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黑人生死同样重要……尤其是在新冠疫情时代:贫困和种族问题如何共同导致人们难以获得优质住房、安全社区以及健康和养生服务,并增加与全球大流行病相关的合并症风险。

Black Health Matters Too… Especially in the Era of Covid-19: How Poverty and Race Converge to Reduce Access to Quality Housing, Safe Neighborhoods, and Health and Wellness Services and Increase the Risk of Co-morbidities Associated with Global Pandemics.

机构信息

George Washington University, Washington, D.C., USA.

出版信息

J Racial Ethn Health Disparities. 2021 Aug;8(4):1012-1025. doi: 10.1007/s40615-020-00857-w. Epub 2020 Sep 18.

DOI:10.1007/s40615-020-00857-w
PMID:32946069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7500252/
Abstract

OBJECTIVES

This research offers an alternative to the singular focus on improving health services to the African American community to increase their resilience to health-related co-morbidities associated with Covid-19 deaths.

METHODS

This study employs a participatory action research (PAR) approach, where local non-profit organizations and researchers partnered with a challenged community in a self-study of intergenerational poverty related to health issues and the various obstacles to breaking this cycle.

RESULTS

A quantitative and qualitative analysis of interview and focus group data suggests that the majority of those living in poor neighborhoods report reducing intersectional factors that are the cause and function of intergenerational poverty would reduce poverty and by extension increase African Americans' resilience to health-related mortality.

CONCLUSIONS

Analysis of data related to overlapping obstacles like lack of access to safe housing and quality health services offers both context and insight about how policies addressing poverty reduction may offer pathways for reducing the co-morbidities associated with pandemic risk for African Americans.

摘要

目的

本研究提供了一种替代方案,即不仅仅关注改善非裔美国人社区的卫生服务,还要提高他们对与 COVID-19 死亡相关的健康相关合并症的适应能力。

方法

本研究采用参与式行动研究(PAR)方法,当地非营利组织和研究人员与一个面临挑战的社区合作,对与健康问题相关的代际贫困以及打破这一循环的各种障碍进行自我研究。

结果

对访谈和焦点小组数据的定量和定性分析表明,大多数生活在贫困社区的人报告说,减少导致代际贫困的交叉因素和功能因素将减少贫困,并由此提高非裔美国人对与健康相关的死亡率的适应能力。

结论

对重叠障碍(如缺乏安全住房和优质医疗服务)相关数据的分析提供了有关政策如何通过减少与非裔美国人的大流行风险相关的合并症来提供减贫途径的背景和见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/284340d33c76/40615_2020_857_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/075fc180a89e/40615_2020_857_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/5c841ad8299a/40615_2020_857_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/fadd7f96898b/40615_2020_857_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/0d0bb69da143/40615_2020_857_Fig6_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/a6fe4ad69dae/40615_2020_857_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/cd09383e1c5b/40615_2020_857_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/284340d33c76/40615_2020_857_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/075fc180a89e/40615_2020_857_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/80db52491eb6/40615_2020_857_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/fdb62503ca8a/40615_2020_857_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/5c841ad8299a/40615_2020_857_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/fadd7f96898b/40615_2020_857_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/0d0bb69da143/40615_2020_857_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/181c8134ec69/40615_2020_857_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/a6fe4ad69dae/40615_2020_857_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/cd09383e1c5b/40615_2020_857_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69e/7500252/284340d33c76/40615_2020_857_Fig10_HTML.jpg

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