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扩大差距?新冠疫情封锁期间促进年轻人健康的措施带来的意外后果。

Widening the gap? Unintended consequences of health promotion measures for young people during COVID-19 lockdown.

机构信息

Fondation d'entreprise MGEN pour la santé publique, 3 square Max Hymans, 75748 Paris Cedex 15.

Département des Sciences de la Santé Communautaire, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, 3001 12e Avenue Nord Sherbrooke, J1H 5N4 Québec, Canada.

出版信息

Health Promot Int. 2021 Dec 23;36(6):1783-1794. doi: 10.1093/heapro/daab015.

Abstract

During the first wave of the COVID-19 pandemic, global measures preventing the spread of the new coronavirus required most of the population to lockdown at home. This sudden halt to collective life meant that non-essential services were closed and many health promoting activities (i.e. physical activity, school) were stopped in their tracks. To curb the negative health impacts of lockdown measures, activities adapting to this new reality were urgently developed. One form of activity promoted indoor physical activity to prevent the adverse physical and psychological effects of the lockdown. Another form of activity included the rapid development of online learning tools to keep children and youth engaged academically while not attending school. While these health promoting efforts were meant to benefit the general population, we argue that these interventions may have unintended consequences and inadvertently increase health inequalities affecting marginalized youth in particular, as they may not reap the same benefits, both social and physical, from the interventions promoting at-home physical activities or distance learning measures. We elaborate on several interventions and their possible unintended consequences for marginalized youth and suggest several strategies that may mitigate their impact.

摘要

在 COVID-19 大流行的第一波期间,为防止新型冠状病毒传播而采取的全球措施要求大多数人在家中封锁。这种突然停止集体生活意味着非必要的服务关闭,许多促进健康的活动(如体育活动、学校)也停止了。为了遏制封锁措施对健康的负面影响,紧急开发了适应这一新现实的活动。一种活动形式是提倡室内体育活动,以防止封锁带来的不利身心影响。另一种形式包括迅速开发在线学习工具,以使儿童和青年在不上学时继续学业。虽然这些促进健康的努力旨在使普通民众受益,但我们认为,这些干预措施可能会产生意想不到的后果,并无意中加剧健康不平等,特别是影响边缘化青年,因为他们可能无法从促进家庭体育活动或远程学习措施中获得相同的社会和身体利益。我们详细阐述了几项干预措施及其对边缘化青年可能产生的意想不到的后果,并提出了一些可能减轻其影响的策略。

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