We identify a gap in health inequalities research that sociologists are particularly well situated to fill—an underrepresentation of research on the role advantaged groups play in creating inequalities. We name the process that creates the imbalance health-inequality diversions. We gathered evidence from awarded grants (349), major health-related data sets (7), research articles (324), and Healthy People policy recommendations. We assess whether the inequality-generating actions of advantaged groups are considered either directly by capturing their behaviors or indirectly by asking disadvantaged people about discrimination or exploitation from advantaged groups. We further assess whether there is a tendency to locate the problem in the person or group experiencing health inequalities. We find that diversions are prevalent across all steps of the research process. The diversion concept suggests new lines of sociological research to understand why diversions occur and how gaps in evidence concerning the role of the advantaged might be filled.

我们确定了社会学家特别适合填补的健康不平等研究的空白——对优势群体在造成不平等中所起的作用的研究代表性不足。我们将产生不平衡健康不平等转移的过程命名为. 我们从获得的赠款 (349)、主要的健康相关数据集 (7)、研究文章 (324) 和健康人政策建议中收集了证据。我们评估优势群体产生不平等的行为是通过捕捉他们的行为直接考虑，还是通过询问弱势群体来自优势群体的歧视或剥削来间接考虑。我们进一步评估是否存在将问题定位在经历健康不平等的个人或群体的倾向。我们发现，转移注意力在研究过程的所有步骤中都很普遍。转移概念提出了新的社会学研究路线，以了解转移发生的原因以及如何填补有关优势角色的证据空白。