Law, structural racism, and the COVID-19 pandemic

Law, structural racism, and the COVID-19 pandemic
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DOI:
10.1093/jlb/lsaa036
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发表时间:
2020-01-01
影响因子:
3.4
通讯作者:
Mohapatra, Seema
Mohapatra, Seema
中科院分区:
医学3区
文献类型:
--
作者:
Yearby, Ruqaiijah;Mohapatra, Seema

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少数种族和族裔一直是受流行病影响最大的群体,因为: 接触病毒的差异;感染病毒的易感性存在差异;以及待遇上的差异。本文解释了结构性种族主义,即利用法律为多数人谋利而对少数种族和族裔不利的方式,是如何造成这些差异的。具体来说,本文重点讨论就业、住房、医疗保健和 COVID-19 救济法如何被操纵,使少数种族和族裔处于不利地位,使少数群体更容易受到 COVID-19 感染和死亡。本文使用 Blumenshine 2008 年的框架来概述结构性种族主义如何导致种族和族裔少数群体在接触病毒、感染病毒的易感性、病毒治疗以及感染率和死亡率方面存在差异。本文讨论了现有就业、住房和医疗保健法律以及《冠状病毒援助、救济和经济安全法案》(CARES 法案)中结构性种族主义的历史和当前做法如何导致 COVID-19 感染和死亡的差异。本文提出了解决结构性种族主义的法律解决方案以及帮助减轻该疾病的种族化影响的公共卫生解决方案。
Racial and ethnic minorities have always been the most impacted by pandemics because of: disparities in exposure to the virus; disparities in susceptibility to contracting the virus; and disparities in treatment. This article explains how structural racism, the ways in which laws are used to advantage the majority and disadvantage racial and ethnic minorities, has caused these disparities. Specifically, this article focuses on how employment, housing, health care, and COVID-19 relief laws have been manipulated to disadvantage racial and ethnic minorities, making minorities more susceptible to COVID-19 infection and death. This article uses Blumenshine’s 2008 framework to outline how structural racism causes racial and ethnic minorities’ disparities in exposure to viruses, in susceptibility to contracting viruses, in treatment of viruses, and in infection and death rates. This article discusses how historical and current practices of structural racism in existing employment, housing, and health care laws and the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) cause disparities in COVID-19 infections and deaths. This article suggests legal solutions to address structural racism as well as public health solutions to help mitigate the racialized effects of the disease.