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1.
Sci Rep ; 14(1): 21676, 2024 09 17.
Artículo en Inglés | MEDLINE | ID: mdl-39289433

RESUMEN

Although Jewish people in the US are often racialized (i.e., perceived by others) as White, Jewish Americans vary in the extent to which they consider themselves White, and in how strongly they identify with being Jewish. Based on prior findings that identifying with a White ethnic subgroup (e.g., Irish, Italian) can reduce prejudice toward racial and ethnic minorities, we predicted that strongly identified Jewish Americans would exhibit less intergroup bias than weakly identified Jewish Americans. For the present research, we recruited participants whose religious affiliation was Jewish but who self-identified as racially White. In a preregistered correlational study, Jewish identification was associated with lower bias, whereas White identification was associated with greater bias, toward Whites relative to racial/ethnic minorities. The relationship between Jewish identification and intergroup bias was accounted for by high Jewish identifiers' perceptions that they could personally contribute to diversity in groups and organizations. Across three meta-analyzed experiments, participants whose religious minority (Jewish) identity was made salient exhibited less intergroup bias than did control participants, and in one preregistered experiment, perceived personal contributions to diversity mediated the effect of condition on intergroup bias. Implications for the forms of ethnic identity that predict more versus less intergroup bias in an increasingly multicultural society are discussed.


Asunto(s)
Actitud , Judíos , Humanos , Judíos/psicología , Femenino , Masculino , Adulto , Diversidad Cultural , Estados Unidos , Identificación Social , Adulto Joven , Prejuicio/psicología , Persona de Mediana Edad , Población Blanca/psicología
2.
JAMA Netw Open ; 7(9): e2435355, 2024 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-39325459

RESUMEN

Importance: Governments worldwide have become increasingly cognizant of the spread of genetic discrimination (negative treatment or harm on the basis of actual or presumed genetic characteristics). Despite efforts by a number of governments to establish regulations addressing this phenomenon, public concern about genetic discrimination persists. Objective: To identify key elements of an optimal genetic nondiscrimination policy and inform policymakers as they seek to allay genetic nondiscrimination and related public anxieties. Evidence Review: Sixty multidisciplinary experts from 20 jurisdictions worldwide were consulted to understand their views on effective genetic nondiscrimination policies. Following standard requirements of the Delphi method, 3 rounds of surveys over the course of 1.5 years were conducted. Round 1 focused on assessing participants' understanding of the intricacies of existing genetic nondiscrimination policies, while rounds 2 and 3 invited participants to reflect on specific means of implementing a more effective regime. A total of 60 respondents participated in the first round, 53 participated in round 2, and 43 participated in round 3. Findings: While responses varied across disciplines, there was consensus that binding regulations that reach across various sectors are most useful in preventing genetic discrimination. Overall, experts agreed that human rights-based approaches are well suited to preventing genetic discrimination. Experts also agreed that explicit prohibition of genetic discrimination within nondiscrimination policies can highlight the importance of genetic nondiscrimination as a fundamental right and ensure robust protection at a national level. While most participants believed the international harmonization of genetic nondiscrimination laws would facilitate data sharing worldwide, they also recognized that regulations must reflect the sociocultural differences that exist among regions. Conclusions and Relevance: As the reach of genetic discrimination continues to evolve alongside developments in genomics, strategic policy responses that are harmonious at the international and state levels will be critical to address this phenomenon. In seeking to establish comprehensive frameworks, policymakers will need to be mindful of regional and local circumstances that influence the need for and efficacy of unique genetic nondiscrimination approaches across diverse contexts.


Asunto(s)
Consenso , Técnica Delphi , Humanos , Privacidad Genética/legislación & jurisprudencia , Política de Salud/legislación & jurisprudencia , Discriminación Social/legislación & jurisprudencia , Prejuicio/legislación & jurisprudencia
3.
Prax Kinderpsychol Kinderpsychiatr ; 73(6): 472-490, 2024 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-39290114

RESUMEN

Bias in Mental Health Care of Children and Adolescents with Intellectual Disabilities Implicit and explicit bias and distortions of perception are partly responsible for the unequal and significantly deficient psychotherapeutic and psychiatric care situation for children and adolescents with intellectual disabilities and additional behavioral problems. The extent to which these biases influence misdiagnoses and treatment errors, refusals and exclusions from professional care, and grossly hostile rejections of people with disabilities requires empirical evidence (Bartig et al., 2021). The fact that all forms occur - probably to a considerable extent - contradicts the ethical principles of the medical and psychotherapeutic profession. In order to avoid misdiagnosis and treatment as a result of bias, this must be openly addressed. Selfawareness, supervision and second views, the concept of working diagnosis and, above all, the full application of child and adolescent psychiatric standards help to reduce bias.


