Hatcher-DuBois-Odrick Group LLC, Washington, District of Columbia, USA.
Nurs Philos. 2023 Apr;24(2):e12428. doi: 10.1111/nup.12428. Epub 2023 Mar 9.
Using 2021 data and information related to COVID-19, this paper discusses the contribution of colonization, medical mistrust and racism to vaccine hesitancy. Vaccine hesitancy is defined as 'delay in acceptance or refusal of vaccines despite availability'. Colonization is described as the 'way the extractive economic system of capitalism came to the United States, supported by systems of supremacy and domination, which are a necessary part of keeping the wealth and power accumulated in the hands of the colonizers and ultimately their financiers'. The system of colonization results in policies and practices, including those related to health, that continue to create oppression and support racism. Persons experience trauma as the byproduct of colonization. Chronic stress and trauma create chronic inflammation and all diseases, whether genetic or lifestyle, have a common pathogenesis that is a component of inflammation. Medical mistrust is the absence of trust that healthcare providers and organizations genuinely care for patients' interests, are honest, practice confidentiality and have the competence to produce the best possible results. Finally, racism is described as everyday racism and perceived racism in healthcare.
本文使用 2021 年与 COVID-19 相关的数据和信息，讨论了殖民化、医疗不信任和种族主义对疫苗犹豫的影响。疫苗犹豫被定义为“尽管疫苗可用，但仍延迟接受或拒绝疫苗”。殖民化被描述为“资本主义的剥削性经济体系来到美国的方式，得到了至上主义和统治制度的支持，这些制度是将财富和权力积累在殖民者手中并最终为其资助者保留的必要组成部分”。殖民化制度导致了政策和实践的产生，包括与健康相关的政策和实践，这些政策和实践继续造成压迫和支持种族主义。人们因殖民化而遭受创伤。慢性压力和创伤会导致慢性炎症，所有疾病，无论是遗传的还是生活方式的，都有一个共同的发病机制，即炎症的一个组成部分。医疗不信任是指对医疗保健提供者和组织真正关心患者利益、诚实、保守秘密和有能力产生最佳结果的缺乏信任。最后，种族主义被描述为医疗保健中的日常种族主义和感知到的种族主义。
