识别和拆解拉丁裔健康中的种族语言等级制度。

Recognizing and Dismantling Raciolinguistic Hierarchies in Latinx Health.

机构信息

Clinical assistant professor in the Departments of Medical Education and Emergency Medicine at the University of Illinois College of Medicine in Chicago.

Professor of Spanish and the dean of the College of Liberal and Fine Arts at the University of Texas at San Antonio.

出版信息

AMA J Ethics. 2022 Apr 1;24(4):E296-304. doi: 10.1001/amajethics.2022.296.

DOI:10.1001/amajethics.2022.296

PMID:35405056

Abstract

Latinx individuals represent a linguistically and racially diverse, growing US patient population. Raciolinguistics considers intersections of language and race, prioritizes lived experiences of non-English speakers, and can help clinicians more deftly conceptualize heterogeneity and complexity in Latinx health experiences. This article discusses how raciolinguistic hierarchies (ie, practices of attaching social value to some languages but not others) can undermine the quality of Latinx patients' health experiences. This article also offers language-appropriate clinical and educational strategies for promoting health equity.

摘要

拉丁裔个体代表了一个语言和种族多样化、不断增长的美国患者群体。语言种族学考虑语言和种族的交叉点，优先考虑非英语使用者的生活经历，并可以帮助临床医生更巧妙地理解拉丁裔健康体验中的异质性和复杂性。本文讨论了语言种族学的等级制度（即，将某些语言而不是其他语言赋予社会价值的做法）如何破坏拉丁裔患者健康体验的质量。本文还提供了促进健康公平的语言适宜的临床和教育策略。