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在新冠疫情大流行期间对女性造成不成比例影响的健康风险和结果:综述。

Health risks and outcomes that disproportionately affect women during the Covid-19 pandemic: A review.

机构信息

Harvard Medical School, Boston, MA, USA.

Harvard Medical School, Boston, MA, USA.

出版信息

Soc Sci Med. 2020 Dec;266:113364. doi: 10.1016/j.socscimed.2020.113364. Epub 2020 Sep 13.

Abstract

BACKGROUND

The Covid-19 pandemic is straining healthcare systems in the US and globally, which has wide-reaching implications for health. Women experience unique health risks and outcomes influenced by their gender, and this narrative review aims to outline how these differences are exacerbated in the Covid-19 pandemic.

OBSERVATIONS

It has been well described that men suffer from greater morbidity and mortality once infected with SARS-CoV-2. This review analyzed the health, economic, and social systems that result in gender-based differences in the areas healthcare workforce, reproductive health, drug development, gender-based violence, and mental health during the Covid-19 pandemic. The increased risk of certain negative health outcomes and reduced healthcare access experienced by many women are typically exacerbated during pandemics. We assess data from previous disease outbreaks coupled with literature from the Covid-19 pandemic to examine the impact of gender on women's SARS-CoV-2 exposure and disease risks and overall health status during the Covid-19 pandemic.

CONCLUSIONS

Gender differences in health risks and implications are likely to be expanded during the Covid-19 pandemic. Efforts to foster equity in health, social, and economic systems during and in the aftermath of Covid-19 may mitigate the inequitable risks posed by pandemics and other times of healthcare stress.

摘要

背景

Covid-19 大流行正在给美国和全球的医疗保健系统带来压力,这对健康产生了广泛的影响。女性因其性别而面临独特的健康风险和结果,本叙述性综述旨在概述这些差异在 Covid-19 大流行期间是如何加剧的。

观察结果

已经很好地描述了男性一旦感染 SARS-CoV-2,其发病率和死亡率更高。本综述分析了医疗保健劳动力、生殖健康、药物开发、性别暴力和心理健康等领域中导致性别差异的卫生、经济和社会系统,在 Covid-19 大流行期间。许多女性在大流行期间通常会经历某些负面健康结果的风险增加和医疗保健机会减少。我们评估了以前疾病爆发的数据以及来自 Covid-19 大流行的文献,以检查性别对女性 SARS-CoV-2 暴露和疾病风险以及整体健康状况的影响。

结论

在 Covid-19 大流行期间,健康风险和影响方面的性别差异可能会扩大。在大流行期间和之后促进卫生、社会和经济系统公平的努力,可能会减轻大流行和其他医疗保健压力时期带来的不平等风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e00/7487147/40236ba00d68/gr1_lrg.jpg

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