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无形的障碍:应对欧洲医疗保健领域的种族主义问题。

Unseen barriers: addressing racism in European healthcare.

作者信息

Filali Amel, Osei Lindsay, Vignier Nicolas

机构信息

Policlinique de médecine tropicale, voyages et vaccinations. Centre universitaire de médecine générale et Santé publique, Rue du Bugnon 44, Lausanne, Switzerland.

Service de pédiatrie, Centre Hospitalier de Cayenne, Cayenne, Guyane, France.

出版信息

Int J Equity Health. 2025 May 27;24(1):153. doi: 10.1186/s12939-025-02534-y.

Abstract

Structural racism in healthcare is largely unexplored in the European context. When studied, racism is explored as an individual opinion and not as a structural problem. Very little data exists for European populations belonging to minority groups. Most of the data available focus on migration and healthcare. The increased risk of infectious diseases among migrant populations in Europe is well documented, linked to the epidemiology of their countries of origin, migratory pathways and vulnerabilities acquired on the European continent. However, the impact of racism on access to health care for racially marginalised migrants remains underexplored compared to other barriers. Most studies on the health of different categories of migrants focus on migration status as a determinant, without addressing the effects of racism in the context of migration. It is therefore crucial to generate contextual data in Europe to study the potential existence of these biases and their influence on the management of health care of minorities.

摘要

在欧洲背景下,医疗保健领域的结构性种族主义在很大程度上未得到充分研究。在进行相关研究时,种族主义被视为个人观点,而非结构性问题。针对欧洲少数群体的可用数据非常少。现有的大多数数据都集中在移民与医疗保健方面。欧洲移民群体中传染病风险增加的情况有充分记录,这与他们原籍国的流行病学、移民途径以及在欧洲大陆所面临的脆弱性有关。然而,与其他障碍相比,种族主义对种族边缘化移民获得医疗保健的影响仍未得到充分探讨。大多数关于不同类别移民健康状况的研究将移民身份作为一个决定因素,而未涉及种族主义在移民背景下的影响。因此,在欧洲生成背景数据以研究这些偏见的潜在存在及其对少数群体医疗保健管理的影响至关重要。

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