文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

城市环境中社会和结构性 COVID-19 差异的性取向、性别认同和种族/民族证据。

Evidence of Social and Structural COVID-19 Disparities by Sexual Orientation, Gender Identity, and Race/Ethnicity in an Urban Environment.

机构信息

Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

出版信息

J Urban Health. 2021 Feb;98(1):27-40. doi: 10.1007/s11524-020-00497-9. Epub 2020 Dec 1.


DOI:10.1007/s11524-020-00497-9
PMID:33259027
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7706696/
Abstract

The ongoing COVID-19 pandemic has had widespread social, psychological, and economic impacts. However, these impacts are not distributed equally: already marginalized populations, specifically racial/ethnic minority groups and sexual and gender minority populations, may be more likely to suffer the effects of COVID-19. The COVID-19 Resiliency Survey was conducted by the city of Chicago to assess the impact of COVID-19 on city residents in the wake of Chicago's initial lockdown, with particular focus on the experiences of minority populations. Chi-square tests of independence were performed to compare COVID-19-related outcomes and impacts on heterosexual vs. sexual minority populations, cisgender vs. gender minority populations, and White vs. racial/ethnic minority subgroups. Marginalized populations experienced significant disparities in COVID-19 exposure, susceptibility, and treatment access, as well as in psychosocial effects of the pandemic. Notably, Black and Latinx populations reported significant difficulties accessing food and supplies (p = 0.002). Healthcare access disparities were also visible, with Black and Latinx respondents reporting significantly lower levels of access to a provider to see if COVID-19 testing would be appropriate (p = 0.013), medical services (p = 0.001), and use of telehealth for mental health services (p = 0.001). Sexual minority respondents reported significantly lower rates of using telehealth for mental health services (p = 0.011), and gender minority respondents reported significantly lower levels of primary care provider access (p = 0.016). There are evident COVID-19 disparities experienced in Chicago especially for Black, Latinx, sexual minority, and gender minority groups. A greater focus must be paid to health equity, including providing increased resources and supplies for affected groups, adapting to inequities in the built environment, and ensuring adequate access to healthcare services to ameliorate the burden of COVID-19 on these marginalized populations.

摘要

持续的 COVID-19 大流行对社会、心理和经济产生了广泛影响。然而,这些影响并非平均分布:已经处于边缘地位的人群,特别是少数族裔和性少数群体,可能更容易受到 COVID-19 的影响。芝加哥市进行了 COVID-19 复原力调查,以评估 COVID-19 对芝加哥居民的影响,特别是关注少数族裔群体的经历。进行了卡方独立性检验,以比较异性恋与性少数群体、顺性别与性别少数群体以及白人与少数族裔亚群之间与 COVID-19 相关的结果和影响。边缘化人群在 COVID-19 的暴露、易感性和治疗机会方面以及大流行的心理社会影响方面经历了显著的差异。值得注意的是,黑人和拉丁裔人口报告说,在获得食物和用品方面存在重大困难(p=0.002)。医疗保健机会的差异也很明显,黑人及拉丁裔受访者报告称,获得医生就诊以确定是否进行 COVID-19 检测(p=0.013)、医疗服务(p=0.001)和使用远程医疗进行心理健康服务(p=0.001)的机会明显较少。性少数群体受访者报告说,使用远程医疗进行心理健康服务的比例明显较低(p=0.011),而性别少数群体受访者报告说,获得初级保健提供者的机会明显较低(p=0.016)。在芝加哥,尤其是在黑人、拉丁裔、性少数群体和性别少数群体中,存在明显的 COVID-19 差异。必须更加关注健康公平,包括为受影响群体提供更多资源和用品,适应建筑环境中的不平等现象,并确保获得充足的医疗保健服务,以减轻这些边缘化群体的 COVID-19 负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9751/7873157/ec2ab732d090/11524_2020_497_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9751/7873157/ec2ab732d090/11524_2020_497_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9751/7873157/ec2ab732d090/11524_2020_497_Fig1_HTML.jpg

相似文献

[1]
Evidence of Social and Structural COVID-19 Disparities by Sexual Orientation, Gender Identity, and Race/Ethnicity in an Urban Environment.

J Urban Health. 2021-2

[2]
Disproportionate Impact of the COVID-19 Pandemic on Perceived Social Support, Mental Health and Somatic Symptoms in Sexual and Gender Minority Populations.

J Homosex. 2021-3-21

[3]
Human Papillomavirus Vaccination Initiation Among Sexual Orientation Identity and Racial/Ethnic Subgroups of Black and White U.S. Women and Girls: An Intersectional Analysis.

