Title |
How Is Colonialism a Sociostructural Determinant of Health in Puerto Rico?
|
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Published in |
The AMA Journal of Ethic, April 2022
|
DOI | 10.1001/amajethics.2022.305 |
Pubmed ID | |
Authors |
José G Pérez Ramos, Adriana Garriga-López, Carlos E Rodríguez-Díaz |
Abstract |
Puerto Rico is experiencing a public health crisis driven by effects and processes of US colonialism in the archipelago, such as the exclusionary application of federal health policy, an exodus of health care professionals, and the long-term effects of unequal distribution of health care funding in the unincorporated territories. Compound effects of multiple disasters, including Hurricane María, repeated earthquakes, and the COVID-19 pandemic, as well as relentless privatization and fragmentation of the health care system, have led to very poor health outcomes. Puerto Rico's case clearly shows the negative effects of colonialism on public health. This article specifies what decolonization requires from a public health standpoint to promote health equity. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 30 | 34% |
Puerto Rico | 13 | 15% |
Canada | 3 | 3% |
Curaçao | 1 | 1% |
Kenya | 1 | 1% |
Dominican Republic | 1 | 1% |
Chile | 1 | 1% |
Brazil | 1 | 1% |
North Macedonia | 1 | 1% |
Other | 1 | 1% |
Unknown | 36 | 40% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 64 | 72% |
Scientists | 20 | 22% |
Science communicators (journalists, bloggers, editors) | 3 | 3% |
Practitioners (doctors, other healthcare professionals) | 2 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 26 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 5 | 19% |
Student > Ph. D. Student | 4 | 15% |
Student > Doctoral Student | 3 | 12% |
Professor | 2 | 8% |
Librarian | 1 | 4% |
Other | 3 | 12% |
Unknown | 8 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 5 | 19% |
Medicine and Dentistry | 3 | 12% |
Social Sciences | 3 | 12% |
Environmental Science | 2 | 8% |
Nursing and Health Professions | 2 | 8% |
Other | 3 | 12% |
Unknown | 8 | 31% |