消除原住民老年人中的结构性种族主义以促进健康公平。
Undoing Structural Racism Among Indigenous Older Adults to Promote Health Equity.
作者信息
Whetung Cliff
机构信息
Silver School of Social Work at New York University.
出版信息
Generations. 2023 Winter;47(4). Epub 2024 Feb 14.
Abstract
Indigenous older adults are a diverse and growing population that is not equitably included in gerontological research and continues to experience disparate health outcomes in later life. Resolving structural inequities endured by Indigenous peoples across the lifespan using existing policy mechanisms will only be possible if we better develop our theoretical frameworks to include Indigenous perspectives and develop research agendas that center minoritized aging populations. We illustrate this approach by proposing modifications to Title VI of the Older Americans Act and the Indian Healthcare Improvement Act.
摘要
原住民老年人是一个多样化且不断增长的群体，他们在老年学研究中未得到公平对待，并且在晚年仍面临不同的健康结果。只有我们更好地发展理论框架以纳入原住民视角，并制定以少数族裔老年人群体为中心的研究议程，才有可能利用现有政策机制解决原住民在整个生命周期中所遭受的结构性不平等问题。我们通过提议修改《美国老年人法案》第六章和《印第安人医疗保健改善法案》来说明这种方法。
相似文献
1
Undoing Structural Racism Among Indigenous Older Adults to Promote Health Equity.消除原住民老年人中的结构性种族主义以促进健康公平。
Generations. 2023 Winter;47(4). Epub 2024 Feb 14.
2
Enhancing health care equity with Indigenous populations: evidence-based strategies from an ethnographic study.提高与原住民群体的医疗保健公平性：一项人种志研究的循证策略
BMC Health Serv Res. 2016 Oct 4;16(1):544. doi: 10.1186/s12913-016-1707-9.
3
Educational content related to postcolonialism and indigenous health inequities recommended for all rehabilitation students in Canada: a qualitative study.加拿大所有康复专业学生都应学习的与后殖民主义和原住民健康不平等相关的教育内容：一项定性研究
Disabil Rehabil. 2018 Dec;40(26):3206-3216. doi: 10.1080/09638288.2017.1381185. Epub 2017 Oct 2.
4
A critical exploration of nurses' perceptions of access to oncology care among Indigenous peoples: Results of a national survey.对护士对原住民获得肿瘤护理机会的看法的批判性探讨：一项全国性调查的结果。
Nurs Inq. 2022 Jan;29(1):e12446. doi: 10.1111/nin.12446. Epub 2021 Aug 2.
5
Experiences of racism among Aboriginal and Torres Strait Islander adults living in the Australian state of Victoria: a cross-sectional population-based study.澳大利亚维多利亚州原住民和托雷斯海峡岛民成年人的种族主义经历：一项基于人群的横断面研究。
BMC Public Health. 2019 Mar 14;19(1):309. doi: 10.1186/s12889-019-6614-7.
6
Barriers to and opportunities for advancing racial equity in cervical cancer screening in the United States.推进美国宫颈癌筛查中种族公平的障碍和机遇。
BMC Womens Health. 2024 Jun 21;24(1):362. doi: 10.1186/s12905-024-03151-7.
7
Drivers of access to cardiovascular health care for rural Indigenous Peoples: a scoping review.农村原住民获得心血管医疗保健的驱动因素：一项范围综述
Rural Remote Health. 2024 May;24(2):8674. doi: 10.22605/RRH8674. Epub 2024 May 3.
8
Addressing anti-Indigenous racism in Canadian health systems: multi-tiered approaches are required.解决加拿大卫生系统中的反原住民种族主义问题：需要采取多层次的方法。
Can J Public Health. 2022 Apr;113(2):222-226. doi: 10.17269/s41997-021-00598-1. Epub 2022 Jan 21.
9
Indigenous health equity in health register ascertainment and data quality: a narrative review.原住民健康公平在健康登记确定和数据质量中的体现：叙事性综述。
Int J Equity Health. 2022 Mar 12;21(1):34. doi: 10.1186/s12939-022-01635-2.
