Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Department of Medicine, University of California at San Francisco, 505 Parnassus Avenue, Box 0841, San Francisco, CA 94143, USA.
Clin Chest Med. 2023 Jun;44(2):425-434. doi: 10.1016/j.ccm.2022.11.021. Epub 2022 Nov 22.
In the United States, the coronavirus disease-2019 (COVID-19) pandemic has disproportionally affected Black, Latinx, and Indigenous populations, immigrants, and economically disadvantaged individuals. Such historically marginalized groups are more often employed in low-wage jobs without health insurance and have higher rates of infection, hospitalization, and death from COVID-19 than non-Latinx White individuals. Mistrust in the health care system, language barriers, and limited health literacy have hindered vaccination rates in minorities, further exacerbating health disparities rooted in structural, institutional, and socioeconomic inequities. In this article, we discuss the lessons learned over the last 2 years and how to mitigate health disparities moving forward.
在美国,2019 冠状病毒病(COVID-19)大流行不成比例地影响了黑人群体、拉丁裔和原住民群体、移民以及经济弱势群体。这些历史上处于边缘地位的群体往往从事低工资工作,没有医疗保险,而且 COVID-19 的感染率、住院率和死亡率都高于非拉丁裔白人。对医疗体系的不信任、语言障碍和有限的健康素养阻碍了少数族裔的疫苗接种率,进一步加剧了源于结构性、制度性和社会经济不平等的健康差距。本文讨论了过去 2 年中吸取的经验教训,以及如何在未来减轻健康差距。