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健康公平数据收集、报告和衡量中使移民语言人性化的伦理考量与建议。

Ethical Considerations and Recommendations for Humanizing Immigrant Language in Health Equity Data Collection, Reporting, and Measurement.

作者信息

Thoumi Andrea, Kukoyi Olurotimi, Kaalund Kamaria, Garcia Rico Yazmin, Gonzalez-Guarda Rosa M, Pearson Jay, Martinez-Bianchi Viviana

机构信息

Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina, USA.

UNC-Chapel Hill, Chapel Hill, North Carolina, USA.

出版信息

Health Equity. 2025 May 27;9(1):281-289. doi: 10.1089/heq.2024.0127. eCollection 2025.


DOI:10.1089/heq.2024.0127
PMID:40487570
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12143360/
Abstract

Collecting accurate and consistent sociodemographic data is needed to improve health measurement and public health interventions. Missing or inaccurate data hinders the adequate assessment of the state of access, quality, and coverage in the overall population and communities experiencing social marginalization. Health measurement requires data labels that humanize all populations living, working, and residing across the United States and territories. Humanization is fundamentally grounded in the concepts of human dignity and ethical identity integrity. An often-overlooked form of exclusion in health care is the long-standing use of dehumanizing language, including its use in health measurement and data collection efforts, to refer to immigrant populations. In this perspective, we delineate ethical concerns regarding the use of dehumanizing language when referring to immigrant populations. We provide recommendations for health providers, researchers, and policy makers in improving humanizing language in health equity data collection and reporting through engagement of community experts, use of alternative language, implementation, and monitoring.

摘要

收集准确且一致的社会人口学数据对于改善健康测量和公共卫生干预措施而言是必要的。缺失或不准确的数据会妨碍对总体人群以及经历社会边缘化的社区的可及性、质量和覆盖范围状况进行充分评估。健康测量需要数据标签,以体现生活、工作和居住在美国及各领地的所有人的人性。人性化从根本上基于人的尊严和道德身份完整性的概念。医疗保健中一种常被忽视的排斥形式是长期使用非人性化语言,包括在健康测量和数据收集工作中提及移民人口时使用这种语言。从这个角度出发,我们阐述了在提及移民人口时使用非人性化语言所涉及的伦理问题。我们为医疗服务提供者、研究人员和政策制定者提供建议,通过社区专家的参与、使用替代语言、实施和监测,在健康公平数据收集和报告中改善人性化语言的使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c94/12143360/35200acd9186/heq.2024.0127_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c94/12143360/35200acd9186/heq.2024.0127_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c94/12143360/35200acd9186/heq.2024.0127_figure1.jpg

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本文引用的文献

[1]
The impact of stigma and discrimination-based narratives in the health of migrants in Latin America and the Caribbean: a scoping review.

Lancet Reg Health Am. 2024-1-5

[2]
Trajectories of physiological stress markers over time among Latinx immigrants in the United States: Influences of acculturative stressors and psychosocial resilience.

Soc Sci Med. 2024-12

[3]
The Human Cost of Politicizing Immigration: Migration Stigma, US Politics, and Health.

JAMA. 2024-8-27

[4]
"We have to lie low … that sort of poisons me more and more": A qualitative study of violent political rhetoric and health implications for Spanish and Chinese speaking immigrants.

Soc Sci Med. 2024-1

[5]
Promoting Latinx health equity through community-engaged policy and practice reforms in North Carolina.

Front Public Health. 2023

[6]
Systemic Racism Affecting Latinx Population Health During the COVID-19 Pandemic and Beyond: Perspectives of Latinx Community Health Workers and Community-Based Organization Leaders.

Health Equity. 2023-11-7

[7]
Guiding Principles for Writing About Immigrants and Immigrant Health.

J Immigr Minor Health. 2024-2

[8]
Exploring the Effect of Anti-immigration Rhetoric on Emergency Department Use by Undocumented Adults.

J Immigr Minor Health. 2024-2

[9]
: A Brief Review of the Recent Literature on the Impact of Anti-Immigrant Rhetoric and Policies on Stress Among Latinx Immigrants.

Chronic Stress (Thousand Oaks). 2023-7-9

[10]
Raising the Bar for Language Equity Health Care Research.

JAMA Netw Open. 2023-7-3

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