Department of Interdisciplinary Social Science, Utrecht University, 3584 CH Utrecht, The Netherlands.
Int J Environ Res Public Health. 2021 Jun 11;18(12):6339. doi: 10.3390/ijerph18126339.
The enormous public health burdens of the COVID-19 pandemic are not distributed equally. Inequalities are noticeable along socio-economic and socio-cultural fault lines. These social determinants of health affect both the prevalence and severity of COVID-19 infections as well as the magnitude of negative impacts of the measures taken to slow the spread of the virus. This perspective paper summarizes key inequalities in who is affected by SARS-CoV-2 infection and in who is affected by COVID-19 prevention measures, based on evidence presented in state-of-the-art literature, and discusses the scope of challenges that these inequalities pose to solidarity and social justice. Key challenges for solidarity are highlighted across three areas: challenges to intergenerational solidarity, to global solidarity, and to intergroup solidarity.
COVID-19 大流行给公共卫生带来了巨大负担,但负担的分布并不均衡。在社会经济和社会文化方面,不平等现象十分明显。这些健康的社会决定因素不仅影响着 COVID-19 感染的流行程度和严重程度,也影响着为减缓病毒传播而采取的措施的负面影响程度。本文基于现有文献中的证据,概述了受 SARS-CoV-2 感染和 COVID-19 预防措施影响的人群中的主要不平等现象,并讨论了这些不平等现象对团结和社会正义构成的挑战的范围。团结面临的主要挑战在三个方面突显出来:代际团结、全球团结和群体间团结面临的挑战。