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马塔卡瓦略/巴西夸兰托与 COVID-19 综合征:质疑种族主义和(再)生存权。

The Mata Cavalo/Brazil quilombo and the COVID-19 syndemic: racism and the right to (r)exist in question.

机构信息

Instituto de Saúde Coletiva, Universidade Federal de Mato Grosso. R. Quarenta e Nove 2367, Boa Esperança. 78060-900 Cuiabá MT Brasil.

出版信息

Cien Saude Colet. 2024 Mar;29(3):e08322023. doi: 10.1590/1413-81232024293.08322023. Epub 2023 Aug 23.

DOI:10.1590/1413-81232024293.08322023
PMID:38451651
Abstract

Quilombola communities have felt the effects of racism deepened by COVID-19, whose repercussions are amplified in contexts of racial inequalities, characterizing it as a syndemic. The term refers to the synergy of biological, economic, environmental, political, and social elements that enhance coexisting conditions and states, impacting life and affecting health. Thus, our study seeks to analyze the repercussions of the COVID-19 syndemic based on the perceptions of quilombola community leaders in Mato Grosso, Brazil. In a qualitative study, three leaders were interviewed in May 2022, using a semi-structured script and treating the data through thematic analysis. The COVID-19 syndemic highlighted the structural precariousness of transport, roads, sanitation, and access to water, food, and health services. Isolation, deaths, and fears had psychosocial repercussions, but little attention was paid to mental health. Anti-racist proposals call for: repairing precariousness by recognizing the State's debt to the black population; valuing experiences, way of life, cosmovision, and Afro-centered ancestral civilizational values. Finally, the aim is to strengthen, reaffirm, and implement anti-racist actions, such as the Statute of Racial Equality and the PNSIPN, in all possible spaces, policies, and institutions.

摘要

夸雷姆博拉社区感受到了 COVID-19 加剧的种族主义影响,其影响在种族不平等的背景下被放大,这使其成为一种综合征。该术语是指生物、经济、环境、政治和社会因素的协同作用,增强了共存条件和状态,影响生命并影响健康。因此,我们的研究旨在根据巴西马托格罗索州夸雷姆博拉社区领导人的看法分析 COVID-19 综合征的影响。在一项定性研究中,我们在 2022 年 5 月采访了三位领导人,使用半结构化脚本,并通过主题分析处理数据。COVID-19 综合征突出了交通、道路、卫生和获得水、食物和卫生服务的结构性脆弱性。隔离、死亡和恐惧产生了心理社会影响,但对心理健康关注甚少。反种族主义提案呼吁:通过承认国家对黑人人口的债务来修复脆弱性;重视经验、生活方式、世界观和以非裔为中心的祖先文明价值观。最后,目的是在所有可能的空间、政策和机构中加强、重申和实施反种族主义行动,例如《种族平等法》和《国家非裔人和土著人民计划》。

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