The Ethnicity and Covid-19 Research Consortium, Edinburgh, UK.
University of Edinburgh, The Ethnicity and Covid-19 Research Consortium, Edinburgh, UK.
Adv Exp Med Biol. 2024;1458:157-173. doi: 10.1007/978-3-031-61943-4_11.
It is well established that the COVID-19 pandemic has had a substantial impact on ethnic minority communities and has worsened existing health inequalities experienced by these populations globally. Individuals from ethnic minority backgrounds have not only been more likely to become infected with COVID-19 throughout the pandemic, but they have also higher risk of adverse symptoms and death following infection. Factors responsible for these discrepancies are wide reaching and encompass all aspects of the social determinants of health (SDoH). Although always an area of concern among healthcare professionals, barriers to health care experienced by ethnic minority populations became a more pertinent issue during the COVID-19 pandemic when all individuals required sufficient and sustained access to a healthcare system (whether this be for COVID-19 testing, vaccination or treatment). These healthcare barriers exacerbated the increased COVID-19 burden experienced by minority populations and will continue to detrimentally impact the health of these populations during future COVID-19 waves or indeed, future novel pandemics. This chapter aims to summarise the major healthcare barriers experienced by minority populations throughout the COVID-19 pandemic, including COVID-19 prevention, vaccine rollout, care during hospitalisation and post-COVID care for long COVID patients. To end, this chapter will summarise lessons learned and future directions that need to be taken to improve health disparities and healthcare access for minority populations in relation to the COVID pandemic and beyond.
众所周知,COVID-19 大流行对少数族裔社区产生了重大影响,并加剧了这些人群在全球范围内已经存在的健康不平等现象。少数族裔背景的个人不仅在整个大流行期间更容易感染 COVID-19,而且在感染后出现不良症状和死亡的风险也更高。造成这些差异的因素是广泛的,涵盖了健康的社会决定因素(SDoH)的各个方面。尽管在医疗保健专业人员中一直是一个关注领域,但少数族裔人群在 COVID-19 大流行期间面临的医疗保健障碍成为一个更为重要的问题,因为所有人都需要充分和持续地获得医疗保健系统(无论是用于 COVID-19 检测、疫苗接种还是治疗)。这些医疗保健障碍加剧了少数族裔人群面临的 COVID-19 负担增加,并将在未来的 COVID-19 浪潮或未来的新型大流行中继续对这些人群的健康产生不利影响。本章旨在总结 COVID-19 大流行期间少数族裔人群面临的主要医疗保健障碍,包括 COVID-19 预防、疫苗推广、住院期间的护理以及长期 COVID 患者的康复护理。最后,本章将总结经验教训和未来需要采取的方向,以改善少数族裔人群在 COVID 大流行及以后的健康差距和医疗保健机会。