Janean E Dilworth-Bart, Thea Sankari, Colleen F Moore
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引用次数: 0
Abstract
Background: In recent years, public discourse has increasingly brought institutional and structural racism to the foreground of discussion on the well-being of BIPOC (Black, Indigenous, and People of Color) communities. Environmental toxicity in combination with the social triggers of institutional and structural racism are among the factors that shape the short- and long-term health of BIPOC Americans across multiple lifespans.
Objectives: We outline a Generation Model for examining the mechanisms through which institutional and structural racism promotes the intergenerational transmission of environmental health risk and family and interpersonal relationships across the life course and across multiple generations. We present the model's theoretical underpinnings and rationale, discuss model limitations and needed sources of data, and implications for research, policy, and intervention.
Discussion: Parents and children are not only biologically linked in terms of transmission of environmental toxicities, but they are also linked socially and intergenerationally. The Generation Model foregrounds family and interpersonal relationships occurring within developmental contexts that are influenced by environmental toxicity as well as institutional and structural racism. In sum, the Generation Model highlights the need for an equity-first interdisciplinary approach to environmental health and redirects the burden of risk reduction away from the individual and onto the institutions and structures that perpetuate the racial disparities in exposure. Doing so requires institutional investment in expanded, multigenerational, and multimethod datasets. https://doi.org/10.1289/EHP13110.
背景:近年来,在讨论黑人、土著人和有色人种(BIPOC,Black, Indigenous, and People of Color)社区的福祉时,公共讨论越来越多地将制度性和结构性种族主义置于前台。环境毒性与制度性和结构性种族主义的社会诱因相结合,是影响美国黑人、土著人和有色人种多代人短期和长期健康的因素之一:我们概述了 "2+ 代模型",该模型用于研究制度性和结构性种族主义促进环境健康风险代际传播的机制,以及跨生命历程和跨多代的家庭和人际关系。我们介绍了该模型的理论基础和基本原理,讨论了模型的局限性和所需的数据来源,以及对研究、政策和干预的影响:讨论:父母和子女在环境毒物的传播方面不仅存在生物学联系,而且还存在社会联系和代际联系。2+ 代模式强调家庭和人际关系在发展过程中受到环境毒性以及制度性和结构性种族主义的影响。总之,"2+世代模式 "强调了对环境健康采取公平优先的跨学科方法的必要性,并将降低风险的重担从个人身上转移到使种族暴露差异长期存在的机构和结构上。要做到这一点,需要对扩大的、多代的和多方法的数据集进行机构投资。https://doi.org/10.1289/EHP13110。
期刊介绍:
Environmental Health Perspectives (EHP) is a monthly peer-reviewed journal supported by the National Institute of Environmental Health Sciences, part of the National Institutes of Health under the U.S. Department of Health and Human Services. Its mission is to facilitate discussions on the connections between the environment and human health by publishing top-notch research and news. EHP ranks third in Public, Environmental, and Occupational Health, fourth in Toxicology, and fifth in Environmental Sciences.