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美国结构性种族主义的隐性后果:糖尿病与 COVID-19。

Unspoken Consequences of Structural Racism in the USA: Diabetes and COVID-19.

机构信息

Division of Clinical Research, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.

Division of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 02115, USA.

出版信息

J Racial Ethn Health Disparities. 2024 Oct;11(5):2575-2582. doi: 10.1007/s40615-023-01722-2. Epub 2023 Jul 17.

DOI:10.1007/s40615-023-01722-2
PMID:37460920
Abstract

OBJECTIVES

Black, Indigenous, and People of Color (BIPOC) are disproportionately impacted by the diabetes epidemic. This health inequity, aggravated by environmental, lifestyle, and genetic factors, has been further exacerbated by the COVID-19 pandemic. The increased risk of severe complications due to COVID-19 in BIPOC communities speaks to the importance of understanding the impacts of social and structural factors on health. This report aims to outline the connection between diabetes and vulnerability to COVID-19 through the lens of racism.

STUDY DESIGN

Review of original report and subsequent modeling and interpretations.

METHODS

We reviewed and analyzed original data in relation to health inequity, diabetes, COVID-19, and BIPOC.

RESULTS

This holistic approach framed the disproportionate prevalence of diabetes and vulnerability to COVID-19 not just as a health disparity, but as a health inequity.

CONCLUSION

Defining the relationship between diabetes, vulnerability to COVID-19, and systems of advantage, such as racism, can further support the design of health interventions and policies that reduce the disproportionate impact of these diseases on the health of BIPOC communities.

摘要

目的

黑人和有色人种(BIPOC)受到糖尿病流行的不成比例影响。这种健康不公平现象因环境、生活方式和遗传因素而加剧,又因 COVID-19 大流行而进一步恶化。BIPOC 社区因 COVID-19 而导致严重并发症的风险增加,这表明需要了解社会和结构性因素对健康的影响。本报告旨在从种族主义的角度概述糖尿病与 COVID-19 易感性之间的联系。

研究设计

原始报告的回顾以及随后的建模和解释。

方法

我们审查和分析了与健康不公平、糖尿病、COVID-19 和 BIPOC 相关的原始数据。

结果

这种全面的方法将糖尿病的不成比例患病率和对 COVID-19 的易感性不仅定义为健康差距,而且定义为健康不公平。

结论

定义糖尿病、COVID-19 易感性与优势系统(如种族主义)之间的关系,可以进一步支持设计减少这些疾病对 BIPOC 社区健康的不成比例影响的健康干预措施和政策。

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Technol Soc. 2022 Nov;71:102051. doi: 10.1016/j.techsoc.2022.102051. Epub 2022 Jul 14.
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A New Perspective of COVID-19 Infection: An Epigenetics Point of View.
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新冠病毒感染的新视角:表观遗传学观点
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Racial and Ethnic Disparities in Receipt of Medications for Treatment of COVID-19 - United States, March 2020-August 2021.美国 2020 年 3 月至 2021 年 8 月期间,不同种族和族裔在 COVID-19 治疗药物方面的差异。
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