Lin Yu-Hua
No. 8, Yida Rd., Jiaosu Village, Yanchao District, Kaohsiung City 824, Taiwan, ROC.
Hu Li Za Zhi. 2022 Dec;69(6):4-5. doi: 10.6224/JN.202212_69(6).01.
The COVID-19 pandemic has highlighted the adverse health, economic and social consequences of longstanding social inequality on various communities, groups, and individuals. Because they lack sufficient access to health and social resources, vulnerable groups affected by lower incomes, geographic remoteness, and/or low awareness of disease prevention and control measures are more susceptible to infection (McDonald, 2022; Mein, 2020; Moghanibashi-Mansourieh, 2021). According to The Lancet (2020) editorial board, vulnerable groups are defined as segments of the population disproportionately exposed to risk. People not considered vulnerable at the start of the pandemic may become vulnerable afterward due to pandemic-related effects such as loss of income and lack of access to social support. Thus, during the COVID-19 pandemic, vulnerable groups include not only traditionally vulnerable populations (e.g., older adults, infants, immuno-compromised individuals) but socioeconomic groups that may be financially, mentally, or physically struggling to cope. In addition, schools of all levels around the world have adopted remote online synchronous or asynchronous teaching methods to avoid pandemic-related school closures and interruptions in student learning (Dreesen et al., 2020). However, issues such as the accessibility, availability, acceptability, and applicability of online learning equipment for vulnerable students should be comprehensively considered by the government. Governments encounter multiple challenges related to the above-mentioned issues, including (1) dealing with the public health effects of the pandemic crisis; (2) dealing with related economic and social impacts such as social and economic depression due to isolation, tax reductions, increased payments, subsidies, compensation, and the provision of unemployment insurance (Moghanibashi-Mansourieh, 2021); and (3) reforming education teaching methods and providing appropriate information and equipment of vulnerable groups. In responding to COVID-19, policymakers should consider the risks of exacerbating the inequalities faced by vulnerable groups. Moreover, vulnerable groups should be clearly identified to limit the long-term consequences of the pandemic. Governments must continually identify vulnerable / at-risk populations and provide equitable support to those most at risk.
新冠疫情凸显了长期存在的社会不平等对各个社区、群体和个人造成的不利健康、经济和社会后果。由于弱势群体获得健康和社会资源的机会不足,受低收入、地理位置偏远和/或疾病预防控制措施意识淡薄影响的弱势群体更容易感染(麦克唐纳,2022年;梅因,2020年;莫加尼巴希 - 曼苏里耶,2021年)。根据《柳叶刀》(2020年)编辑委员会的定义,弱势群体是指不成比例地面临风险的人群。在疫情开始时不被视为弱势群体的人,可能会因与疫情相关的影响,如收入损失和无法获得社会支持,而在之后变得脆弱。因此,在新冠疫情期间,弱势群体不仅包括传统上的弱势群体(如老年人、婴儿、免疫功能低下者),还包括那些在经济、心理或身体上可能难以应对的社会经济群体。此外,世界各地的各级学校都采用了远程在线同步或异步教学方法,以避免因疫情导致学校关闭和学生学习中断(德雷森等人,2020年)。然而,政府应全面考虑弱势学生在线学习设备的可及性、可用性、可接受性和适用性等问题。政府在应对上述问题时面临多重挑战,包括(1)应对疫情危机对公共卫生的影响;(2)应对相关的经济和社会影响,如因隔离导致的社会和经济衰退、减税、增加支付、补贴、补偿以及提供失业保险(莫加尼巴希 - 曼苏里耶,2021年);以及(3)改革教育教学方法并为弱势群体提供适当的信息和设备。在应对新冠疫情时,政策制定者应考虑加剧弱势群体所面临不平等的风险。此外,应明确识别弱势群体,以限制疫情的长期后果。政府必须持续识别弱势群体/高危人群,并为那些风险最高的人群提供公平的支持。