Dilger Hansjörg, Geeraert Jérémy, Goronga Tinashe, Mair Lucia, Mehran Nassim, Probst Ursula, Frankfurter Raphael, Greiwe Vivien-Lee, Jaeger Margret, Kluge Ulrike, Pape Jillian, Plummer Jaleel, Strohmeier Hannah, Vonk Levi, Holmes Seth M
Institute of Social and Cultural Anthropology, Department of Political and Social Sciences, Freie Universität Berlin, Berlin, Germany.
Sociological Center on Law and Penal Institutions (Cesdip), University Paris Saclay, Guyancourt, France.
Glob Public Health. 2025 Dec;20(1):2480646. doi: 10.1080/17441692.2025.2480646. Epub 2025 Mar 24.
Recent academic and activist critiques raise important points about the ways in which coloniality, migration and racialization are often overlooked in global health research and practice. In particular, these critiques highlight how such structural forces perpetuate inequalities and exclusions, as well as processes of epistemic violence in global health. While agreeing with these critical interventions, this paper argues for a focus on care and the importance that concrete acts and systems of care in postcolonial, migratory and racialized contexts have on the suffering and vulnerability of individuals and communities. Drawing on case studies from multiple different geographic and social contexts, we argue that the perspective of racialization can highlight how multi-layered inequalities in global healthcare are shaped by the intertwined processes of coloniality and migration; thereby explaining the contextual, structural vulnerability of specific groups of people to certain health conditions and their exclusion from adequate healthcare resources. We argue that social scientists and critical global health scholars and practitioners can play a central role in bringing the three strands of research - coloniality, migration and racialization - into conversation to explore their potential for jointly advancing the care and well-being of individuals and communities in different geographical and social contexts.
最近的学术和激进主义批评提出了一些重要观点，涉及殖民性、移民和种族化在全球卫生研究与实践中常常被忽视的方式。特别是，这些批评突出了这些结构性力量如何使不平等和排斥长期存在，以及全球卫生中的认知暴力过程。在认同这些批判性干预的同时，本文主张关注照护，以及后殖民、移民和种族化背景下具体的照护行为和照护体系对个人和社区的痛苦与脆弱性所具有的重要意义。借鉴来自多个不同地理和社会背景的案例研究，我们认为种族化视角可以凸显全球医疗保健中的多层不平等是如何由殖民性和移民的相互交织过程所塑造的；从而解释特定人群在特定健康状况下的情境性、结构性脆弱性以及他们被排除在充足医疗资源之外的情况。我们认为，社会科学家以及批判性全球卫生学者和从业者可以发挥核心作用，促使殖民性、移民和种族化这三个研究方向展开对话，以探索它们在不同地理和社会背景下共同促进个人和社区的照护与福祉的潜力。
