Wakeel Fathima, Njoku Anuli
College of Health, Lehigh University, 1 W. Packer Ave., STEPS Building, Room 366, Bethlehem, PA 18015, USA.
Department of Public Health, College of Health and Human Services, Southern Connecticut State University, 144 Farnham Avenue, New Haven, CT 06515, USA.
Healthcare (Basel). 2021 Feb 2;9(2):145. doi: 10.3390/healthcare9020145.
The disproportionate impact of coronavirus disease 2019 (COVID-19) on African American communities necessitates an increased focus on the intersectional roles of racism, stigma, and other social determinants of health in influencing disease and mortality risk. The Weathering Framework is applied to demonstrate the dynamic interrelationships between these factors and to conceptualize COVID-19 as a stressful life event that will have profound health implications over the life course for African Americans. Recommendations for population health research, interventions and policies aimed at reducing COVID-19 incidence and mortality, and mitigation of the long-term impacts of the pandemic on communities of color are discussed.
2019年冠状病毒病（COVID-19）对非裔美国人社区产生了不成比例的影响，因此有必要更加关注种族主义、耻辱感和其他健康社会决定因素在影响疾病和死亡风险方面的交叉作用。运用“风化框架”来展示这些因素之间的动态相互关系，并将COVID-19概念化为一个压力巨大的生活事件，这将对非裔美国人的生命历程产生深远的健康影响。本文还讨论了针对减少COVID-19发病率和死亡率以及减轻疫情对有色人种社区长期影响的人群健康研究、干预措施和政策建议。
