Wake Forest School of Medicine, Winston-Salem, NC, USA.
Lawrence University, Appleton, WI, USA.
New Solut. 2021 May;31(1):30-47. doi: 10.1177/1048291121992468. Epub 2021 Feb 8.
COVID-19 has revealed social and health inequities in the United States. Structural inequalities have increased the likelihood of immigrants contracting COVID-19, by being essential workers and through poverty that forces this population to continue working. Rural and urban immigrant families may face different concerns. Using a telephone survey in May 2020 of 105 Latinx families in an existing study, quantitative and qualitative data were gathered on work and household economics, childcare and education, healthcare, and community climate. Analyses show that, although rural and urban groups experienced substantial economic effects, impacts were more acute for urban families. Rural workers reported fewer workplace protective measures for COVID-19. For both groups, fear and worry, particularly about finances and children, dominated reports of their situations with numerous reports of experiencing stress and anxiety. The experience of the pandemic is interpreted as an example of contextual vulnerability of a population already experiencing structural violence through social injustice. Policy implications are highlighted.
新冠疫情揭示了美国存在的社会和健康不平等现象。结构性不平等使移民更容易感染新冠病毒,他们是必要行业的工人,同时贫困迫使这部分人群继续工作。农村和城市移民家庭可能面临不同的问题。本研究采用 2020 年 5 月对现有研究中 105 个拉丁裔家庭的电话调查,收集了有关工作和家庭经济、儿童保育和教育、医疗保健以及社区环境的数据。分析表明,尽管农村和城市群体都受到了巨大的经济影响,但城市家庭的影响更为严重。农村工人报告的新冠病毒 workplace 防护措施较少。对于这两个群体,恐惧和担忧,特别是对财务和孩子的担忧,主导了他们对现状的报告,许多人报告说自己感到压力和焦虑。这场大流行的经历被解释为一个已经经历社会不公正的结构性暴力的人群的背景脆弱性的例子。文中强调了相关政策的影响。