J Womens Health (Larchmt). 2018-6-29

[4]
The Disproportionate Impact of COVID-19 on Racial and Ethnic Minorities in the United States.

Clin Infect Dis. 2021-2-16

[5]
Health Center Testing for SARS-CoV-2 During the COVID-19 Pandemic - United States, June 5-October 2, 2020.

MMWR Morb Mortal Wkly Rep. 2020-12-18

[6]
Differences in Health Care Access and Satisfaction Across Intersections of Race/Ethnicity and Sexual Identity.

Acad Med. 2021-11-1

[7]
Disparities in self-reported eating disorders and academic impairment in sexual and gender minority college students relative to their heterosexual and cisgender peers.

Int J Eat Disord. 2020-1-14

[8]
Racial disparities in health and health behaviors among gay, lesbian, bisexual and heterosexual men and women in the BRFSS-SOP.

Ethn Health. 2020-2

[9]
Sexual Orientation Disparities in Risk Factors for Adverse COVID-19-Related Outcomes, by Race/Ethnicity - Behavioral Risk Factor Surveillance System, United States, 2017-2019.

MMWR Morb Mortal Wkly Rep. 2021-2-5

[10]
Complicating Narratives of Sexual Minority Mental Health: An Intersectional Analysis of Frequent Mental Distress at the Intersection of Sexual Orientation, Gender Identity, and Race/Ethnicity.

LGBT Health. 2022-4

引用本文的文献

[1]
COVID-19 and the Syndemic of Intimate Partner Violence, Mental Health, Substance Use, and HIV Care Engagement Among Black Sexual Minority Men Living with HIV in the US South.

Int J Environ Res Public Health. 2025-7-3

[2]
Lived experiences of farmworkers from five U. S. states during the COVID-19 pandemic.

Front Public Health. 2025-6-10

[3]
Adaptation of the Information, Motivation, and Behavioral Skills Framework for Understanding COVID-19 Prevention Behaviors among Youth and Young Adults by Sexual Identity, Gender Identity and Race/Ethnicity.

Sexes. 2023-12

[4]
Differences in COVID-19-Related Hospitalization, Treatment, Complications, and Death by Race and Ethnicity and Area-Level Measures Among Individuals with Cancer in the ASCO Registry.

Cancers (Basel). 2025-3-2

[5]
Access and use of general and mental health services before and during the COVID-19 pandemic: a systematic review and meta-analysis.

BMJ Open. 2025-3-12

[6]
COVID-19 Knowledge Among Sexual and Gender Minority Adults in New York City.

LGBT Health. 2025

[7]
Mental Health Care Use among Adolescent Sexual Minority Males Before and During COVID-19.

Psychol Sex Orientat Gend Divers. 2024-6

[8]
A Comparative Study of the Impact of the Covid-19 Pandemic on Mental Health, Healthcare Access, and Pain Levels of Patients with Chronic Pain from Spring 2020 to Spring 2021.

Risk Manag Healthc Policy. 2024-5-18

[9]
The impact of the Covid-19 pandemic on college students with marginalized identities.

Equity Educ Soc. 2023-4

[10]
Doomscrolling: Prospective associations between daily COVID news exposure, internalizing symptoms, and substance use among sexual and gender minority individuals assigned female at birth.

Psychol Sex Orientat Gend Divers. 2024-3

本文引用的文献

[1]
Structural Racism, Social Risk Factors, and Covid-19 - A Dangerous Convergence for Black Americans.

N Engl J Med. 2020-9-17

[2]
Disease and healthcare burden of COVID-19 in the United States.

Nat Med. 2020-6-16

[3]
We're Not All in This Together: On COVID-19, Intersectionality, and Structural Inequality.

Am J Public Health. 2020-7

[4]
COVID-19 in Prisons and Jails in the United States.

JAMA Intern Med. 2020-8-1

[5]
Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey.

Psychiatry Res. 2020-4-12

[6]
The socio-economic implications of the coronavirus pandemic (COVID-19): A review.

Int J Surg. 2020-4-17

[7]
Psychiatric disorders in the U.S. transgender population.

Ann Epidemiol. 2019-10-4

[8]
Gender Minority Mental Health in the U.S.: Results of a National Survey on College Campuses.

Am J Prev Med. 2019-9

[9]
Sexual Minority Youth at Risk of Early and Persistent Alcohol, Tobacco, and Marijuana Use.

Arch Sex Behav. 2019-1-2

[10]
Barriers and Facilitators to Seeking HIV Services in Chicago Among Young Men Who Have Sex with Men: Perspectives of HIV Service Providers.

AIDS Patient Care STDS. 2018-11

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索