Department of Women and Children's Health, Faculty of Life Science and Medicine, King's College London, London, UK.
Maternity Voices Partnership, Guys and St Thomas' NHS Foundation Trust, London, UK.
BMC Public Health. 2021 Jan 21;21(1):176. doi: 10.1186/s12889-021-10182-4.
The response to the coronavirus outbreak and how the disease and its societal consequences pose risks to already vulnerable groups such those who are socioeconomically disadvantaged and ethnic minority groups. Researchers and community groups analysed how the COVID-19 crisis has exacerbated persisting vulnerabilities, socio-economic and structural disadvantage and discrimination faced by many communities of social disadvantage and ethnic diversity, and discussed future strategies on how best to engage and involve local groups in research to improve outcomes for childbearing women experiencing mental illness and those living in areas of social disadvantage and ethnic diversity. Discussions centred around: access, engagement and quality of care; racism, discrimination and trust; the need for engagement with community stakeholders; and the impact of wider social and economic inequalities. Addressing biomedical factors alone is not sufficient, and integrative and holistic long-term public health strategies that address societal and structural racism and overall disadvantage in society are urgently needed to improve health disparities and can only be implemented in partnership with local communities.
对冠状病毒爆发的反应，以及这种疾病及其对社会的影响如何给已经处于弱势地位的群体带来风险，如社会经济地位不利和少数族裔群体。研究人员和社区团体分析了 COVID-19 危机如何加剧了许多社会劣势和族裔多样性社区所面临的持续脆弱性、社会经济和结构性劣势以及歧视，并讨论了未来的战略，即如何最好地让当地团体参与研究，以改善患有精神疾病的育龄妇女和生活在社会劣势和族裔多样性地区的妇女的结果。讨论集中在以下几个方面：获得、参与和护理质量；种族主义、歧视和信任；与社区利益攸关方接触的必要性；以及更广泛的社会和经济不平等的影响。仅仅解决生物医学因素是不够的，需要采取综合和整体的长期公共卫生战略，解决社会和结构性种族主义以及整个社会的劣势，以改善健康差距，并且只能与当地社区合作实施。
