Department of Internal Medicine, Division of Nephrology, University of Texas at Austin Dell Medical School, Austin, TX.
Department of Internal Medicine, Maine Medical Center, Portland, ME.
Adv Chronic Kidney Dis. 2020 Sep;27(5):427-433. doi: 10.1053/j.ackd.2020.06.005. Epub 2020 Jun 23.
Racial, ethnic, socioeconomic, age, and sex-related health disparities in kidney disease are prominent in the United States. The Coronavirus Disease 2019 (COVID-19) pandemic has disproportionately affected marginalized populations. Older adults, people experiencing unstable housing, racial and ethnic minorities, and immigrants are potentially at increased risk for infection and severe complications from COVID-19. The direct and societal effects of the pandemic may increase risk of incident kidney disease and lead to worse outcomes for those with kidney disease. The rapid transition to telemedicine potentially limits access to care for older adults, immigrants, and people experiencing unstable housing. The economic impact of the pandemic has had a disproportionate effect on women, minorities, and immigrants, which may limit their ability to manage kidney disease and lead to complications or kidney disease progression. We describe the impact of COVID-19 on marginalized populations and highlight how the pandemic may exacerbate existing disparities in kidney disease.
在美国，肾脏疾病在种族、民族、社会经济、年龄和性别方面存在明显的健康差异。2019 年冠状病毒病（COVID-19）大流行对边缘化人群造成了不成比例的影响。老年人、住房不稳定者、少数族裔和移民者可能面临更大的感染风险，并且 COVID-19 会引起更严重的并发症。大流行的直接和社会影响可能会增加新发肾脏疾病的风险，并导致肾脏疾病患者的预后更差。向远程医疗的快速转变可能会限制老年人、移民和住房不稳定者获得医疗的机会。大流行对女性、少数族裔和移民的经济影响不成比例，这可能会限制他们管理肾脏疾病的能力，并导致并发症或肾脏疾病进展。我们描述了 COVID-19 对边缘化人群的影响，并强调了大流行可能会如何加剧肾脏疾病方面已有的差异。
