Office of Behavioral and Social Sciences Research, National Institutes of Health, Bethesda, MD, USA.
National Institute of Mental Health, Bethesda, MD, USA.
Transl Behav Med. 2020 Oct 8;10(4):857-861. doi: 10.1093/tbm/ibaa075.
The COVID-19 pandemic has been mitigated primarily using social and behavioral intervention strategies, and these strategies have social and economic impacts, as well as potential downstream health impacts that require further study. Digital and community-based interventions are being increasingly relied upon to address these health impacts and bridge the gap in health care access despite insufficient research of these interventions as a replacement for, not an adjunct to, in-person clinical care. As SARS-CoV-2 testing expands, research on encouraging uptake and appropriate interpretation of these test results is needed. All of these issues are disproportionately impacting underserved, vulnerable, and health disparities populations. This commentary describes the various initiatives of the National Institutes of Health to address these social, behavioral, economic, and health disparities impacts of the pandemic, the findings from which can improve our response to the current pandemic and prepare us better for future infectious disease outbreaks.
COVID-19 大流行主要通过社会和行为干预策略得到缓解,这些策略具有社会和经济影响,以及潜在的下游健康影响,需要进一步研究。数字和社区干预措施正越来越多地被用来应对这些健康影响,并弥合医疗保健获取方面的差距,尽管这些干预措施作为替代面对面临床护理的补充而不是替代物,对这些干预措施的研究还不够充分。随着 SARS-CoV-2 检测的扩大,需要研究鼓励人们接受检测并对这些检测结果进行适当解读。所有这些问题都不成比例地影响到服务不足、脆弱和存在健康差距的人群。本评论描述了美国国立卫生研究院为应对大流行的这些社会、行为、经济和健康差距影响而采取的各种举措,从中得出的结论可以改善我们对当前大流行的应对,并为我们更好地应对未来传染病爆发做好准备。