Décadas de crisis: adecuación de un marco socio-ecológico para estimar qué elementos estructurales afectan a las tasas de asma en el sur del Bronx
Palabras clave:
violencia estructural, asma, Sur del Bronx, racismo ambiental, modelo socioecológicoResumen
Se han documentado tasas inquietantemente altas de hospitalizaciones relacionadas con el asma en el sur del Bronx durante varias décadas. La crisis se ha caracterizado por la violencia estructural, la inequidad en la salud y la exposición desproporcionada a los daños ambientales, con la carga de la enfermedad del asma mal controlada que recae principalmente en las minorías raciales y étnicas socioeconómicamente vulnerables. Esta revisión adapta el modelo socioecológico (SEM) como un marco basado en la teoría para analizar críticamente las disparidades en la atención y el control del asma en el sur del Bronx. El análisis se basa en consideraciones históricas de la violencia estructural, en particular el legado de los terrenos baldíos, los vertidos tóxicos, la política de trastienda y los arreglos sociales que perpetúan las disparidades en la atención médica y la salud. Este modelo puede guiar el desarrollo de intervenciones de múltiples niveles, incluida la gestión médica sostenible del asma, particularmente en el contexto de la actual crisis de asma en el sur del Bronx y su desastrosa superposición más reciente con el brote de COVID-19 que ha devastado Nueva York.
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