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评论:对 COVID-19 大流行和儿科心理学健康差异的反思。

Commentary: Reflections on the COVID-19 Pandemic and Health Disparities in Pediatric Psychology.

机构信息

College of Psychology, Nova Southeastern University.

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center.

出版信息

J Pediatr Psychol. 2020 Sep 1;45(8):839-841. doi: 10.1093/jpepsy/jsaa063.

DOI:10.1093/jpepsy/jsaa063
PMID:32770180
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7438958/
Abstract

The COVID-19 (2019 novel coronavirus) pandemic has had a significant economic, social, emotional, and public health impact in the United States. A disturbing trend is that Black, Indigenous, and/or People of Color (BIPOC) are disproportionately contracting coronavirus, as well as dying from COVID-19. Objective/Methods The pandemic has the potential to entrench and magnify existing health disparities and families marginalized across multiple demographic intersections such as race/ethnicity, class, immigration status, are especially vulnerable. These inequities have been further underscored by the recent murders of Black Americans by police and a resulting spotlight on racial injustice in the United States. Results Efforts to lessen the spread of the virus, have resulted in changes in pediatric primary and subspecialty service delivery which may affect access for BIPOC communities. BIPOC trainees including those with debt or caregiving responsibilities may be faced with new barriers resulting in delays in completion of their training. Further, clinical, community-based, and translational research has been disrupted by heightened safety precautions and social distancing which may affect BIPOC representation in research downstream. Conclusion In our roles as clinicians, supervisors, trainees, and researchers in primary and subspecialty care as well as in academia, pediatric psychologists have an ethical responsibility to address the disproportionate burden of this pandemic on vulnerable communities and to allocate our time and resources to ensuring health equity now and in the aftermath of COVID-19.

摘要

新冠疫情(2019 年新型冠状病毒)对美国的经济、社会、情感和公共卫生都产生了重大影响。一个令人不安的趋势是,黑人、原住民和/或有色人种(BIPOC)不成比例地感染冠状病毒,死于 COVID-19 的比例也更高。

目的/方法 这场大流行有可能加剧和扩大现有的健康差距,使处于多个人口交叉点(如种族/族裔、阶级、移民身份)的家庭边缘化的家庭更加脆弱。美国最近发生的警察杀害美国黑人事件以及由此引发的对美国种族不公正现象的关注,进一步突显了这些不平等现象。

结果 为了减少病毒的传播,儿科初级和专科服务的提供方式发生了变化,这可能会影响 BIPOC 社区的获得途径。BIPOC 受训者,包括那些有债务或照顾责任的人,可能会面临新的障碍,导致他们的培训延迟完成。此外,临床、社区和转化研究受到了更高的安全防范和社会隔离的干扰,这可能会影响研究中 BIPOC 的代表性。

结论 在我们作为初级保健和专科医疗以及学术界的临床医生、主管、受训者和研究人员的角色中,儿科心理学家有道德责任来解决这场大流行对弱势社区的不成比例的负担,并投入我们的时间和资源来确保现在和 COVID-19 疫情过后的健康公平。

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