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种族主义、健康与大流行:2020 年黑人群体与新冠疫情事件之间关系的叙述性综述。

Racism, health and pandemic: a narrative review of the relationship between black population and COVID-19 events in 2020.

机构信息

Instituto Multidisciplinar de Reabilitação e Saúde, Universidade Federal da Bahia. R. Padre Feijó 312, casas 47 e 49, Canela. 40.110-170 Salvador BA Brasil.

Programa de Residência Multiprofissional Hospital Metropolitano Odilon Behrens, Secretaria Municipal de Saúde de Belo Horizonte. Belo Horizonte MG Brasil.

出版信息

Cien Saude Colet. 2024 Mar;29(3):e11072023. doi: 10.1590/1413-81232024293.11072023. Epub 2023 Dec 22.

DOI:10.1590/1413-81232024293.11072023
PMID:38451653
Abstract

This study aimed to analyze how scientific publications described and interpreted findings about the relationship between the Black population and events linked to COVID-19 in 2020. Narrative review with systematic search, in which a survey was conducted on articles published in 2020 in the Scopus, Medline/PubMed, and Web of Science databases. Initially, 665 articles were found, and after reading and applying the eligible criteria, the final number of 45 articles was reached. Epidemiological, observational studies, secondary data and developed in the United States predominated. Four groupings and respective findings emerged from the synthesis of information extracted: Main events in the Black population - high number of deaths and mortality rate; Direct relationships - poor health, housing, and work conditions; Intermediate relationships - low income and anti-Black prejudice; Comprehensive relationships - structural racism and social determinants of health. The identification of racial health disparities is an important finding about the dynamics of the pandemic among the Black population. However, multicausal explanations were limited. It is necessary to mobilize critical theoretical resources from ethnic and health studies to qualify research in order to support global actions to combat the SARS-CoV-2 epidemic in this group.

摘要

本研究旨在分析 2020 年科学出版物如何描述和解释与黑人人口和与 COVID-19 相关事件之间关系的研究结果。这是一项叙述性综述,进行了系统性检索,调查了 2020 年发表在 Scopus、Medline/PubMed 和 Web of Science 数据库中的文章。最初发现了 665 篇文章,经过阅读和应用合格标准,最终确定了 45 篇文章。流行病学、观察性研究、二次数据和在美国开展的研究居多。从提取的信息综合分析中得出了四个分组和各自的发现:黑人人口中的主要事件——高死亡率和病死率;直接关系——健康状况不佳、住房和工作条件差;中间关系——收入低和反黑人偏见;综合关系——结构性种族主义和健康的社会决定因素。确定种族健康差异是关于黑人人口中疫情动态的一个重要发现。然而,多因果解释有限。有必要从种族和健康研究中调动批判性理论资源,以使研究具有资格,以支持针对该群体的全球抗击 SARS-CoV-2 疫情行动。

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