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在以公平为重点的城市健康倡议中,如果不考虑种族主义,就无法追求健康公平。

Health Equity Cannot Be Sought Without the Consideration of Racism In Equity-Focused Urban Health Initiatives.

机构信息

Department of Health and Society, University of Toronto Scarborough, 1265 Military Trail, Toronto, ON, M1C 1A4, Canada.

Takemi Program in International Health, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Bldg. 1, Boston, MA, 02115-6021, USA.

出版信息

J Urban Health. 2023 Aug;100(4):834-838. doi: 10.1007/s11524-023-00770-7. Epub 2023 Aug 14.

Abstract

Given that racism is present worldwide, we believe it is imperative to address racism in the pursuit of health equity in cities. Despite the strengths of global urban health efforts in improving health equity, these initiatives can be furthered by explicitly considering systemic racism. Because racism is a major contributor to health issues, utilizing critical race theory (CRT) and taking an anti-racist perspective can help key players understand how racial health differences are initiated and sustained, which will subsequently inform solutions in seeking to address urban health inequities. Applying CRT within policymaking can happen in a variety of ways that are explored in this article. Ultimately, by acknowledging and responding to the effect of racism on groups within cities and the increased difficulties racialized minorities face, international players may use their power to transfer data and resources to cities that could benefit from specialized support.

摘要

鉴于种族主义在全球范围内存在,我们认为在追求城市健康公平时必须解决种族主义问题。尽管全球城市卫生工作在改善健康公平方面取得了很大的成就,但通过明确考虑系统性种族主义,可以进一步推进这些举措。因为种族主义是健康问题的主要原因,因此利用批判种族理论(CRT)并采取反种族主义观点可以帮助主要参与者了解种族健康差异是如何产生和持续的,这将有助于在寻求解决城市健康不平等问题时提供解决方案。本文探讨了 CRT 在政策制定中的各种应用方式。最终,通过承认和回应种族主义对城市内群体的影响,以及种族化少数群体面临的更大困难,国际参与者可以利用他们的权力将数据和资源转移到可能受益于专门支持的城市。

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