COVID-19、肥胖与结构性种族主义：了解过去，为未来寻找解决方案。
COVID-19, Obesity, and Structural Racism: Understanding the Past and Identifying Solutions for the Future.
机构信息
Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Department of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA.
出版信息
Cell Metab. 2021 Feb 2;33(2):234-241. doi: 10.1016/j.cmet.2021.01.010. Epub 2021 Jan 13.
Abstract
Long-standing systemic inequalities-fueling unequal access to critical resources such as healthcare, housing, education, and employment opportunities-are largely responsible for the significant race disparities in obesity and COVID-19. Because of this legacy, public health emergencies like the COVID-19 pandemic disproportionately impact communities of color, exacerbated by high rates of pre-existing chronic diseases like obesity. Learning from this history is instructive for understanding our present situation and for crafting effective solutions that promote health equity. Critical action is needed now to meaningfully address the disproportionate impact of these major public health problems on Black and Brown populations.
摘要
长期存在的系统性不平等——导致在获得医疗保健、住房、教育和就业机会等关键资源方面存在不平等——在很大程度上导致了肥胖和 COVID-19 方面的显著种族差异。由于这一遗留问题，像 COVID-19 大流行这样的公共卫生紧急情况不成比例地影响到有色人种社区，而肥胖等先前存在的慢性疾病的高发病率则使情况更加恶化。从这段历史中吸取教训对于理解我们的现状和制定促进健康公平的有效解决方案是有指导意义的。现在需要采取关键行动，切实解决这些主要公共卫生问题对黑人和棕色人种的不成比例影响。
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