南亚土著居民的健康:关键时期的重要回顾。

IF 3.4 4区 医学 Q1 HEALTH CARE SCIENCES & SERVICES International Journal of Health Services Pub Date : 2022-01-01 Epub Date: 2020-08-12 DOI:10.1177/0020731420946588
Chundankuzhiyil Ulahannan Thresia, Prashanth Nuggehalli Srinivas, Katia Sarla Mohindra, Chettiparambil Kumaran Jagadeesan
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引用次数: 10

摘要

尽管南亚的社会包容进程充满希望,但令人震惊的社会和卫生不平等使土著人口在很大程度上被排除在外。南亚政治中的边缘化、不平等的权力关系和不良的政策反应阻碍了土著人口获得健康收益和尊严的权利和机会。鉴于恶劣的社会条件和排斥现象,持续的COVID-19大流行可能导致阿迪瓦西人感染和死亡的比例过高。土著人民健康状况不佳、土著和非土著群体之间的不平等以及未能执行收回土著土地和文化特性的宪法和法律规定,预示着更深层次的结构和政治裂痕。本文在对二手资料进行批判性审查的基础上,揭示了阿迪瓦西人与非阿迪瓦西人在社会背景下的健康不平等。我们呼吁制定跨部门政策和综合卫生保健服务,以解决系统性不平等、歧视、权力不对称以及由此导致的不良健康结果。当前的COVID-19大流行应被视为寻求真正变革的窗口。
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The Health of Indigenous Populations in South Asia: A Critical Review in a Critical Time.

Despite South Asia's promising social inclusion processes, staggering social and health inequalities leave indigenous populations largely excluded. Marginalization in the South Asian polity, unequal power relations, and poor policy responses deter Adivasi populations' rights and opportunities for health gains and dignity. The ongoing COVID-19 pandemic is likely to result in a disproportionate share of infections and deaths among the Adivasis, given poor social conditions and exclusions. Poor health of indigenous people, inequalities between indigenous and non-indigenous groups, and failures in enforcing constitutional and legal provisions to reclaim indigenous land and cultural identity herald deeper structural and political fractures. This article unravels health inequalities between the Adivasis and non-Adivasi populations in their social context based on a critical review of secondary sources. We call for intersectoral policies and integrated health care services to address systemic inequalities, discrimination, power asymmetries, and consequent poor health outcomes. The current COVID-19 pandemic should be viewed as a window to pursue real change.

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来源期刊
CiteScore
4.50
自引率
2.90%
发文量
41
审稿时长
>12 weeks
期刊介绍: The International Journal of Health Services is a peer-reviewed journal that contains articles on health and social policy, political economy and sociology, history and philosophy, ethics and law in the areas of health and well-being. This journal is a member of the Committee on Publication Ethics (COPE).
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