Department of Public Health Education, University of North Carolina at Greensboro, NC.
Ethn Dis. 2020 Jul 9;30(3):421-424. doi: 10.18865/ed.30.3.421. eCollection 2020 Summer.
The COVID-19 pandemic is revealing the deeply entrenched structural inequities in health that exist in the United States. We draw parallels between the COVID-19 pandemic and our cardiovascular health equity research focused on physical activity and diabetes to highlight three common needs: 1) access to timely and disaggregated data; 2) how to integrate community-engaged approaches in telehealth; and 3) policy initiatives that explicitly integrate health equity and social justice principles and action. We suggest that a similar sense of urgency regarding COVID-19 should be applied to slow the burgeoning costs and suffering associated with cardiovascular disease overall and in marginalized communities specifically. We remain hopeful that the current crisis can serve as a guide for aligning our principles as a just and democratic society with a health agenda that explicitly recognizes that social inequities in health for some impacts all members of society.
COVID-19 大流行揭示了美国卫生系统中根深蒂固的结构性不平等。我们将 COVID-19 大流行与我们专注于体育活动和糖尿病的心血管健康公平研究进行类比,以突出三个共同需求:1)及时获得分类数据;2)如何在远程医疗中整合社区参与方法;3)明确纳入健康公平和社会正义原则和行动的政策举措。我们建议,对于 COVID-19,应同样紧迫地关注整体心血管疾病以及边缘化社区不断增加的成本和痛苦。我们仍然希望当前的危机能够为我们提供指导,使我们的原则与健康议程保持一致,该议程明确认识到,一些人在健康方面的社会不平等会影响到社会的所有成员。