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公共卫生话语中关于种族化健康差异和“差异”的白色种族框架:它揭示了权力的什么,以及它如何阻碍健康公平。

The white racial frame of public health discourses about racialized health differences and "disparities": what it reveals about power and how it thwarts health equity.

机构信息

Department of Psychological and Brain Sciences, The George Washington University, Washington, DC, United States.

The Intersectionality Training Institute, Philadelphia, PA, United States.

出版信息

Front Public Health. 2023 Sep 26;11:1187307. doi: 10.3389/fpubh.2023.1187307. eCollection 2023.

Abstract

Although several public health scholars have advocated for more clarity about concepts such as health disparities and health equity, attention to the framing of public health discourses about racialized health differences and "disparities" in the U.S., and what it reveals about power and the potential for achieving health equity, is surprisingly rare. Sociologist Joe Feagin, in his book, coined the term to describe the predominantly white racialized worldview of majority white and white-oriented decisionmakers in everyday and institutional operations. Informed by insights from critical race theories about the white racial frame, white epistemological ignorance, and colorblind racism; critical perspectives on social class; Black feminist perspectives; framing; and critical discourse analysis, in this perspective I discuss: (1) the power of language and discourses; (2) the white racial frame of three common public health discourses - , "," and (SDOH); (3) the costs and consequences of the white racial frame for advancing health equity; and (4) the need for more counter and critical theoretical frames to inform discourses, and in turn research and political advocacy to advance health equity in the U.S.

摘要

尽管有几位公共卫生学者提倡更清楚地了解健康差距和健康公平等概念,但人们对美国种族化健康差异和“差异”的公共卫生话语的框架以及它所揭示的权力和实现健康公平的潜力关注甚少。社会学家乔·费金(Joe Feagin)在他的书中创造了 一词,以描述在日常和机构运作中,占多数的白人种族和以白人为导向的决策者的主要白人种族化世界观。受关于白人种族框架、白人认识论无知和色盲种族主义的批判种族理论的见解、对社会阶级的批判观点、黑人女权主义观点、框架和批判话语分析的启发,我从以下几个方面讨论了这个观点:(1)语言和话语的力量;(2)三种常见的公共卫生话语—— 、“种族健康差异”(SDOH)和“健康差距”的白人种族框架;(3)推进健康公平的白人种族框架的成本和后果;(4)需要更多的对抗和批判理论框架来为话语提供信息,进而为研究和政治倡导提供信息,以促进美国的健康公平。

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