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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.

PMID:39290397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11407198/
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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e3/11407198/de1157dfbcfe/nihms-2017223-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e3/11407198/de1157dfbcfe/nihms-2017223-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e3/11407198/de1157dfbcfe/nihms-2017223-f0001.jpg

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本文引用的文献

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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.
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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.
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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.
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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?
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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。
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