Department of Community Health, Tufts University, 574 Boston Avenue, Medford, MA 02155, USA.
Department of Romance Studies, Tufts University, 180 Packard Avenue, Medford, MA 02155, USA.
Int J Environ Res Public Health. 2021 Mar 24;18(7):3355. doi: 10.3390/ijerph18073355.
While an increasing body of data suggests that marginalized groups have been disproportionately impacted by COVID-19, little has been published about the specific impact on Brazilian immigrants in the U.S. We conducted 15 key informant interviews, one of which included two participants ( = 16), with representatives from social service agencies, healthcare, and faith-based organizations serving Brazilian immigrants. Key informants were asked about the community's experiences with COVID-19 testing and treatment, responses to CDC (Centers for Disease Control) guidelines, perceptions about the virus, and the pandemic's impact on physical and mental health. Results suggest that COVID-19 has profoundly impacted Brazilian immigrants' mental and physical health. Key informants perceived that community members faced higher risk of COVID-19 infection due to overcrowded living conditions and over-representation in public-facing and informal (e.g., housecleaning) jobs. They reported barriers to COVID-19-related healthcare services including language, immigration status, and fear of deportation. Brazilian cultural norms surrounding hygiene practices, social distancing, and information distribution have shaped the community's pandemic response. The Brazilian community has faced extensive social, economic, and health ramifications due to the pandemic. While not unique to this community, pre-existing concerns about social disadvantage suggest a particular vulnerability of this population to the virus.
虽然越来越多的数据表明,边缘化群体受到 COVID-19 的不成比例影响,但关于美国巴西移民的具体影响却鲜少被报道。我们进行了 15 次关键知情人访谈,其中一次包括来自社会服务机构、医疗保健和信仰组织的两名代表(=16 人),他们服务于巴西移民。关键知情人被问及社区在 COVID-19 检测和治疗方面的经验、对疾病预防控制中心(CDC)指南的反应、对病毒的看法,以及大流行对身心健康的影响。结果表明,COVID-19 对巴西移民的身心健康产生了深远影响。关键知情人认为,由于居住条件拥挤和从事面向公众和非正规(例如,家政清洁)工作的人员比例过高,社区成员面临更高的 COVID-19 感染风险。他们报告了与 COVID-19 相关的医疗保健服务方面的障碍,包括语言、移民身份和对被驱逐出境的恐惧。巴西文化中关于卫生习惯、社交距离和信息传播的规范塑造了社区的大流行应对方式。巴西社区因疫情面临广泛的社会、经济和健康影响。虽然这些问题并非该社区所特有,但先前对社会劣势的担忧表明,该人群特别容易受到该病毒的影响。