Department of Society, Harvard University, Boston, MA, USA.
Am J Public Health. 2012 May;102(5):936-44. doi: 10.2105/AJPH.2011.300544. Epub 2012 Mar 15.
The scientific study of how discrimination harms health requires theoretically grounded methods. At issue is how discrimination, as one form of societal injustice, becomes embodied inequality and is manifested as health inequities. As clarified by ecosocial theory, methods must address the lived realities of discrimination as an exploitative and oppressive societal phenomenon operating at multiple levels and involving myriad pathways across both the life course and historical generations. An integrated embodied research approach hence must consider (1) the structural level-past and present de jure and de facto discrimination; (2) the individual level-issues of domains, nativity, and use of both explicit and implicit discrimination measures; and (3) how current research methods likely underestimate the impact of racism on health.
歧视如何危害健康的科学研究需要有理论基础的方法。问题在于,歧视作为一种社会不公正形式,如何成为体现不平等的因素,并表现为健康方面的不平等。正如生态社会理论所阐明的那样,方法必须解决歧视作为一种剥削性和压迫性的社会现象在多个层面上的现实生活,涉及生命过程和历史世代的无数途径。因此,综合的体现研究方法必须考虑到:(1)结构层面——过去和现在的法律和事实上的歧视;(2)个体层面——领域问题、出生地以及明确和隐含歧视措施的使用;以及(3)当前研究方法可能低估种族主义对健康的影响。