MultiCare Obstetrics and Gynecology Associates, MultiCare Health Systems, and the Tacoma Family Medicine Residency Program and Rural Family Medicine With Obstetrics, Tacoma, and the Department of Family Medicine, University of Washington, Seattle, Washington.
Obstet Gynecol. 2023 Oct 1;142(4):779-786. doi: 10.1097/AOG.0000000000005331. Epub 2023 Sep 7.
Four historical events provide context for racial injustices and inequities in medicine in the United States today: the invention of race as a social construct, enslavement in the Americas, the legal doctrine of Partus sequitur ventrem, and the American eugenics movement. This narrative review demonstrates how these race-based systems resulted in stereotypes, myths, and biases against Black individuals that contribute to health inequities today. Education on the effect of slavery in current health care outcomes may prevent false explanations for inequities based on stereotypes and biases. These historical events validate the need for medicine to move away from practicing race-based medicine and instead aim to understand the intersectionality of sex, race, and other social constructs in affecting the health of patients today.
今天,美国在医学领域存在种族不平等和不公正现象,这可以从以下四个历史事件中找到根源:种族被发明成为一种社会建构、美洲的奴役制度、“分娩者嗣随母族”的法律原则,以及美国优生学运动。本综述性叙事研究展示了这些基于种族的制度如何导致针对黑人的刻板印象、神话和偏见,从而导致当今的健康不平等。对奴隶制对当前医疗保健结果的影响进行教育,可以防止基于刻板印象和偏见对不平等现象做出错误解释。这些历史事件证明,医学需要摆脱基于种族的实践,转而努力理解性别、种族和其他社会建构在影响当今患者健康方面的相互作用。