The African American Petri Dish
The African American Petri Dish
复制标题
DOI：
10.1353/hpu.2020.0037
复制
发表时间：
2020-05-01
影响因子：
1.4
通讯作者：
Warren, Rueben
中科院分区：
文献类型：
--
作者：
Braithwaite, Ronald;Warren, Rueben
这篇评论放大了新型冠状病毒(导致COVID19)的阴险性质及其无处不在的传播，这对有色人种的健康和福祉产生了不成比例的不利影响。其后果是糟糕的健康结果和过早死亡。以前的大量文献证明了美国黑人和布朗人的发病率和死亡率统计中的健康不平等。他们的超额死亡是由于严重健康状况(糖尿病、高血压、哮喘、肺、肾和心脏病)的比例过高，以及与收入、就业和他们生活的建筑环境有关的结构性因素。由于该国种族不平等非人化的历史所产生的持续的社会问题和压力，健康状况进一步恶化。目前的歧视最严重的形式是系统性和制度化的种族主义政策，这些政策使种族和族裔少数群体被边缘化和被剥夺权力。此外，在该国非常持续的封锁期间，有色人种面临着离家工作和使用公共交通的直接外部压力，增加了接触病毒的风险。此外，同样的人口在监狱和监狱中的比例过高，在那里，社会距离是不可能的。任何没有疫苗的致命病毒都注定会成为人类的培养皿，在今天的美国，有色人种在其中被抓到。为有色人种抗击冠状病毒的战争是消除历史上的不平等和公平的社会经济竞争环境的战争的一部分。这篇文章介绍了COVID19病毒在发病率和死亡率方面的种族/族裔不平等，以及联邦政府在解决调解病毒传播问题方面反应迟缓和不合时宜。为了让有色人种摆脱冠状病毒大流行危机，必须全面获得新冠肺炎检测，并早期、持续和负担得起的医疗保健，包括住院。这样的准入将需要国家领导，而这似乎是供不应求的。
This commentary amplifies the insidious nature of the novel coronavirus (resulting in COVID19) and its ubiquitous spread, which disproportionately and adversely affect the health and well-being of people of color. The consequence is poor health outcomes and premature death. Ample previous literature documents health inequities in the morbidity and mortality statistics for Black and Brown people in the United States. Their excess deaths are due to disproportionately high rates of serious health conditions (diabetes; hypertension; asthma; and lung, kidney, and heart disease), as well as structural factors having to do with income, employment, and the built environment in which they live. The health conditions are exacerbated with ongoing societal problems and stress emerging from the country's history of dehumanizing racial inequities. Current discrimination comes most virulently in the form of systematic and institutionalized racist policies that keep racial and ethnic minorities marginalized and disempowered. Furthermore, people of color encounter the immediate external pressures of working away from home and using public transportation during the country's extraordinary ongoing lockdown, heightening the risk of exposure to the virus. Moreover, the same population is overrepresented in jails and prisons where social distancing is impossible. Any virulent virus without a vaccine is bound to become a human petri dish in which people of color in the U.S. today are caught.The war against the coronavirus for people of color is part and parcel of the war to eliminate historic inequities and to level the socioeconomic playing field. This article covers the racial/ethnic inequities in morbidity and mortality from COVID19 and the slow and untimely response by the federal government to address mediation of the spread of the virus. For people of color to transcend the coronavirus pandemic crisis there must be comprehensive access to COVID-19 testing and early, sustained, and affordable access to health care, including hospitalization. Such access will require national leadership, which seems to be in short supply.