Nydegger Liesl A, Hill Mandy J
The University of Texas at Austin, USA.
The University of Texas Health Science Center at Houston, USA.
Int Soc Work. 2020 Sep;63(5):655-659. doi: 10.1177/0020872820940017. Epub 2020 Jul 14.
The COVID-19 pandemic has exacerbated the health disparities and structural racism among African Americans. We examined overlaps between the COVID-19 pandemic and HIV epidemic using an intersectional stigma framework through the lens of Critical Race Theory. Intersectional stigma, medical mistrust, and decreased likelihood of referral for HIV and COVID-19 testing leads to decreased engagement in the healthcare system. Social inequities increase health disparities and lead to increased rates of chronic diseases, which increases the risk and severity of COVID-19. Solutions to mitigate impact among African Americans include increasing engagement regarding African American health, funding, and providers of color.
新冠疫情加剧了非裔美国人之间的健康差距和结构性种族主义。我们通过批判种族理论的视角，运用交叉污名框架审视了新冠疫情与艾滋病毒流行之间的重叠情况。交叉污名、医疗不信任以及艾滋病毒和新冠病毒检测转诊可能性降低，导致在医疗系统中的参与度下降。社会不平等加剧了健康差距，导致慢性病发病率上升，进而增加了感染新冠病毒的风险和严重程度。减轻对非裔美国人影响的解决方案包括提高对非裔美国人健康、资金和有色人种医疗服务提供者的关注。
