School of Medicine, Boston University and Boston Medical Center, Boston, Massachusetts; and.
Harvard Medical School, Harvard University and Boston Children's Hospital, Boston, Massachusetts.
Pediatrics. 2021 Mar;147(3). doi: 10.1542/peds.2020-028456. Epub 2020 Dec 17.
The coronavirus disease 2019 (COVID-19) pandemic has had a significant impact on the health of people globally. Yet, not all people are being affected by this crisis equally. In the United States, this pandemic has exacerbated long-standing inequities and entrenched structural racism. At the onset of the crisis, few data were available detailing the demographic characteristics of individuals with COVID-19. However, as data emerged, it became apparent that communities of color were disproportionately affected. To illustrate these inequities, we analyzed publicly available race and ethnicity data on COVID-19 cases and deaths and were one of the first groups to compile these findings. We launched a social media campaign to highlight these racial and ethnic inequities and raise awareness among public and elected officials. Given the tremendous amount of missing data, we demanded transparency in state reporting of race and ethnicity data. Using both messaging and mapping tools, we publicized state and city efforts to address these inequities, focusing on the creation of task forces tackling the racial inequities of COVID-19. As racial and ethnic data on COVID-19 cases and mortality became more widely reported, statistics emerged about the downstream effects of these inequities. Despite initial false reassurance that COVID-19 largely spared children, the pandemic has exacerbated many social needs, leading to significant negative impacts on children. For example, as pediatricians, we saw how worsening food insecurity was affecting children. Using social media and infographics, we launched an additional stage of the campaign to illustrate these inequities and highlight advocacy opportunities.
2019 年冠状病毒病（COVID-19）大流行对全球人民的健康产生了重大影响。然而，并非所有人都受到这场危机的同等影响。在美国，这场大流行加剧了长期存在的不平等和根深蒂固的结构性种族主义。在危机开始时，几乎没有数据详细说明 COVID-19 患者的人口特征。然而，随着数据的出现，很明显有色人种社区受到的影响不成比例。为了说明这些不平等现象，我们分析了公开的 COVID-19 病例和死亡数据的种族和族裔数据，是最早汇编这些发现的团体之一。我们发起了一场社交媒体运动，以突出这些种族和族裔不平等现象，并引起公众和民选官员的注意。考虑到大量数据缺失，我们要求州政府报告种族和族裔数据时保持透明。我们使用信息传递和制图工具，宣传了州和城市为解决这些不平等现象所做的努力，重点是创建解决 COVID-19 种族不平等问题的工作组。随着 COVID-19 病例和死亡率的种族和族裔数据的广泛报道，出现了有关这些不平等现象的下游影响的统计数据。尽管最初错误地认为 COVID-19 对儿童影响不大，但大流行加剧了许多社会需求，对儿童产生了重大负面影响。例如，作为儿科医生，我们看到了粮食不安全状况恶化如何影响儿童。我们使用社交媒体和信息图表发起了这场运动的另一个阶段，以说明这些不平等现象并突出宣传机会。
