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多世代环境风险模型:针对黑人和有色人种(BIPOC)儿童和家庭

A Multigenerational Model of Environmental Risk for Black, Indigenous, and People of Color (BIPOC) Children and Families.

机构信息

Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, Wisconsin, USA.

Department of Psychology, University of Wisconsin-Madison, Madison, Wisconsin, USA.

出版信息

Environ Health Perspect. 2024 Aug;132(8):85001. doi: 10.1289/EHP13110. Epub 2024 Aug 5.

DOI:10.1289/EHP13110
PMID:39102348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11299772/
Abstract

BACKGROUND

In recent years, public discourse has increasingly brought institutional and structural racism to the foreground of discussion on the well-being of BIPOC (Black, Indigenous, and People of Color) communities. Environmental toxicity in combination with the social triggers of institutional and structural racism are among the factors that shape the short- and long-term health of BIPOC Americans across multiple lifespans.

OBJECTIVES

We outline a Generation Model for examining the mechanisms through which institutional and structural racism promotes the intergenerational transmission of environmental health risk and family and interpersonal relationships across the life course and across multiple generations. We present the model's theoretical underpinnings and rationale, discuss model limitations and needed sources of data, and implications for research, policy, and intervention.

DISCUSSION

Parents and children are not only biologically linked in terms of transmission of environmental toxicities, but they are also linked socially and intergenerationally. The Generation Model foregrounds family and interpersonal relationships occurring within developmental contexts that are influenced by environmental toxicity as well as institutional and structural racism. In sum, the Generation Model highlights the need for an equity-first interdisciplinary approach to environmental health and redirects the burden of risk reduction away from the individual and onto the institutions and structures that perpetuate the racial disparities in exposure. Doing so requires institutional investment in expanded, multigenerational, and multimethod datasets. https://doi.org/10.1289/EHP13110.

摘要

背景

近年来,公共话语越来越多地将制度和结构性种族主义置于讨论黑人和有色人种(BIPOC)社区福祉的前沿。环境毒性加上制度和结构性种族主义的社会诱因,是影响 BIPOC 美国人在多个生命周期中短期和长期健康的因素之一。

目的

我们概述了一种代际模型,用于研究制度和结构性种族主义如何通过环境健康风险和家庭及人际关系在整个生命周期和多代之间的代际传递来促进环境健康风险和家庭及人际关系的代际传递。我们介绍了该模型的理论基础和基本原理,讨论了模型的局限性和所需的数据来源,并探讨了该模型对研究、政策和干预的意义。

讨论

父母和孩子不仅在环境毒素的传递方面在生物学上是相连的,而且在社会和代际上也是相连的。代际模型将家庭和人际关系置于受环境毒性以及制度和结构性种族主义影响的发展背景中。总之,代际模型强调需要采用公平优先的跨学科方法来解决环境健康问题,并将减少风险的负担从个人转移到那些造成种族间暴露差异的机构和结构上。这样做需要在扩大、多代际和多方法数据集方面进行机构投资。https://doi.org/10.1289/EHP13110.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1a/11299772/2612989dd8f2/ehp13110_f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1a/11299772/45bd3c373e01/ehp13110_f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1a/11299772/2612989dd8f2/ehp13110_f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1a/11299772/45bd3c373e01/ehp13110_f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f1a/11299772/2612989dd8f2/ehp13110_f2.jpg

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Redlining-associated methylation in breast tumors: the impact of contemporary structural racism on the tumor epigenome.
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How Should Clinicians Respond to Race-Based Algorithms as Sources of Iatrogenic Harm?临床医生应该如何应对种族主义算法导致的医源性伤害?
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