Health Disparities and Discrimination: Three Perspectives.

Khadidiatou Ndiaye, Janice R Krieger, Jennifer R Warren, Michael L Hecht, Kola Okuyemi
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Abstract

This article presents three perspectives on health discrimination and disparities, organized around different conceptualizations of the way "space" perpetuates health disparities. The first two perspectives are grounded in conceptualizing space in a physical sense by exploring the manifestation of discrimination as a problem both among and within nations. The third perspective juxtaposes geographical space with cyberspace. The internet, with its ability to blur sense of place, social demarcations, and behavior is often considered a panacea that can eliminate the health disparities. The internet, however, may not be fulfilling its promise as an equal source of health information for all and disparities related to international and rural geography remain problematic. Solutions are proposed for reducing health disparities based on The Principle of Cultural Grounding (Hecht & Krieger, 2006; Hecht & Miller-Day, in press).

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健康差异与歧视:三个视角。
本文围绕 "空间 "造成健康差距的不同概念,从三个角度阐述了健康歧视和差距问题。前两个视角以物理意义上的空间概念为基础,探讨了歧视作为国家之间和国家内部问题的表现形式。第三个视角将地理空间与网络空间并列。互联网具有模糊地域感、社会界限和行为的能力,常常被认为是消除健康差异的灵丹妙药。然而,互联网作为人人平等的健康信息来源的承诺可能并未实现,与国际和农村地理相关的差异仍然是个问题。根据 "文化基础原则"(Hecht & Krieger, 2006; Hecht & Miller-Day, in press)提出了缩小健康差距的解决方案。
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