Program in Public Health, University of California, Irvine, CA, USA.
School of Global Public Health, New York University, New York, NY, USA.
Glob Public Health. 2020 Sep;15(9):1404-1412. doi: 10.1080/17441692.2020.1791214. Epub 2020 Jul 7.
The COVID-19 pandemic exacerbates existing health inequities, including gender disparities, and we must learn from previous global public health threats to build a gender-responsive, intersectional approach to address immediate and long-term consequences. While a narrow gender focus alone can reinforce binary and competing understandings of disease burden by gender, an intersectionality approach encourages understanding of the dimensions of power, historical structural inequalities, and the role of social determinants and lived experience to inform a multidimensional, gender-informed response to this and future emerging infectious diseases. We provide specific, actionable recommendations for critical healthcare, public health, and policy to use an intersectional approach to COVID-19 pandemic preparedness, response and resiliency.
译文:新冠疫情加剧了现有的健康不平等现象,包括性别差距,我们必须从前几次全球公共卫生威胁中吸取教训,建立一个对性别问题有回应的、交叉的方法来应对当前和长期的后果。虽然仅仅关注狭义的性别问题可能会强化对疾病负担的性别二元和相互竞争的理解,但交叉问题的方法鼓励理解权力的各个方面、历史结构性不平等,以及社会决定因素和生活经历的作用,以便为应对此次和未来新发传染病提供一个多维度的、对性别问题有回应的反应。我们提供了具体的、可操作的建议,供关键的医疗保健、公共卫生和政策部门使用,以采用交叉问题的方法来做好新冠疫情大流行的防备、应对和恢复。