Hutchins Sonja S, Fiscella Kevin, Levine Robert S, Ompad Danielle C, McDonald Marian
Office of Minority Health and Health Disparities, Office of the Chief of Public Health Practice, Office of the Director, Centers for Disease Control and Prevention, 1600 Clifton Rd, Mailstop E-67, Atlanta, GA 30333, USA.
Am J Public Health. 2009 Oct;99 Suppl 2(Suppl 2):S261-70. doi: 10.2105/AJPH.2009.161505.
Racial/ethnic minority populations experience worse health outcomes than do other groups during and after disasters. Evidence for a differential impact from pandemic influenza includes both higher rates of underlying health conditions in minority populations, increasing their risk of influenza-related complications, and larger socioeconomic (e.g., access to health care), cultural, educational, and linguistic barriers to adoption of pandemic interventions. Implementation of pandemic interventions could be optimized by (1) culturally competent preparedness and response that address specific needs of racial/ethnic minority populations, (2) improvements in public health and community health safety net systems, (3) social policies that minimize economic burdens and improve compliance with isolation and quarantine, and (4) relevant, practical, and culturally and linguistically tailored communications.
在灾难期间及灾后，少数族裔群体的健康状况比其他群体更差。大流行性流感产生不同影响的证据包括：少数族裔群体中潜在健康状况的发生率较高，增加了他们出现流感相关并发症的风险；以及在采用大流行干预措施方面存在更大的社会经济（如获得医疗保健的机会）、文化、教育和语言障碍。可通过以下方式优化大流行干预措施的实施：（1）具备文化能力的防范和应对措施，以满足少数族裔群体的特定需求；（2）改善公共卫生和社区健康安全网系统；（3）制定尽量减少经济负担并提高对隔离和检疫措施依从性的社会政策；以及（4）提供相关、实用且符合文化和语言习惯的宣传信息。
