Stopping the Vicious Cycle: Equitable Enforcement Strategies to Achieve Safe, Stable, and Accessible Housing for People with Disabilities.

IF 4.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Milbank Quarterly Pub Date : 2024-03-01 Epub Date: 2024-01-14 DOI:10.1111/1468-0009.12683
Katie Hannon Michel, Maya Hazarika Watts, Jessica Breslin, Elizabeth Tobin-Tyler
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Abstract

Policy Points People with disabilities experience a vicious cycle of poverty, poor health, and marginalization partly because of the inequitable implementation and enforcement of laws, including underenforcement of civil rights and housing laws and overenforcement of punitive nuisance and criminal laws. Inequitable enforcement reflects policy choices that prioritize powerful entities (e.g., landlords, developers) to the detriment of people who experience intersectional structural discrimination based on, for example, race, disability, and income. Equitable enforcement, a process of ensuring compliance with the law while considering and minimizing harms to marginalized people, can promote health and disability justice by increasing access to safe, stable, and accessible housing.

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停止恶性循环:为残疾人提供安全、稳定和无障碍住房的公平执法策略》。
政策要点 残疾人经历着贫困、健康状况不佳和边缘化的恶性循环,部分原因是法律的实施和执行不公平,包括公民权利和住房法的执行力度不足,以及惩罚性滋扰法和刑法的执行力度过大。执法不公反映出政策选择优先考虑有权势的实体(如房东、开发商),而不利于因种族、残疾和收入等原因遭受交叉结构性歧视的人。公平执法是一个确保遵守法律的过程,同时考虑并尽量减少对边缘化人群的伤害,可以通过增加获得安全、稳定、无障碍住房的机会来促进健康和残疾公正。
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来源期刊
Milbank Quarterly
Milbank Quarterly 医学-卫生保健
CiteScore
9.60
自引率
3.00%
发文量
37
审稿时长
>12 weeks
期刊介绍: The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.
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