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Structural racism and violence as social determinants of health: Conceptual, methodological and intervention challenges
Ist Teil von
Drug and alcohol dependence, 2021-05, Vol.222, p.108681-108681, Article 108681
Ort / Verlag
Ireland: Elsevier B.V
Erscheinungsjahr
2021
Link zum Volltext
Quelle
Applied Social Sciences Index & Abstracts (ASSIA)
Beschreibungen/Notizen
The social determinants of health or the ways that social, economic, and political conditions influence health differences among individuals and populations, are widely understood to impact substance use patterns and health-related outcomes. Less well understood in the United States are the contributions of structural racism and structural violence to social determinants of health. Structural racism refers to “ways in which societies foster racial discrimination, through mutually reinforcing inequitable systems (in housing, education, employment, earnings) that in turn reinforce discriminatory beliefs, values, and distribution of resources, which take together affect the risk of adverse health outcomes” (Bailey et al., 2017). While structural violence is the “imposition of unequal risk for disease, injury, and death by social, political, institutional, and economic configurations and policies on identifiable populations groups” (Karandinos and Bourgois, 2019). Examples of structural racism and violence include redlining and residential segregation, employment discrimination, unequal access to healthcare and in general, a consistent diminution of life opportunities based on race and the types of substances people use.