匈牙利的健康差距和种族分类

I. Koller
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引用次数: 0

摘要

编制人口普查和登记问卷是为了获得关于社会的一般信息,其分类调查结果指导决策者、经济规划者和研究人员。然而,它们的总体重点并不一定提供与健康状况有关的种族信息。为什么这些相互关联的数据很重要?确定分类的族裔数据可用于了解和消除族裔健康差异。与种族有关的人口统计数据至少为两个目的提供了关于公共卫生的额外信息。第一,确定不同族裔群体的保健需要和特殊保健标志;第二部分指出了医疗保健中与种族有关的不平等(Villarroel等人,2018)。另一方面,这种数据收集方法容易导致歧视和数据的误用。本文的目的是提供一个详细的解释,为什么匈牙利选择优先考虑种族分类的中立方法,而不是公共卫生利益。它将解释为什么匈牙利的种族概念是以个人归属为基础的,并提供对该国种族构成的见解。这包括社会、历史和政治限制因素对民族分类方法的影响,如何将粒度纳入民族分类系统,以及收集的民族数据如何与属于少数民族的实际人数相关联。这在罗姆人这一特定族裔群体的情况下尤其如此,正如过去五十年进行的以往研究所证明的那样,基于族裔的数据收集可以作为缓解该国健康差距的积极手段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health Disparities and Ethnic Classification in Hungary
Census and register questionnaires are prepared to obtain general information on society, and their disaggregated findings guide policy makers, economic planners, and researchers. However, their general focus does not necessarily provide information on ethnicity related to health status. Why would this interrelated data be important? The identification of disaggregated ethnic data can be utilised in understanding and eliminating ethnic health disparities. Ethnicity-related demographic data provides extra information about public health for at least two purposes. The first identifies the health needs and special health markers of diverse ethnic groups; the second points out ethnic-related inequalities in healthcare (Villarroel et al., 2018). On the other hand, this method of data collection may easily lead to discrimination and the misuse of data. The aim of this paper is to provide a detailed explanation of why Hungary has chosen to prioritise neutral approaches to ethnic classification over public health interests. It will explain why the Hungarian concept of ethnicity is based on personal affiliation, and provides an insight into the ethnic composition of the country. This includes information on which social, historical, and political constraints have shaped the method of ethnic classification, how granularity is incorporated into the ethnic classification system, and how the data gathered on ethnicity relates to the actual number of people who belong to ethnic minority groups. This is especially in the case of one particular ethnic group, the Roma, for whom ethnicity-based data collection could serve as a proactive tool for easing health disparities in the country, as testified by previous studies carried out over the past fifty years.
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