Trudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, MO.
Nurs Outlook. 2024 Jul-Aug;72(4):102178. doi: 10.1016/j.outlook.2024.102178. Epub 2024 May 16.
While justice is promised to all U.S. citizens, the truth is that the pathway to equity and justice in health is riddled with obstacles for many marginalized and minoritized groups. The United States ranks lower on crucial health measures than its high-income peer countries, reflecting differences in health outcomes for marginalized and minoritized populations.
Promoting equity and justice in health is vital as health shapes the daily experiences of individuals and communities, specifically those from marginalized and minoritized backgrounds.
This paper highlights the health care system and sociopolitical factors contributing to the longstanding structural barriers that impede health and the need for structural competence, advocacy, and activism in the nursing workforce.
Understanding systemic issues underlying health inequities provides an opportunity to develop targeted strategies to eliminate practices perpetuating inequities and pave the way for everyone to have a fair and just opportunity to be as healthy as possible.
Specific education, practice, research, and policy recommendations can advance equity and justice in health.
虽然美国公民都被承诺享有公正，但事实上，对于许多边缘化和少数群体来说，通往公平和公正的健康之路充满了障碍。美国在关键健康指标上的排名低于其高收入同行国家，这反映了边缘化和少数群体的健康结果存在差异。
促进健康公平和公正至关重要，因为健康塑造了个人和社区的日常生活，特别是那些来自边缘化和少数群体背景的人的日常生活。
本文强调了医疗保健系统和社会政治因素，这些因素导致了长期存在的结构性障碍，阻碍了健康，并需要护理人员在结构能力、宣传和行动方面发挥作用。
了解健康不平等背后的系统性问题为制定有针对性的策略提供了机会，以消除导致不平等的做法，并为每个人提供公平公正的机会，尽可能健康。
具体的教育、实践、研究和政策建议可以促进健康公平和公正。
