School of Medicine, University of Maryland Baltimore, Baltimore, MD, USA.
J Racial Ethn Health Disparities. 2023 Aug;10(4):1597-1604. doi: 10.1007/s40615-022-01346-y. Epub 2022 Jun 10.
Black Americans are more likely to be essential workers due to racial capitalism. Because of the COVID-19 pandemic, essential workers are less able to adhere to social distancing and stay-at-home guidelines due to the nature of their work, because they are more likely to occupy crowded households, and are more likely to possess pre-existing health conditions. To assist Black essential workers in preventing infection or reducing the intensity of symptoms if contracted, vaccination against the virus is essential. Unfortunately, Black essential workers face considerable barriers to accessing vaccinations and are hesitant to receive the vaccine due to widespread misinformation and justified historical mistrust of the American medical system. The purpose of this work is to (1) describe the disproportionate impact of COVID-19 on Black essential workers due to racial capitalism, (2) outline the socioeconomic and racial barriers related to vaccination within this population, and (3) to suggest policy-related approaches to facilitate vaccination such as access to on-site vaccination opportunities, the funding of community outreach efforts, and the mandating of increased employee benefits.
由于种族资本主义，美国黑人更有可能成为必要工人。由于 COVID-19 大流行，必要工人由于工作性质，更难以遵守保持社交距离和居家指导方针，因为他们更有可能居住在拥挤的家庭中，并且更有可能患有先前存在的健康问题。为了帮助黑人必要工人预防感染或减轻感染症状的严重程度，如果感染了病毒，接种疫苗是必要的。不幸的是，黑人必要工人在获得疫苗方面面临着相当大的障碍，并且由于广泛的错误信息以及对美国医疗体系的合理历史不信任，他们对接种疫苗犹豫不决。这项工作的目的是：(1)描述由于种族资本主义，COVID-19 对黑人必要工人的不成比例的影响；(2)概述与该人群中疫苗接种相关的社会经济和种族障碍；(3)提出与政策相关的方法，以促进疫苗接种，例如提供现场接种机会、为社区外展工作提供资金以及强制增加员工福利。
