Department of Sociology, University at Albany, State University of New York, Albany, NY 12222, USA.
J Health Soc Behav. 2011 Dec;52(4):510-26. doi: 10.1177/0022146511423544.
Examining nursing home segregation and race disparities in influenza vaccinations, this study demonstrates that segregation may increase both susceptibility and exposure to seasonal flu for black Americans. Evidence based on the 2004 U.S. National Nursing Home Survey shows that individuals in nursing homes with high percentages of black residents have less personal immunity to flu because they are less likely to have been vaccinated against the disease; they may also be more likely to be exposed to flu because more of their coresidents are also unvaccinated. This implies that segregation may generate dual disease hazards for contagious conditions. Segregation appears to limit black Americans' access to personal preventive measures against infection, while spatially concentrating those people who are most likely to become contagious.
本研究考察了养老院隔离和美国黑人群体在流感疫苗接种方面的种族差异，结果表明，隔离可能会增加美国黑人感染季节性流感的易感性和暴露率。基于 2004 年美国全国养老院调查的数据表明，养老院中黑人员工比例较高的人群对流感的个人免疫力较低，因为他们接种流感疫苗的可能性较小；他们也更有可能接触到流感，因为他们的同住者中有更多人未接种疫苗。这意味着隔离可能会对传染病造成双重的疾病危害。隔离似乎限制了美国黑人获得个人预防感染的措施，同时将那些最有可能具有传染性的人集中在空间上。
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