将定居者殖民健康决定因素(SCDH)确定为巴勒斯坦人健康不良的上游原因是不正确和有害的。

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL
Linda Young Landesman, Maya Korin, Stacey Plichta, Brian Englander, Ora Paltiel
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引用次数: 0

摘要

极端主义、流离失所和持续不断的冲突对巴勒斯坦人和以色列人个人和集体产生了影响,危及他们的健康和生命。公共卫生出版物中流传的一种理论认为,定居者殖民健康决定因素(SCDH)是该地区卫生不平等的根本原因。我们认为,这种说法具有误导性,忽视了关键事实,加剧了两极分化,从而损害了健康。公共卫生是一门基于假设、研究和分析的循证科学学科。在整个科学过程中,对偏见的仔细评估是必不可少的。知识随后转化为政策和行动。SCDH理论认为这种方法被“殖民主义”所污染。我们还认为,SCDH概念适用于以色列-巴勒斯坦的健康差异,是一种寻求证据的意识形态驱动的理论。SCDH的推动者没有提出可测试的假设,而是使用选择性证据来支持其与该地区健康的相关性。当与地区历史和以色列人和巴勒斯坦人的健康状况相关的事实相对照时,这种理论就站不住脚了。它以不恰当的方式援引片面的种族主义作为卫生不平等的驱动因素,并忽视了许多上游决定因素,包括巴勒斯坦领导人的行动及其作为卫生驱动因素的作用。它诋毁了建设和平与合作,而这对该区域未来的健康和福祉至关重要,而且在改善健康成果方面有着良好的记录。我们呼吁公共卫生专业人员远离毫无根据的言论,这些言论使社区两极分化,破坏了该学科的科学完整性,同时对促进该地区的健康毫无贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying Settler Colonial Determinants of Health (SCDH) as the Upstream Cause of Palestinian Ill Health Is Both Incorrect and Harmful.

Extremism, displacement, and ongoing conflict have affected Palestinians and Israelis personally and collectively, endangering their health and lives. A theory circulating in public health publications posits that settler colonial determinants of health (SCDH) are the root cause of health inequities in the region. We argue that this assertion is misleading, ignores key facts, and exacerbates polarization, thus harming health. Public health is an evidence-based, scientific discipline based on hypotheses, research, and analysis. Throughout the scientific process, careful assessments of bias are essential. Knowledge is subsequently translated into policy and action. The SCDH theory rejects this approach as tainted by "colonialism." We also argue that the SCDH concept, as applied to health disparities in Israel-Palestine, is an ideologically driven theory in search of evidence. Rather than developing testable hypotheses, the promoters of SCDH use selective evidence to support its relevance to health in the region. The theory collapses when examined against relevant facts related to regional history and the health status of Israelis and Palestinians. It invokes one-sided racism as a driver of health inequities in a context-inappropriate manner, and ignores many upstream determinants including actions of the Palestinian leadership, and their role as drivers of health. It denigrates peace-building and collaboration which are key to future health and wellbeing in the region, and which have a proven record in improving health outcomes. We call on public health professionals to distance themselves from unfounded rhetoric that polarizes the communities, and undermines the discipline's scientific integrity, while contributing nothing to promote health in the region.

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来源期刊
Rambam Maimonides Medical Journal
Rambam Maimonides Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
6.70%
发文量
55
审稿时长
8 weeks
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