Asunto(s)
Discapacidad Intelectual , Psicoterapia , Humanos , Adolescente , Niño , Discapacidad Intelectual/psicología , Discapacidad Intelectual/terapia , Discapacidad Intelectual/diagnóstico , Psicoterapia/ética , Prejuicio , Errores Diagnósticos , Trastornos Mentales/terapia , Trastornos Mentales/psicología , Trastornos Mentales/diagnóstico
6.
BMC Psychol ; 12(1): 482, 2024 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-39267178

RESUMEN

OBJECTIVE: To compile a scale of Chinese college students' perception of teachers' differential behavior and to provide a reference for college students to establish correct life values, promote college students' physical and mental health, and reduce teachers' differential treatment. METHODS: Open-ended questionnaires and expert interviews were used to conduct interviews and correspondence with 58 college students, ten psychologists, and six psychologists to form an initial questionnaire. Then, the scale's exploratory factor analysis, confirmatory factor analysis, and reliability and validity test were conducted on 7053 college students from 18 universities in 6 provinces (municipalities directly under the Central Government). RESULTS: The Chinese college students' perception of teachers' differential behavior scale has two dimensions: teacher prejudice and preference. Each dimension includes three aspects: emotional feedback, behavior orientation, and opportunity privilege, and each aspect have a total of 4 items. The consistency test coefficients of each dimension and each factor of the prepared scale are all above 0.7, and the split-half reliability is above 0.6. Confirmatory factor analysis shows that the six-factor structural model fits well (χ2/df = 4.287, RMSEA = 0.066, CFI = 0.950, TLI = 0.919). Using the generalized anxiety disorder scale and the patient health questionaire-9items as empirical criteria, each factor in the scale demonstrated significant correlations with both the GAD scale and the patient health questionaire-9items. CONCLUSIONS: The Chinese college students' perception of teachers' differential behavior scale has a two-dimensional six-factor structure and has good reliability and validity. It can be used as an effective tool to measure Chinese college students' perceived teacher differential behavior.


Asunto(s)
Estudiantes , Humanos , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Femenino , Masculino , Reproducibilidad de los Resultados , Adulto Joven , China , Universidades , Encuestas y Cuestionarios/normas , Adulto , Psicometría/instrumentación , Análisis Factorial , Adolescente , Percepción Social , Prejuicio/psicología , Docentes/psicología
7.
Adv Child Dev Behav ; 67: 104-131, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39260901

RESUMEN

Disabled people are the largest minority group in the world. Like members of many minority groups, they face considerable prejudice and discrimination-known as ableism. Ableism reflects entrenched beliefs about what human bodies and minds should be like and a devaluation of individuals who deviate from that ideal. There is surprisingly little psychological science about ableism, and even less about its development. This chapter considers how social-cognitive biases evident in early childhood could contribute to its development. The chapter is structured around four biases: Prescriptive reasoning, promiscuous teleology, psychological essentialism, and the positivity bias. For each bias, we review foundational research about how it manifests in early childhood, speculate about its connection to ableism, and outline avenues for additional research. Understanding how social-cognitive biases contribute to the development of ableism is an important first step in efforts to equip children (and adults) with the tools to reject it.


Asunto(s)
Prejuicio , Cognición Social , Humanos , Niño , Preescolar , Grupos Minoritarios , Percepción Social , Personas con Discapacidad , Capacitismo
8.
Brain Behav Immun ; 122: 555-564, 2024 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-39168271

RESUMEN

Situational factors can increase people's vulnerability to intergroup bias, including prejudicial attitudes, negative stereotyping, and discrimination. We proposed that increases in inflammatory activity that coincide with acute illness may represent a hitherto unstudied situational factor that increases intergroup bias. The current study experimentally manipulated increases in inflammatory activity by administering the seasonal influenza vaccine or a saline placebo. We quantified inflammatory activity by assessing change in salivary pro-inflammatory cytokines and assessed intergroup bias using a resume evaluation task and self-reported ethnocentrism. Primary analyses focused on a subsample of 117 participants who provided high quality data; robustness analyses included various permutations of lower quality participants. Findings revealed that changes in the cytokine interleukin-1ß (IL-1ß) in response to the vaccine were associated with greater intergroup bias. Among participants who received the vaccine, IL-1ß change was negatively associated with evaluation of a Latina (but not a White woman) applicant's competency and recommended starting salary. Moreover, IL-1ß change was positively associated with ethnocentrism. Overall, results provide support for the hypothesis that acute illness, via the mechanistic role of inflammatory cytokines, affects social cognition in ways that can increase intergroup bias.


