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长新冠的影响:马萨诸塞州不同族裔的黑人和拉丁裔居民的声音和观点。

Long COVID impacts: the voices and views of diverse Black and Latinx residents in Massachusetts.

机构信息

Health Disparities Institute, UConn Health, 241 Main Street, Hartford, CT, 06106, USA.

School of Medicine, University of Connecticut, 263 Farmington Avenue, Farmington, CT, USA.

出版信息

BMC Public Health. 2024 Aug 21;24(1):2265. doi: 10.1186/s12889-024-19567-7.

Abstract

OBJECTIVE

To understand how Long COVID is impacting the health and social conditions of the Black and Latinx communities.

BACKGROUND

Emerging research on Long COVID has identified three distinct characteristics, including multi-organ damage, persistent symptoms, and post-hospitalization complications. Given Black and Latinx communities experienced significantly higher COVID rates in the first phase of the pandemic they may be disproportionately impacted by Long COVID.

METHODS

Eleven focus groups were conducted in four languages with diverse Black and Latinx individuals (n = 99) experiencing prolonged symptoms of COVID-19 or caring for family members with prolonged COVID-19 symptoms. Data was analyzed thematically.

RESULTS

Most participants in non-English language groups reported they were unfamiliar with the diagnosis of long COVID, despite experiencing symptoms. Long COVID impacts spanned financial and housing stability to physical and mental health impacts. Participants reported challenging encounters with health care providers, a lack of support managing symptoms and difficulty performing activities of daily living including work.

CONCLUSIONS

There is a need for multilingual, accessible information about Long COVID symptoms, improved outreach and healthcare delivery, and increased ease of enrollment in long-term disability and economic support programs.

摘要

目的

了解长新冠如何影响黑人和拉丁裔群体的健康和社会状况。

背景

新兴的长新冠研究已经确定了三个不同的特征,包括多器官损伤、持续症状和住院后并发症。鉴于黑人和拉丁裔社区在疫情的第一阶段经历了更高的 COVID 发病率,他们可能会受到长新冠的不成比例的影响。

方法

对经历 COVID-19 长期症状或照顾有长期 COVID-19 症状的家庭成员的不同黑人和拉丁裔个体(n=99)进行了十一次用四种语言进行的焦点小组讨论。对数据进行了主题分析。

结果

尽管经历了症状,但大多数非英语语言组的参与者表示他们不熟悉长新冠的诊断。长新冠的影响范围从财务和住房稳定到身心健康。参与者报告说,他们与医疗保健提供者的接触存在困难,缺乏管理症状的支持,以及在日常生活活动中(包括工作)遇到困难。

结论

需要提供关于长新冠症状的多语言、易于获取的信息,改善外展和医疗服务提供,并增加长期残疾和经济支持计划的方便登记。

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Long covid-an update for primary care.长新冠——基层医疗的最新情况
BMJ. 2022 Sep 22;378:e072117. doi: 10.1136/bmj-2022-072117.
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Symptoms and risk factors for long COVID in non-hospitalized adults.非住院成年人的长新冠症状和风险因素。
Nat Med. 2022 Aug;28(8):1706-1714. doi: 10.1038/s41591-022-01909-w. Epub 2022 Jul 25.
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Long COVID and Health Inequities: The Role of Primary Care.长新冠与健康不平等:初级保健的作用。
Milbank Q. 2021 Jun;99(2):519-541. doi: 10.1111/1468-0009.12505. Epub 2021 Mar 30.

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