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Racism: Power, Politics, and Privilege最新文献

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Public Health and the Policing of Black Lives 公共卫生和黑人生活的治安
Pub Date : 2015-07-01 DOI: 10.54111/0002/g3
J. Feldman
The deaths of Michael Brown, Eric Garner, Freddie Gray, Rekia Boyd, and Walter Scott reflect a pattern of routinized state violence against black people in the United States. While police violence is not new, it has become newly visible over the past year as protesters in Ferguson, Baltimore, and hundreds of other cities have made the issue difficult for the public to ignore. As citizens of this society, each of us has a responsibility to work toward the structural changes necessary to end racially discriminatory policing practices that affect our communities. However, as public health professionals, our role in this movement is unique. Simply put, policing practices harm the public’s health and deepen racial health inequities. Since our existing public health infrastructure continuously collects data on injuries and deaths, public health agencies can play a critical role in preventing police violence by monitoring and systematically investigating its impact on communities. Additionally, while U.S. policymakers have decided that police departments should be one of the primary institutions tasked with addressing drug use, problem drinking, homelessness, sex work, and mental illness, these are all fundamentally public health issues requiring attention from public health researchers and professionals alike.
迈克尔·布朗、埃里克·加纳、弗雷迪·格雷、雷琪亚·博伊德和沃尔特·斯科特的死亡反映了美国针对黑人的常规州暴力模式。虽然警察暴力并不新鲜,但在过去的一年里,随着弗格森、巴尔的摩和其他数百个城市的抗议者让公众难以忽视这个问题,它变得越来越明显。作为这个社会的公民,我们每个人都有责任努力进行必要的结构性改革,以结束影响我们社区的种族歧视的警务做法。然而,作为公共卫生专业人员,我们在这场运动中的作用是独一无二的。简单地说,警察的做法损害了公众的健康,加深了种族健康不平等。由于我们现有的公共卫生基础设施不断收集伤亡数据,公共卫生机构可以通过监测和系统调查警察暴力对社区的影响,在预防警察暴力方面发挥关键作用。此外,虽然美国决策者已经决定,警察部门应该是负责处理吸毒、酗酒、无家可归、性工作和精神疾病的主要机构之一,但这些都是需要公共卫生研究人员和专业人士关注的基本公共卫生问题。
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引用次数: 6
Single-Payer Health Reform: A Step Toward Reducing Structural Racism in Health Care 单一付款人医疗改革:迈向减少结构性种族主义在医疗保健的一步
Pub Date : 2015-07-01 DOI: 10.54111/0002/g6
Dominic Caruso, D. Himmelstein, S. Woolhandler
Racial and income equality are too often absent from conversations about health care financing. Research continually exposes alarming health disparities in the United States, particularly impacting African Americans and Native Americans. These groups have lower life expectancies than non-Hispanic white Americans, and experience higher rates of most major causes of death including infant mortality, trauma, heart disease, and diabetes. Yet despite their greater need, access to care is worse for minority populations by most measures.
在关于医疗保健融资的讨论中,种族和收入平等往往被忽略。研究不断揭露美国令人震惊的健康差距,特别是对非洲裔美国人和印第安人的影响。这些群体的预期寿命比非西班牙裔美国白人要低,并且在大多数主要死因(包括婴儿死亡率、创伤、心脏病和糖尿病)上的死亡率更高。然而,尽管他们的需求更大,但从大多数措施来看,少数民族获得医疗服务的机会更差。
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引用次数: 0
Climbing Down the Ivory Tower: Challenging Racial Injustice Through Community Health 爬下象牙塔:通过社区卫生挑战种族不公正
Pub Date : 2015-07-01 DOI: 10.54111/0002/g1
Swathi Damodaran, Rebecca A. Gourevitch, Tiffany Lin, Nikhil Patel, Rosemary Phu, K. Rice
“Of all the forms of inequality, injustice in health care is the most shocking and inhumane.” Most of us know these famous words by Dr. Martin Luther King Jr. In fact, some of us even referenced them in our applications to graduate school. They stirred within us a call for action and allowed us to connect our fascinations with the human body, epidemiology, and biostatistics to a movement bigger than ourselves. For us, medicine and public health represented a means to an end – tools we would use to work towards our social justice goals as we sought to improve public health and reform the health care system from within.