Asunto(s)
Citocinas , Hispánicos o Latinos , Vacunas contra la Influenza , Interleucina-1beta , Humanos , Femenino , Vacunas contra la Influenza/inmunología , Masculino , Adulto , Hispánicos o Latinos/psicología , Citocinas/metabolismo , Interleucina-1beta/metabolismo , Adulto Joven , Saliva/inmunología , Saliva/química , Solicitud de Empleo , Prejuicio
9.
J Interpers Violence ; 39(17-18): 3855-3875, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39119650

RESUMEN

Hate crime is increasingly a familiar term within the domains of scholarship, policy, and activism as the harms associated with acts of targeted hostility continue to pose complex, global challenges. However, an exclusively Western-centric focus has done little to foster transnational conversations or to shape conceptual or legal frameworks in parts of the world where the challenges posed by hate and prejudice remain underexplored despite their devastating consequences. This article considers how the complexities and specificities of the Indian context disrupt the dominant assumptions of conventional hate crime frameworks. In doing so, it highlights the value of extending conventional Westernized models of thinking to different environments with different sets of challenges. Through its analysis of caste crimes and the factors that reinforce a prevailing institutional and cultural backdrop of political indifference, bureaucratic resistance, and public skepticism, the article illustrates why and how key elements of the Western framework remain ill-suited to the Indian context. The authors call instead for a creative translation of the hate crime concept, which accommodates the nature of violence within specific social contexts, and which emphasizes the institutional features that can mitigate the limitations of state capacity and intent. The process of translation has value in harnessing the benefits of the hate crime concept within countries, which lack a common framework to foster shared understanding and prioritization in relation to tackling contemporary expressions of hate. At the same time, this process enriches prevailing thinking, dismantles stereotypes, and challenges scholars of targeted violence to familiarize themselves with the unfamiliar.


Asunto(s)
Crimen , Odio , Humanos , India , Violencia , Prejuicio
10.
PLoS One ; 19(8): e0308397, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39208134

RESUMEN

In this registered report, we propose to stress-test existing models for predicting the ideology-prejudice association, which varies in size and direction across target groups. Previous models of this relationship use the perceived ideology, status, and choice in group membership of target groups to predict the ideology-prejudice association across target groups. These analyses show that models using only the perceived ideology of the target group are more accurate and parsimonious in predicting the ideology-prejudice association than models using perceived status, choice, and all of the characteristics in a single model. Here, we stress-test the original models by testing the models' predictive utility with new measures of explicit prejudice, a comparative operationalization of prejudice, the Implicit Association Test, and additional target groups. In Study 1, we propose to directly test the previous models using an absolute measure of prejudice that closely resembles the measure used in the original study. This will tell us if the models replicate with distinct, yet conceptually similar measures of prejudice. In Study 2, we propose to develop new ideology-prejudice models for a comparative operationalization of prejudice using both explicit measures and the Implicit Association Test. We will then test these new models using data from the Ideology 2.0 project collected by Project Implicit. We do not have full access to this data yet, but upon acceptance of our Stage 1 registered report, we will gain access to the complete dataset. Currently, we have access to an exploratory subset of the data that we use to demonstrate the feasibility of the study, but its limited number of target groups prevents conclusions from being made.


Asunto(s)
Prejuicio , Humanos , Modelos Teóricos , Masculino , Publicación de Preinscripción
11.
Acta Psychol (Amst) ; 249: 104439, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39137692

