Subeq Yi-Maun, Lin Yu-Hua
PhD, RN, NP, Associate Professor, Department of Nursing, National Taichung University of Science and Technology, Taiwan, ROC.
PhD, RN, Professor, Department of Nursing, I-Shou University, Taiwan, ROC.
Hu Li Za Zhi. 2022 Dec;69(6):6-11. doi: 10.6224/JN.202212_69(6).02.
Many studies from around the world demonstrate that COVID-19 has had significantly higher rates of infection, hospitalization, and mortality among indigenous and other vulnerable groups than among mainstream population groups. This situation has exposed and reinforced pre-existing health inequalities. This article investigates the rates of infection and mortality among different cultural groups during the COVID-19 pandemic, and then deconstructs the key elements related to systemic or structural racism. The impacts on the human rights and health of indigenous peoples and issues of policy formulation and resource equity during the epidemic are also mentioned. Based on the identified root causes of health inequality, suggestions for reducing health inequality for Taiwanese indigenous peoples are proposed. Further, during epidemics, policymakers must design and implement culturally appropriate epidemic prevention policies, systems, and strategies for indigenous and other disadvantaged populations.
世界各地的许多研究表明，与主流人群相比，新冠病毒病在原住民和其他弱势群体中的感染率、住院率和死亡率要高得多。这种情况暴露并加剧了现有的健康不平等现象。本文调查了新冠疫情期间不同文化群体的感染率和死亡率，然后剖析了与系统性或结构性种族主义相关的关键因素。文中还提到了疫情期间对原住民人权和健康的影响以及政策制定和资源公平问题。基于已确定的健康不平等根源，提出了减少台湾原住民健康不平等的建议。此外，在疫情期间，政策制定者必须为原住民和其他弱势群体设计并实施符合文化特点的防疫政策、制度和策略。