10
Co-design in healthcare with and for First Nations Peoples of the land now known as Australia: a narrative review.与现今被称为澳大利亚的这片土地上的原住民共同开展医疗保健领域的共同设计：一项叙述性综述。
Int J Equity Health. 2025 Jan 6;24(1):2. doi: 10.1186/s12939-024-02358-2.
引用本文的文献
1
Modifiable factors associated with cognitive health trajectories among Indigenous, Hispanic, Black, and White older adults: an exploratory longitudinal panel analysis of the health and retirement study with a focus on Indigenous peoples.美国原住民、西班牙裔、黑人及白人老年人认知健康轨迹的可改变因素：一项对健康与退休研究的探索性纵向面板分析，重点关注美国原住民。
Lancet Reg Health Am. 2025 Aug 12;50:101207. doi: 10.1016/j.lana.2025.101207. eCollection 2025 Oct.
本文引用的文献
1
Community Engagement and Giving Back Among North American Indigenous Youth.北美原住民青年的社区参与和回馈
J Community Engagem Scholarsh. 2023;15(2). doi: 10.54656/jces.v15i2.456. Epub 2023 Feb 27.
2
Deaths: Final Data for 2018.死亡：2018 年最终数据。
Natl Vital Stat Rep. 2021 Jan;69(13):1-83.
3
Importance of Indigenous elders' contributions to individual and community wellness: results from a scoping review on social participation and intergenerational solidarity.原住民长者对个人和社区健康的贡献的重要性：来自社会参与和代际团结的范围综述的结果。
Can J Public Health. 2020 Oct;111(5):667-681. doi: 10.17269/s41997-019-00292-3. Epub 2020 Feb 27.
4
Drug, Opioid-Involved, and Heroin-Involved Overdose Deaths Among American Indians and Alaska Natives - Washington, 1999-2015.美国印第安人和阿拉斯加原住民的药物、阿片类药物和海洛因相关的过量死亡-华盛顿，1999-2015 年。
MMWR Morb Mortal Wkly Rep. 2018 Dec 21;67(50):1384-1387. doi: 10.15585/mmwr.mm6750a2.
5
Racial and ethnic differences in post-stroke subjective cognitive decline exist.脑卒中后主观认知下降存在种族和民族差异。
Disabil Health J. 2019 Jan;12(1):87-92. doi: 10.1016/j.dhjo.2018.08.005. Epub 2018 Aug 9.
6
Perceived Discrimination and Privilege in Health Care: The Role of Socioeconomic Status and Race.医疗保健中的感知歧视与特权：社会经济地位和种族的作用
Am J Prev Med. 2017 Jan;52(1S1):S86-S94. doi: 10.1016/j.amepre.2016.09.024.
7
American Indian Elders' resilience: Sources of strength for building a healthy future for youth.美国印第安长者的复原力：为年轻人构建健康未来的力量源泉。
Am Indian Alsk Native Ment Health Res. 2016;23(3):117-33. doi: 10.5820/aian.2303.2016.117.
8
United States Indigenous Populations and Dementia: Is There a Case for Culture-based Psychosocial Interventions?美国原住民与痴呆症：是否需要基于文化的心理社会干预？
Gerontologist. 2017 Nov 10;57(6):1011-1019. doi: 10.1093/geront/gnw059.
9
Increasing opportunities for the productive engagement of older adults: a response to population aging.增加老年人生产性参与的机会：应对人口老龄化
Gerontologist. 2015 Apr;55(2):252-61. doi: 10.1093/geront/gnu176. Epub 2015 Feb 15.
10
Modifiable predictors of dementia in mild cognitive impairment: a systematic review and meta-analysis.可改变的轻度认知障碍向痴呆转化的预测因子：系统综述和荟萃分析。
Am J Psychiatry. 2015 Apr;172(4):323-34. doi: 10.1176/appi.ajp.2014.14070878. Epub 2015 Feb 20.
Zotero 插件