RESUMEN

The Russian invasion of Ukraine led to a major humanitarian crisis resulting in many Ukrainians seeking refugee status in European countries. Unlike the positive attitudes towards Ukrainian refugees, Afghan refugees who were also required to leave their country following the Taliban's takeover of Afghanistan, received a negative reaction from the same European countries. Examining similar crises, a year apart, where people fled perilous situations in their countries, reveals contrasting reactions that emphasize the need to understand factors driving diverse public attitudes. Integrated Threat Theory (ITT), which posits that perceived threats can lead to prejudice and negative attitudes, may elucidate mechanisms behind opposing reactions towards Ukrainian and Afghan refugees. This study explores whether symbolic threats, intergroup anxiety, fear of terrorism, and political orientation are differentially related to attitudes towards Afghan and Ukrainian refugees in 250 European participants. Results demonstrate that participants hold more positive attitudes towards Ukrainian refugees compared to Afghan refugees. All the aforementioned factors predicted attitudes towards Afghan refugees, but only symbolic threats predicted attitudes towards Ukrainian refugees. Ethnicity and religiosity explain the relationship between symbolic threats and attitudes towards Afghan refugees. Western European participants show a stronger link between terrorism fear and negative views on Afghan refugees than Eastern Europeans, possibly due to higher terrorism rates in the West. Thus, attitudes towards refugees are intricate, but the study emphasizes the role of ITT, terrorism fear, politics, ethnicity, religiosity, and region. The findings could refine policies, stressing the need to address these factors for fostering inclusive, empathetic European societies.


Asunto(s)
Actitud , Refugiados , Humanos , Refugiados/psicología , Ucrania/etnología , Afganistán/etnología , Masculino , Femenino , Adulto , Europa (Continente)/etnología , Persona de Mediana Edad , Adulto Joven , Adolescente , Terrorismo/psicología , Prejuicio , Ansiedad/etnología , Ansiedad/psicología , Política
12.
Sci Adv ; 10(33): eado5957, 2024 Aug 16.
Artículo en Inglés | MEDLINE | ID: mdl-39141723

RESUMEN

The number of health care educational institutions/organizations adopting implicit bias training is growing. Our systematic review of 77 studies (published 1 January 2003 through 21 September 2022) investigated how implicit bias training in health care is designed/delivered and whether gaps in knowledge translation compromised the reliability and validity of the training. The primary training target was race/ethnicity (49.3%); trainings commonly lack specificity on addressing implicit prejudice or stereotyping (67.5%). They involved a combination of hands-on and didactic approaches, lasting an average of 343.15 min, often delivered in a single day (53.2%). Trainings also exhibit translational gaps, diverging from current literature (10 to 67.5%), and lack internal (99.9%), face (93.5%), and external (100%) validity. Implicit bias trainings in health care are characterized by bias in methodological quality and translational gaps, potentially compromising their impacts.


Asunto(s)
Personal de Salud , Humanos , Personal de Salud/educación , Prejuicio , Reproducibilidad de los Resultados , Estereotipo
13.
Acta Med Acad ; 53(1): 35-45, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38984698

RESUMEN

OBJECTIVES: The purpose of this study was to determine whether fear and prejudice in relation to organ donation and the transplantation of organs may influence the decision to become an organ donor. MATERIALS AND METHODS: Data were collected through four group interviews using open-ended questions and qualitative content analysis. Forty participants, 16 males and 24 females from seven countries, participated in the focus group interviews. RESULTS: The analysis resulted in three main categories, and nine subcategories. Fears and prejudice caused by tradition and customs, approval of organ donation by family members, perception of the body as a gift from parents, the influence of religious leaders, knowledge about the religious understanding of organ donation, influence of social ambience on respondents, knowledge of the donation process in the healthcare system, including knowing about life after eventual organ donation, were some of predictors in the decision to agree to organ donation. CONCLUSION: More education on the factors that influence organ donation, more information in schools, health institutions and through the media, as well as more research with the aim of "dispelling" fears and prejudice about organ donation would significantly improve the current situation and result in a larger number of potential organ donors.


Asunto(s)
Emigrantes e Inmigrantes , Miedo , Grupos Focales , Prejuicio , Donantes de Tejidos , Obtención de Tejidos y Órganos , Humanos , Masculino , Femenino , Suecia , Adulto , Persona de Mediana Edad , Emigrantes e Inmigrantes/psicología , Donantes de Tejidos/psicología , Anciano , Adulto Joven , Toma de Decisiones , Conocimientos, Actitudes y Práctica en Salud/etnología , Investigación Cualitativa
14.
Vet Clin North Am Small Anim Pract ; 54(5): 813-824, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39003178

RESUMEN

Implicit biases are those we are unwilling to admit, yet they influence our behavior in ways that impact our experience in the workplace. Literature demonstrates that implicit bias influences career choice and limits success within a chosen career. Discrimination in the veterinary workplace is pervasive and has a negative impact that is responsible for financial loss. It can also influence client communication, patient-care, and be inadvertently perpetuated by well-meaning community clinics. Strategies can be employed to acknowledge implicit bias and to foster behavioral change, which results in a healthier workplace and improved client and patient-care.


