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放大不平等:新冠疫情与暴力的双重影响。

Amplifying inequity: The compounding impact of COVID-19 and violence.

机构信息

Boston Medical Center, Division of Trauma and Acute Care Surgery, 2Dowling, 1 Boston Medical Center Pl, Boston, MA, USA; Boston University School of Medicine, Department of Surgery, C500 Collamore, 88 E Newton St, Boston, MA 02118, USA.

Boston Medical Center, Division of Trauma and Acute Care Surgery, 2Dowling, 1 Boston Medical Center Pl, Boston, MA, USA; Boston University School of Medicine, Department of Surgery, C500 Collamore, 88 E Newton St, Boston, MA 02118, USA.

出版信息

J Natl Med Assoc. 2021 Oct;113(5):528-530. doi: 10.1016/j.jnma.2021.04.003. Epub 2021 Apr 27.

Abstract

While "stay-at-home" orders for COVID-19 were in effect, many American cities witnessed a rise in community and interpersonal violence. Our own institution, the largest regional trauma facility and Boston's safety net hospital, saw a paradoxical rise in penetrating violent trauma admissions despite decreases in other hospital admissions, leading to our most violent summer in five years. It has been established that minoritized and marginalized communities have faced the harshest impacts of the pandemic. Our findings suggest that the conditions created by the COVID-19 pandemic have amplified the inequities that exist in communities of color that place them at risk for exposure to violence. The pandemic has served to potentiate the impacts of violence already plaguing the communities and patients we serve.

摘要

虽然 COVID-19 的“居家令”生效,但许多美国城市的社区和人际暴力事件有所增加。我们所在的机构是最大的地区创伤中心和波士顿的医疗保障医院,尽管其他医院的入院人数有所减少,但穿透性暴力创伤的入院人数却出现了反常的上升,导致我们经历了五年来最暴力的一个夏天。已经确定少数族裔和边缘社区受到了疫情的最严重影响。我们的研究结果表明,COVID-19 大流行所造成的状况放大了使有色人种社区面临暴力风险的不平等现象。大流行加剧了已经困扰我们所服务的社区和患者的暴力影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9b/8075843/0e2701034328/gr1_lrg.jpg

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