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美国环境暴露不公平的结构性和社会性决定因素。

Structural and Social Determinants of Inequitable Environmental Exposures in the United States.

机构信息

Columbia University Vagelos College of Physicians and Surgeons, 3959 Broadway, CHC 7-701, New York, NY, USA.

Pulmonary Division, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, 3959 Broadway, CHC 7-701, New York, NY 10032, USA.

出版信息

Clin Chest Med. 2023 Sep;44(3):451-467. doi: 10.1016/j.ccm.2023.03.002. Epub 2023 May 8.

Abstract

American Indian (AI)/Alaskan Natives, African Americans, and Latino Americans have disproportionally high exposure to harmful environmental conditions as a consequence of unjust laws and policies, systemic racism, residential segregation, and discrimination. In this review, we draw connections between historical policies and social movements in the United States' history that have been rooted in racism and classism, leading to social isolation and marginalization of AIs, African Americans, and Latino Americans. We then discuss the structural factors that stem from the aforementioned inequities and that contribute to the inequitable distribution of environmental hazards.

摘要

美洲印第安人/阿拉斯加原住民、非裔美国人和拉丁裔美国人由于不公正的法律和政策、系统性种族主义、居住隔离和歧视而不成比例地面临有害环境条件的暴露。在这篇综述中,我们将美国历史上的历史政策和社会运动联系起来,这些政策和运动根植于种族主义和阶级主义,导致美洲印第安人、非裔美国人和拉丁裔美国人的社会孤立和边缘化。然后,我们讨论了源于上述不平等的结构因素,这些因素导致了环境危害的不公平分配。

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