Asunto(s)
Veterinarios , Medicina Veterinaria , Veterinarios/psicología , Humanos , Animales , Selección de Profesión , Prejuicio , Sesgo
15.
Seizure ; 120: 189-193, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39029409

RESUMEN

PURPOSE: The aim of this socio-legal pilot study is to gain insight into the access to justice for people with epilepsy in Finland by identifying the everyday problems experienced by them. Stigma, prejudice and their impact on the lives of people with epilepsy has been widely documented in the literature. Thus, we also wanted to explore whether there is a link between reported everyday problems and perceived prejudice. METHODS: In the first phase of the study, court cases were used to describe the everyday problems of people with epilepsy in Finland. In the second phase, descriptive statistical methods were used to analyse the survey data collected from adults with epilepsy in Finland (n = 237). RESULTS: Based on only a few existing court cases, the problems faced by people with epilepsy seem to be similar to those faced by other groups of people with disabilities. The most common problems reported by our survey respondents were related to healthcare services (73 %) and work (54 %), followed by family (25 %), mistreatment (25 %), housing (24 %) and goods and services (19 %). Both having refractory epilepsy and perceived prejudice seem to be linked with experiencing everyday problems. CONCLUSION: The results of this pilot study on the everyday problems experienced by people with epilepsy suggest that there are various gaps in their access to justice, even in a developed EU country like Finland.


Asunto(s)
Epilepsia , Prejuicio , Humanos , Finlandia/epidemiología , Proyectos Piloto , Masculino , Femenino , Adulto , Epilepsia/epidemiología , Epilepsia/psicología , Persona de Mediana Edad , Adulto Joven , Justicia Social , Estigma Social , Anciano , Encuestas y Cuestionarios , Adolescente , Accesibilidad a los Servicios de Salud/estadística & datos numéricos
16.
Pol Merkur Lekarski ; 52(3): 304-318, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39007469

RESUMEN

OBJECTIVE: Aim: The purpose of this study is to report on the development and initial psychometric testing of a questionnaire to investigate nurses' discrimination attitudes and beliefs towards people of dif f erent ethnic origins. PATIENTS AND METHODS: Materials and Methods: The initial stage involved the selection of the questions of the tool after a comprehensive evaluation of the relevant international literature and the tools used in previous related studies. The reliability (forward-backward translation) of the questions was assessed, along with the content, face, and structure. To conduct the study, which was carried out from 07/2021 to 01/2022 a sample consisting of 30 and 2,034 nurses and their assistants was used for the pilot and the fi nal research, respectively. RESULTS: Results: Given that the Kaiser-Meyer-Olkin (KMO) threshold value of 0.89 was achieved, the sample was considered sufficient and appropriate for factor analysis. A statistically signif i cant result (p<0.001) from Bartlett's test indicated a substantial connection between the questions and conf i rmed that the data were suitable for factor analysis. Twenty statements altogether, with seven possible answers ranging from "totally disagree" to "completely agree," were included in the questionnaire. For the questions, three distinct factors - communication, difficulties, and discrimination - were shown to account for 47.1% of the variability. Reliability analyzes showed satisfactory Cronbach alpha coefficient scores for all factors, ranging from 0.78 to 0.82. CONCLUSION: Conclusions: The current study demonstrates that the questionnaire we developed is a legitimate and trustworthy instrument for evaluating professional nurses' discriminatory attitudes and beliefs toward individuals from various ethnic backgrounds. The questionnaire can be used to help design interventions to end discrimination, guarantee equitable access to healthcare services, and provide high-quality care for individuals from diverse backgrounds. It can also be used to identify the factors that inf l uence nurses' attitudes and perceptions toward these patient populations.


Asunto(s)
Actitud del Personal de Salud , Psicometría , Humanos , Encuestas y Cuestionarios , Reproducibilidad de los Resultados , Femenino , Masculino , Adulto , Personal de Enfermería/psicología , Persona de Mediana Edad , Prejuicio , Enfermeras y Enfermeros/psicología
17.
Multimedia | MULTIMEDIA | ID: multimedia-13197

RESUMEN

O tema aborda o SUS e a identificação das desigualdades raciais em saúde.


