Pedraza Laura, Villela Ricardo, Kamatgi Vikki, Cocuzzo Kaitlyn, Correa Ricardo, Lisigurski Miriam Zylberglait
Fundación Universitaria Juan N. Corpas, Bogotá, Columbia.
National Autonomous University of Honduras, Tegucigalpa, Honduras.
HCA Healthc J Med. 2022 Jun 28;3(3):97-104. doi: 10.36518/2689-0216.1387. eCollection 2022.
Description The COVID-19 pandemic has intensified the existing health and social disparities that affect minority groups in the United States (US), including the Latinx community. This situation has been reflected in many aspects of health, including increased morbi-mortality and reduced adherence to medical and scientific recommendations. Limited access to health care, financial challenges, migrant status, and health literacy, or lack thereof, have all hampered the Latinx community's ability to seek aid quickly and to be tested or treated effectively for this disease. This pandemic has shown that the Latinx community's socioeconomic status correlates with greater mortality rates when compared to other ethnic groups, which runs counter to historical norms. Furthermore, morbi-mortality in Latinx people has been disproportionately greater. Beyond the systematic barriers that the Latinx community has had to face to access care during the pandemic, there were also perception barriers that increased the gap and further complicated the situation. Latinxs were more likely to be exposed due to a decreased compliance with physical distancing. When it was suggested to avoid crowds, many people started using delivery services; however, many Latinxs found the cost and requirements of reliable internet to be a barrier to using these services. Currently, COVID-19 vaccines are broadly available in the US but there has been skepticism from marginalized communities, including the Latinx population, about getting vaccinated. Integrating this population into a welcoming healthcare system, safeguarding their immigration and work status, providing more accessible vaccination locations, and promoting health equality and education would all assist to lessen the impact of this illness on the Latinx community.
新冠疫情加剧了美国少数群体（包括拉丁裔社区）现有的健康和社会差异。这种情况在健康的许多方面都有所体现，包括发病率和死亡率上升以及对医学和科学建议的依从性降低。获得医疗保健的机会有限、经济挑战、移民身份以及健康素养（或缺乏健康素养），都阻碍了拉丁裔社区迅速寻求援助以及对这种疾病进行有效检测或治疗的能力。这场疫情表明，与其他族裔群体相比，拉丁裔社区的社会经济地位与更高的死亡率相关，这与历史常态背道而驰。此外，拉丁裔人群的发病率和死亡率一直高得不成比例。除了拉丁裔社区在疫情期间获得医疗服务时必须面对的系统性障碍外，还存在认知障碍，这加大了差距并使情况更加复杂。由于对保持社交距离的依从性降低，拉丁裔更容易暴露。当建议避免人群聚集时，许多人开始使用送货服务；然而，许多拉丁裔发现可靠网络的成本和要求是使用这些服务的障碍。目前，新冠疫苗在美国广泛可用，但包括拉丁裔人群在内的边缘化社区对接种疫苗存在疑虑。将这一人群纳入一个友好的医疗体系，保障他们的移民和工作身份，提供更多可及的疫苗接种地点，以及促进健康平等和教育，都将有助于减轻这种疾病对拉丁裔社区的影响。
