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我们绝不能对公平问题视而不见:从美洲的新冠疫情中吸取的教训 不能忽视公平:从美洲的新冠疫情中吸取的教训

[We must not remain blind to equity: lessons to be learned from the COVID-19 pandemic in the AmericasDeixar de ignorar a equidade: lições a aprender com a pandemia de COVID-19 nas Américas].

作者信息

Rojas-Botero Maylen Liseth, Mujica Oscar J, Avellaneda Ximena, Cáceres Carlos, Castro Arachu, Cox Adrienne L, Galvão Luiz Augusto C, Gómez Duarte Ingrid, Más Pedro, Del Pino Sandra, Rojas Karol, Sojo Ana, Urbina Fuentes Manuel, Sáenz Rocío, García Saisó Sebastián

机构信息

Organización Panamericana de la Salud Washington, D.C. Estados Unidos de América. Organización Panamericana de la Salud, Washington, D.C., Estados Unidos de América.

Grupo de Estudios sobre la Mujer Rosario Castellanos Oaxaca México Grupo de Estudios sobre la Mujer Rosario Castellanos, Oaxaca, México.

出版信息

Rev Panam Salud Publica. 2024 Sep 16;48:e71. doi: 10.26633/RPSP.2024.71. eCollection 2024.

Abstract

The Region of the Americas has historically experienced social inequalities rooted in colonialism, which are reflected and reproduced in the area of health. The COVID-19 pandemic affected the entire Region, but the most socially disadvantaged groups were hit hardest, intensifying health inequities. Under the premise that pandemics are not socially neutral phenomena, this special report analyzes the unequal impacts of the pandemic from different perspectives: historical, epidemiological, political, social, economic, environmental, and population-related. Critical reflections are offered here on the negative impacts of inequalities on well-being, not only in the most affected populations, but across society as a whole. Strategic recommendations are made for progress toward health equity in the post-pandemic context. This report highlights the importance of advancing toward mature information systems to monitor health equity, developing more resilient health systems, and implementing explicit policies and practices aimed at eliminating health inequities. All of this should pave the way for prosperity and sustainable development in the Region.

摘要

美洲地区历史上一直存在源于殖民主义的社会不平等现象,这些不平等在卫生领域得以体现和延续。新冠疫情影响了整个地区,但社会处境最不利的群体受到的冲击最为严重,加剧了卫生不平等。鉴于疫情并非社会中立现象,本特别报告从历史、流行病学、政治、社会、经济、环境以及人口相关等不同视角分析了疫情的不平等影响。在此对不平等给福祉带来的负面影响进行批判性反思,不仅涉及受影响最严重的人群,还涵盖整个社会。针对疫情后实现卫生公平提出了战略建议。本报告强调了朝着成熟的卫生公平监测信息系统迈进、发展更具韧性的卫生系统以及实施旨在消除卫生不平等的明确政策和做法的重要性。所有这些都应为该地区的繁荣和可持续发展铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2f2/11404234/da9dec4df8a8/rpsp-48-e71_Figure1.jpg

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