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这是美国:新冠疫情大流行期间的系统性种族主义和健康不平等。

This Is America: Systemic Racism and Health Inequities Amidst the COVID-19 Pandemic.

机构信息

School of Social Work, San Jose State University, San Jose, California, USA.

出版信息

Soc Work Public Health. 2022 Feb 17;37(2):105-121. doi: 10.1080/19371918.2021.1981509. Epub 2021 Oct 1.

DOI:10.1080/19371918.2021.1981509
PMID:34592909
Abstract

The Coronavirus 2019 (COVID-19) continues to devastate the world and the United States remains number one of reported COVID-19 cases and deaths. Research demonstrates that Blacks and Hispanics in the United States are disproportionately impacted by COVID-19, especially among highly marginalized people at the intersection of immigration and incarceration. Social distancing is a privilege and contact tracing is a deterrent for historically oppressed populations. Public health professionals have attempted a multicausal approach to prevent the spread of infectious diseases, but they have been unsuccessful in addressing the biological-social impact of highly vulnerable populations. An emphasis is placed on syndemics and social determinants of health to address health inequities associated with COVID-19 due to systemic racism. Implications for social work will reinforce the profession's obligation to address public emergencies through social and political action. Recommendations will be made for social workers to support local, state, and federal level responses of COVID-19.

摘要

2019 年冠状病毒(COVID-19)继续肆虐全球,美国仍然是报告的 COVID-19 病例和死亡人数最多的国家。研究表明,美国的黑人和西班牙裔受到 COVID-19 的不成比例的影响,特别是在移民和监禁交叉点的高度边缘化人群中。社交距离是一种特权,而接触者追踪对于历史上受压迫的人群来说是一种威慑。公共卫生专业人员试图采取多因素方法来预防传染病的传播,但他们在解决高度脆弱人群的生物-社会影响方面没有成功。由于系统性种族主义,强调综合征和健康的社会决定因素,以解决与 COVID-19 相关的健康不平等问题。这对社会工作的影响将加强该专业通过社会和政治行动解决公共紧急情况的义务。将为社会工作者提出建议,以支持地方、州和联邦各级对 COVID-19 的应对。

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