Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA.
Department of Family Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Clin Infect Dis. 2021 Feb 16;72(4):703-706. doi: 10.1093/cid/ciaa815.
The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected racial and ethnic minority groups, with high rates of death in African American, Native American, and LatinX communities. Although the mechanisms of these disparities are being investigated, they can be conceived as arising from biomedical factors as well as social determinants of health. Minority groups are disproportionately affected by chronic medical conditions and lower access to healthcare that may portend worse COVID-19 outcomes. Furthermore, minority communities are more likely to experience living and working conditions that predispose them to worse outcomes. Underpinning these disparities are long-standing structural and societal factors that the COVID-19 pandemic has exposed. Clinicians can partner with patients and communities to reduce the short-term impact of COVID-19 disparities while advocating for structural change.
2019 年冠状病毒病(COVID-19)大流行对少数族裔造成了不成比例的影响,非裔美国人、美洲原住民和拉丁裔社区的死亡率很高。尽管正在调查造成这些差异的机制,但可以认为这些差异是由生物医学因素以及健康的社会决定因素造成的。少数族裔群体受慢性疾病和医疗保健机会减少的影响不成比例,这可能预示着 COVID-19 的结果更差。此外,少数族裔社区更有可能经历导致其结果更差的生活和工作条件。这些差异的背后是长期存在的结构性和社会因素,COVID-19 大流行暴露了这些因素。临床医生可以与患者和社区合作,减少 COVID-19 差异的短期影响,同时倡导结构性变革。