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当基本物资缺失时该怎么办?——新冠疫情期间当地流浪人群的特殊需求——这是社会精神病学关注的问题。

When basic supplies are missing, what to do? Specific demands of the local street population in times of coronavirus - a concern of social psychiatry.

机构信息

School of Medicine of Juazeiro do Norte - FMJ/Estácio, Juazeiro do Norte, Ceará, Brazil; School of Medicine, Federal University of Cariri - UFCA, Barbalha, Ceará, Brazil.

School of Medicine of Juazeiro do Norte - FMJ/Estácio, Juazeiro do Norte, Ceará, Brazil.

出版信息

Psychiatry Res. 2020 Jun;288:112939. doi: 10.1016/j.psychres.2020.112939. Epub 2020 Apr 13.

Abstract

BACKGROUND

Homeless experts and some federal housing officials are sounding the alarm that the patchwork of government efforts to address the coronavirus outbreak risks leaving out one group of acutely vulnerable people: the homeless. In terms of isolation, it is too unclear what that looks like if you normally sleep on the streets. In this tough moment, when people should be turned away, not only it feels inhumane, but it is also a big public health risk, because where are they going to go?

METHOD

The studies were identified using large-sized newspapers with international circulation RESULTS: With more cities suspecting community transmission of the novel coronavirus, people who sleep in shelters or hunker down outside already have a lower life expectancy and often have underlying health conditions that put them at greater risk if they develop COVID-19 (Global News, 2020). These people face lack of sleep, malnutrition, and "extreme stress levels just to meet their daily needs", all of which weakens the immune system. Along with mental illness or substance abuse disorders, they are "incredibly vulnerable to this virus".

CONCLUSIONS

Health organizations are well aware of the risks involved in mental health. A large population of homeless people experience their pain and psychological distress intermittently. For low-income patients, the various borderline situations related to health/illness involve growing expectations regarding the basic needs. This is a serious concern when linked to the pandemic.

摘要

背景

无家可归问题专家和一些联邦住房官员发出警告称,政府为应对新冠病毒爆发所做的各种努力可能会遗漏一个极度脆弱的群体:无家可归者。就隔离而言,如果一个人通常睡在街上,那么这种隔离措施究竟意味着什么还不清楚。在这个艰难的时刻,人们不仅不应该被拒之门外,而且这还会带来巨大的公共卫生风险,因为他们无家可归者将何去何从?

方法

利用具有国际发行量的大型报纸确定研究。

结果

随着越来越多的城市怀疑新冠病毒在社区传播,那些睡在收容所或躲在外面的人已经预期寿命更短,而且通常有潜在的健康状况,如果他们感染了 COVID-19,他们的风险更大(Global News,2020)。这些人面临睡眠不足、营养不良和“极端的压力水平,仅仅是为了满足他们的日常需求”,所有这些都会削弱免疫系统。再加上精神疾病或药物滥用障碍,他们“极易感染这种病毒”。

结论

卫生组织非常清楚其中涉及的心理健康风险。大量无家可归者间歇性地经历着痛苦和心理困扰。对于低收入患者来说,与健康/疾病相关的各种边缘情况涉及到对基本需求的不断增长的期望。当与大流行病联系起来时,这是一个严重的问题。

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