Ibrahimi Sahra, Yusuf Korede K, Dongarwar Deepa, Maiyegun Sitratullah Olawunmi, Ikedionwu Chioma, Salihu Hamisu M
College of Nursing and Public Health, Adelphi University, Garden City, NY, USA.
Center of Excellence in Health Equity, Training and Research, Baylor College of Medicine, Houston, Texas, USA.
Int J MCH AIDS. 2020;9(3):390-393. doi: 10.21106/ijma.408. Epub 2020 Sep 16.
African Americans are bearing a disproportionate burden of morbidity and mortality due to COVID-19 pandemic. To our knowledge, no previous study has delineated inequities potentially incentivized by systemic racism, and whether synergistic effects impose an abnormally high burden of social determinants of mental health on African American families in the era of COVID-19 pandemic. We applied the social ecological model (SEM) to portray inequities induced by systemic racism that impact the mental health of African American families. In our model, we identified systemic racism to be the primary operator of mental health disparity, which disproportionately affects African American families at all levels of the SEM. Programs tailored towards reducing the disproportionate detrimental effects of COVID-19 on the mental health of African Americans need to be culturally appropriate and consider the nuances of systemic racism, discrimination, and other institutionalized biases.
非裔美国人因新冠疫情而承受着不成比例的发病和死亡负担。据我们所知,此前没有研究描述过可能由系统性种族主义引发的不平等现象,以及在新冠疫情时代,协同效应是否会给非裔美国家庭带来异常沉重的心理健康社会决定因素负担。我们应用社会生态模型(SEM)来描绘系统性种族主义引发的、影响非裔美国家庭心理健康的不平等现象。在我们的模型中,我们确定系统性种族主义是心理健康差距的主要影响因素,它在社会生态模型的各个层面都对非裔美国家庭产生了不成比例的影响。旨在减少新冠疫情对非裔美国人心理健康造成的不成比例的有害影响的项目需要符合文化背景,并考虑系统性种族主义、歧视和其他制度化偏见的细微差别。