Understanding the Associations among Social Vulnerabilities, Indigenous Peoples, and COVID-19 Cases within Canadian Health Regions.
Understanding the Associations among Social Vulnerabilities, Indigenous Peoples, and COVID-19 Cases within Canadian Health Regions.
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DOI：
10.3390/ijerph191912409
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发表时间：
2022-09-29
影响因子：
--
通讯作者：
Johnson-Jennings, Michelle
中科院分区：
文献类型：
--
作者：
Huyser, Kimberly R.;Horse, Aggie J. Yellow;Collins, Katherine A.;Fischer, Jaimy;Jessome, Mary G.;Ronayne, Emma T.;Lin, Jonathan C.;Derkson, Jordan;Johnson-Jennings, Michelle
关键词：
由于历史上根深蒂固的有害健康社会决定因素，原住民患传染病（包括 COVID-19）的风险增加。此外，加拿大联邦政府数据的结构性限制导致缺乏原住民和非原住民之间的 COVID-19 感染率比较。为了让土著人民在 COVID-19 期间的公共卫生话语中获得更多经验，本文旨在回答以下相互关联的研究问题：(1) 加拿大卫生地区中健康的关键社会决定因素与 COVID-19 病例之间有何关联？ (2) 这些关系与原住民社区有何关系？由于健康的近端和远端社会决定因素共同影响了 COVID-19 对原住民健康的影响，本研究使用了多个来源汇集的独特数据集来研究健康特征和健康的关键社会决定因素之间的关联，重点关注原住民。我们强调源自系统性种族主义的关键社会脆弱性，这些脆弱性使原住民面临着更大的 COVID-19 风险。许多原住民健康问题根源于殖民化的历史影响，并且由于原住民社区的系统性联邦资金不足而部分被忽视。加拿大政府必须投资收集有关原住民 COVID-19 病例数的准确、可靠和分类数据，并改善原住民社区基础设施和服务。
Indigenous Peoples are at an increased risk for infectious disease, including COVID-19, due to the historically embedded deleterious social determinants of health. Furthermore, structural limitations in Canadian federal government data contribute to the lack of comparative rates of COVID-19 between Indigenous and non-Indigenous people. To make visible Indigenous Peoples’ experiences in the public health discourse in the midst of COVID-19, this paper aims to answer the following interrelated research questions: (1) What are the associations of key social determinants of health and COVID-19 cases among Canadian health regions? and (2) How do these relationships relate to Indigenous communities? As both proximal and distal social determinants of health conjointly contribute to COVID-19 impacts on Indigenous health, this study used a unique dataset assembled from multiple sources to examine the associations among key social determinants of health characteristics and health with a focus on Indigenous Peoples. We highlight key social vulnerabilities that stem from systemic racism and that place Indigenous populations at increased risk for COVID-19. Many Indigenous health issues are rooted in the historical impacts of colonization, and partially invisible due to systemic federal underfunding in Indigenous communities. The Canadian government must invest in collecting accurate, reliable, and disaggregated data on COVID-19 case counts for Indigenous Peoples, as well as in improving Indigenous community infrastructure and services.
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影响因子：
2.5
作者：
Yellow Horse AJ;Deschine Parkhurst NA;Huyser KR
通讯作者：
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影响因子：
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DOI：
10.1097/phh.0000000000001263
发表时间：
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影响因子：
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通讯作者：
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通讯作者：
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DOI：
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发表时间：
2011-01-01
影响因子：
0.8
作者：
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通讯作者：
Lewis, Brian