Department of Public Health and Sports Science, Faculty of Occupational and Health Sciences, University of Gävle, Kungsbacksvägen 47, 80176 Gävle, Sweden.
EPIUnit-Instituto de Saude Publica, Universidade do Porto, Rua das Taipas 135, 4050-600 Porto, Portugal.
Ann Glob Health. 2023 Sep 15;89(1):58. doi: 10.5334/aogh.4137. eCollection 2023.
Although structural violence is known to interact with and reinforce direct violence in the form of interpersonal violence (e.g., intimate partner violence), little debate takes place in public health on how it can lead to revictimization, leading to even poorer health outcomes (including psychological ill health). This viewpoint aims to discuss this issue using examples from empirical studies to elucidate how structural violence (perpetrated through institutions) contributes to revictimization among people who are already suffering direct violence. Public health professionals (and researchers) need to make efforts to theorize and measure structural violence to aid efforts toward the study of how it intersects with interpersonal violence to influence health outcomes. This will ultimately contribute to better prevention and intervention efforts to curb interpersonal violence and improve population health and well-being. In addition, there is a need to include structural violence in the academic curriculum when training future generations of public health professionals. Increased education on structural violence will bring about an awareness of the grave consequences of the potential additional harm that institutions could inflict on the lives of people they should be protecting or care for.
虽然结构性暴力已知会与人际暴力（例如亲密伴侣暴力）相互作用并加强直接暴力，但在公共卫生领域几乎没有关于结构性暴力如何导致再次受害进而导致更糟糕的健康结果（包括心理健康不良）的争论。本观点旨在通过实证研究中的例子来讨论这个问题，阐明结构性暴力（通过机构实施）如何导致已经遭受直接暴力的人再次受害。公共卫生专业人员（和研究人员）需要努力从理论上和测量上理解结构性暴力，以帮助研究它如何与人际暴力交叉影响健康结果。这最终将有助于更好地预防和干预人际暴力，改善人口健康和福祉。此外，在培训未来几代公共卫生专业人员时，需要将结构性暴力纳入学术课程。增加对结构性暴力的教育将使人们意识到机构可能对他们本应保护或关心的人的生活造成潜在额外伤害的严重后果。
