Devakumar Delan, Selvarajah Sujitha, Abubakar Ibrahim, Kim Seung-Sup, McKee Martin, Sabharwal Nidhi S, Saini Angela, Shannon Geordan, White Alexandre I R, Achiume E Tendayi
Institute for Global Health, University College London, London, UK.
Institute for Global Health, University College London, London, UK.
Lancet. 2022 Dec 10;400(10368):2097-2108. doi: 10.1016/S0140-6736(22)01972-9.
This Series shows how racism, xenophobia, discrimination, and the structures that support them are detrimental to health. In this first Series paper, we describe the conceptual model used throughout the Series and the underlying principles and definitions. We explore concepts of epistemic injustice, biological experimentation, and misconceptions about race using a historical lens. We focus on the core structural factors of separation and hierarchical power that permeate society and result in the negative health consequences we see. We are at a crucial moment in history, as populist leaders pushing the politics of hate have become more powerful in several countries. These leaders exploit racism, xenophobia, and other forms of discrimination to divide and control populations, with immediate and long-term consequences for both individual and population health. The COVID-19 pandemic and transnational racial justice movements have brought renewed attention to persisting structural racial injustice.
本系列展示了种族主义、仇外心理、歧视以及支持它们的结构如何损害健康。在本系列的第一篇论文中，我们描述了整个系列所使用的概念模型以及 underlying principles and definitions。我们运用历史视角探讨认知不公正、生物实验以及关于种族的误解等概念。我们关注渗透于社会并导致我们所看到的负面健康后果的隔离和等级权力的核心结构因素。我们正处于历史的关键时刻，因为推行仇恨政治的民粹主义领导人在一些国家变得更有影响力。这些领导人利用种族主义、仇外心理和其他形式的歧视来分裂和控制民众，对个人和群体健康都产生直接和长期的影响。新冠疫情和跨国种族正义运动再次引发了人们对持续存在的结构性种族不公正的关注。
