav. 2021 Sep;62(3):334-349. doi: 10.1177/00221465211028152. Epub 2021 Aug 6.

Abstract

We identify a gap in health inequalities research that sociologists are particularly well situated to fill-an underrepresentation of research on the role advantaged groups play in creating inequalities. We name the process that creates the imbalance . We gathered evidence from awarded grants (349), major health-related data sets (7), research articles (324), and Healthy People policy recommendations. We assess whether the inequality-generating actions of advantaged groups are considered either directly by capturing their behaviors or indirectly by asking disadvantaged people about discrimination or exploitation from advantaged groups. We further assess whether there is a tendency to locate the problem in the person or group experiencing health inequalities. We find that diversions are prevalent across all steps of the research process. The diversion concept suggests new lines of sociological research to understand why diversions occur and how gaps in evidence concerning the role of the advantaged might be filled.

摘要

我们发现健康不平等研究领域存在一个空白,而社会学家特别适合填补这个空白——他们在研究优势群体在造成不平等方面所扮演的角色方面的代表性不足。我们将这个造成不平衡的过程命名为。我们从获奖的资助(349 项)、主要的健康相关数据集(7 个)、研究文章(324 篇)和《健康人民》政策建议中收集证据。我们评估了优势群体产生不平等的行为是否被直接通过捕捉他们的行为来考虑,或者是否被通过询问弱势群体是否受到优势群体的歧视或剥削来间接考虑。我们进一步评估了是否存在将问题归咎于经历健康不平等的个人或群体的倾向。我们发现,在研究过程的所有步骤中都普遍存在转移。转移概念为理解为什么会发生转移以及如何填补有关优势群体角色的证据差距提供了新的社会学研究思路。

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