将反种族主义视角扩展到精准公共卫生干预措施的实施中。
Extending an Antiracism Lens to the Implementation of Precision Public Health Interventions.
机构信息
Caitlin G. Allen and Ashley Hatch are with the Department of Public Health Sciences, College of Medicine, and Paula S. Ramos is with the Departments of Medicine and Public Health Sciences, Medical University of South Carolina, Charleston. Dana Lee Olstad is with the Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada. Anna R. Kahkoska is with the Department of Nutrition, Laura V. Milko is with the Department of Genetics, and Megan C. Roberts is with the Eshelman School of Pharmacy, University of North Carolina, Chapel Hill. Yue Guan and Isabella Santangelo are with the Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA. Julia Steinberg is with The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, Australia. Stephanie A. S. Staras is with the Department of Health Outcome and Biomedical Informatics, College of Medicine, and Institute for Child Health Policy, University of Florida, Gainesville. Crystal Y. Lumpkins is with the Department of Communication, Huntsman Cancer Institute, University of Utah, Salt Lake City. Erin Turbitt is with the Graduate School of Health, University of Technology Sydney, Ultimo, NSW, Australia. Alanna K. Rahm is with the Department of Genomic Health, Geisinger Medical Center, Danville, PA. Katherine W. Saylor is with the Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia. Stephanie Best is with the Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
出版信息
Am J Public Health. 2023 Nov;113(11):1210-1218. doi: 10.2105/AJPH.2023.307386. Epub 2023 Aug 31.
Precision public health holds promise to improve disease prevention and health promotion strategies, allowing the right intervention to be delivered to the right population at the right time. Growing concerns underscore the potential for precision-based approaches to exacerbate health disparities by relying on biased data inputs and recapitulating existing access inequities. To achieve its full potential, precision public health must focus on addressing social and structural drivers of health and prominently incorporate equity-related concerns, particularly with respect to race and ethnicity. In this article, we discuss how an antiracism lens could be applied to reduce health disparities and health inequities through equity-informed research, implementation, and evaluation of precision public health interventions. ( 2023;113(11):1210-1218. https://doi.org/10.2105/AJPH.2023.307386).
精准公共卫生有望改善疾病预防和健康促进策略，使正确的干预措施能够在正确的时间提供给正确的人群。日益增长的担忧突显了基于精准的方法通过依赖有偏差的数据输入和重现现有的获取不平等，从而加剧健康差距的可能性。为了充分发挥其潜力，精准公共卫生必须专注于解决健康的社会和结构性驱动因素，并突出纳入与公平相关的问题，特别是在种族和族裔方面。在本文中，我们讨论了如何应用反种族主义视角，通过公平知情的研究、实施和评估精准公共卫生干预措施，来减少健康差距和不公平现象。（2023；113（11）：1210-1218。https://doi.org/10.2105/AJPH.2023.307386）。
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