“在所有形式的不平等中,医疗保健方面的不公正是最令人震惊和不人道的。”我们大多数人都知道马丁·路德·金博士的这句名言。事实上,我们中的一些人甚至在申请研究生院时引用了这句话。它们在我们内心激起了行动的呼声,让我们把对人体、流行病学和生物统计学的痴迷与一场比我们自身更大的运动联系起来。对我们来说,医学和公共卫生代表了达到目的的一种手段——当我们寻求改善公共卫生和从内部改革卫生保健系统时,我们将利用这些工具来实现我们的社会正义目标。
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引用次数: 0
A Case for the Future of Global Health 全球健康未来的案例
Pub Date : 2015-07-01 DOI: 10.54111/0002/g5
J. Healy
A child today is more likely to live past infancy than at any other point in history. Her mother is less likely to have died during childbirth and her father is less likely to be murdered or to go to war. In her early years, she is more likely to be vaccinated than malnourished and as she grows up she will have a better chance than ever of spending her nights under a mosquito net and her days at a primary school. More girls like her will have an opportunity to lead healthy lives free from poverty than ever before in our time as humans on this earth.
今天的孩子比历史上任何时期都更有可能活过婴儿期。她的母亲不太可能死于分娩,她的父亲也不太可能被谋杀或参战。在她小时候,她更有可能接种疫苗,而不是营养不良,随着她长大,她将比以往任何时候都更有可能在蚊帐里过夜,白天在小学上学。更多像她这样的女孩将有机会过上健康的生活,摆脱贫困,这是我们这个地球上的人类有史以来从未有过的。
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引用次数: 0
Why Public Health Practitioners Should Care About Job Prospects for People with Criminal Records: Employment Challenges and Successful Prison and Jail Reentry 为什么公共卫生从业人员应该关心有犯罪记录的人的就业前景:就业挑战和成功的监狱和监狱再入
Pub Date : 2015-07-01 DOI: 10.54111/0002/g2
Sonali Saluja, Henry Rosen
Each year in the United States, over half a million individuals in prison and another nine million in jail will return to the community. Many of these men and women face extreme uncertainty when they are released: they may not know where their next meal will come from; they may not have a safe place to stay; they are often left without insurance or healthcare; their families may have left them; and very few know where to find work so they can begin to put food on the table and pay off court-ordered fines and fees. Among the myriad of needs a person has when they return from incarceration, individuals with criminal records and their probation or parole officers cite employment as the lynchpin to success.
在美国,每年有超过50万在押人员和另外900万在押人员将重返社会。这些男女中的许多人在获释后面临着极大的不确定性:他们可能不知道下一顿饭从哪里来;他们可能没有安全的地方可住;他们往往没有保险或医疗保健;他们的家人可能已经离开了他们;很少有人知道去哪里找工作,这样他们就可以开始养家糊口,支付法院下令的罚款和费用。在出狱后的无数需求中,有犯罪记录的人以及他们的缓刑或假释官都认为就业是成功的关键。
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引用次数: 0
Improving Communities, Improving Health 改善社区,改善健康
Pub Date : 2015-07-01 DOI: 10.54111/0002/g4
Jeffrey Sanchez
When we talk about health care, we are often referring to hospitals or other acute facilities, imagining women and men in scrubs, long waits in emergency rooms, that distinctive smell of disinfectant. We “in the know” talk about checklists and ways to reduce inpatient costs; we discuss the absence or the glut of beds; and we count stats of length of stay, average daily census, and DRGs.
当我们谈论医疗保健时,我们经常指的是医院或其他急救设施,想象着穿着消毒服的男女,在急诊室里长时间等待,那种独特的消毒剂气味。我们“知情人”谈论检查清单和减少住院费用的方法;我们讨论床位的缺乏或过剩;我们会统计逗留时间、平均每日人口普查和drg。
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引用次数: 1
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Racism: Power, Politics, and Privilege
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