Asunto(s)
Racismo , Factores Socioeconómicos , Prejuicio
18.
BMC Public Health ; 24(1): 1514, 2024 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-38840254

RESUMEN

BACKGROUND: Mandates provide a relatively cost-effective strategy to increase vaccinate rates. Since 2014, five Australian states have implemented No Jab No Play (NJPlay) policies that require children to be fully immunised to attend early childhood education and childcare services. In Western Australia, where this study was conducted, NJNPlay legislation was enacted in 2019. While most Australian families support vaccine mandates, there are a range of complexities and unintended consequences for some families. This research explores the impact on families of the NJNPlay legislation in Western Australia (WA). METHODS: This mixed-methods study used an online parent/carer survey (n = 261) representing 427 children and in-depth interviews (n = 18) to investigate: (1) the influence of the NJNPlay legislation on decision to vaccinate; and (2) the financial and emotional impacts of NJNPlay legislation. Descriptive and bivariate tests were used to analyse the survey data and open-ended questions and interviews were analysed using reflexive thematic analysis to capture the experience and the reality of participants. RESULTS: Approximately 60% of parents intended to vaccinate their child. Parents who had decided not to vaccinate their child/ren were significantly more likely to experience financial [p < 0.001] and emotional impacts [p < 0.001], compared to those who chose to vaccinate because of the mandate. Qualitative data were divided with around half of participants supporting childhood immunisation and NJNPlay with others discussing concerns. The themes (a) belief in the importance of vaccination and ease of access, (b) individual and community protection, and (c) vaccine effectiveness, safety and alternatives help understand how parents' beliefs and access may influence vaccination uptake. Unintended impacts of NJNPlay included: (a) lack of choice, pressure and coercion to vaccinate; (b) policy and community level stigma and discrimination; (c) financial and career impacts; and (d) loss of education opportunities. CONCLUSIONS: Parents appreciation of funded immunisation programs and mandates which enhance individual and community protection was evident. However for others unintended consequences of the mandate resulted in significant social, emotional, financial and educational impacts. Long-term evidence highlights the positive impact of immunisation programs. Opinions of impacted families should be considered to alleviate mental health stressors.


Asunto(s)
Actitud Frente a la Salud , Salud Infantil , Política de Salud , Programas de Inmunización , Padres , Cobertura de Vacunación , Adulto , Niño , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven , Cuidado del Niño/legislación & jurisprudencia , Salud Infantil/legislación & jurisprudencia , Toma de Decisiones , Educación/legislación & jurisprudencia , Educación/estadística & datos numéricos , Empleo/economía , Empleo/estadística & datos numéricos , Política de Salud/economía , Política de Salud/legislación & jurisprudencia , Accesibilidad a los Servicios de Salud , Programas de Inmunización/legislación & jurisprudencia , Padres/psicología , Seguridad del Paciente , Prejuicio , Investigación Cualitativa , Estigma Social , Encuestas y Cuestionarios , Cobertura de Vacunación/legislación & jurisprudencia , Vacunas/efectos adversos , Australia Occidental
19.
Med Trop Sante Int ; 4(1)2024 03 31.
Artículo en Francés | MEDLINE | ID: mdl-38846114

RESUMEN

Healthcare discriminations based on one's ethnic background is increasingly being studied in medicine. The scale of the Covid-19 pandemic has played an important role in bringing them to light. Data, although scarce, exist in France. These discriminations have an impact on the care pathway and contribute to the renunciation of care by the most affected populations. The issue of discrimination is particularly relevant in infectious diseases. Although the epidemiology of infectious diseases is unevenly distributed worldwide, erroneous social representations are prevalent and expose to a harmful prejudice against migrants with regard to infectious diseases. The transmissible nature of some infectious diseases reinforces their stigmatizing potential. In this context, it seems important to discuss the dimension to be given to social determinants, geographical origin, phenotype, and ethnicity in teaching and medical reasoning. The English-speaking world uses the concept of "race" in a structural way, whereas this "international standard" has not been applied in France until now. To improve the care of people from minority groups, it seems important to better document and teach a more nuanced clinical reasoning based on origin, without neglecting the importance of collecting and taking into account social determinants of health and environmental factors.


Asunto(s)
COVID-19 , Enfermedades Transmisibles , Medicina Tropical , Humanos , COVID-19/epidemiología , Francia/epidemiología , Enfermedades Transmisibles/epidemiología , Razonamiento Clínico , Prejuicio , Determinantes Sociales de la Salud , Pandemias
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