Evidence of Social and Structural COVID-19 Disparities by Sexual Orientation, Gender Identity, and Race/Ethnicity in an Urban Environment.
Evidence of Social and Structural COVID-19 Disparities by Sexual Orientation, Gender Identity, and Race/Ethnicity in an Urban Environment.
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DOI：
10.1007/s11524-020-00497-9
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Phillips Ii G
中科院分区：
文献类型：
--
作者：
Ruprecht MM;Wang X;Johnson AK;Xu J;Felt D;Ihenacho S;Stonehouse P;Curry CW;DeBroux C;Costa D;Phillips Ii G
持续的COVID-19疫情对社会、心理及经济造成广泛影响。然而，这些影响并不是平均分布的：已经被边缘化的人群，特别是种族/族裔少数群体以及性和性别少数群体，可能更有可能受到COVID-19的影响。芝加哥市进行了COVID-19复原力调查，以评估芝加哥最初封锁后COVID-19对城市居民的影响，特别关注少数群体的经历。进行了独立性卡方检验，以比较COVID-19相关结果以及对异性恋与性少数人群、顺性别与性别少数人群以及白色与种族/少数民族亚组的影响。边缘化人群在COVID-19暴露、易感性和治疗机会以及大流行的心理社会影响方面存在显著差异。值得注意的是，黑人和拉丁裔人口报告了获得食物和用品的重大困难（p = 0.002）。医疗保健服务的获得差异也很明显，黑人和拉丁裔受访者报告说，获得提供者的机会明显较低，以确定COVID-19检测是否合适（p = 0.013），医疗服务（p = 0.001），以及使用远程医疗进行心理健康服务（p = 0.001）。性少数群体受访者报告使用远程保健进行心理健康服务的比率明显较低（p = 0.011），性别少数群体受访者报告初级保健提供者的访问水平明显较低（p = 0.016）。在芝加哥，尤其是黑人、拉丁裔、性少数群体和性别少数群体，COVID-19的差异很明显。必须更加关注卫生公平，包括为受影响群体提供更多的资源和供应，适应建筑环境中的不平等，并确保获得足够的医疗服务，以减轻COVID-19对这些边缘化人群的负担。在线版本包含补充材料，可通过10.1007/s11524-020-00497-9获得。
The ongoing COVID-19 pandemic has had widespread social, psychological, and economic impacts. However, these impacts are not distributed equally: already marginalized populations, specifically racial/ethnic minority groups and sexual and gender minority populations, may be more likely to suffer the effects of COVID-19. The COVID-19 Resiliency Survey was conducted by the city of Chicago to assess the impact of COVID-19 on city residents in the wake of Chicago’s initial lockdown, with particular focus on the experiences of minority populations. Chi-square tests of independence were performed to compare COVID-19-related outcomes and impacts on heterosexual vs. sexual minority populations, cisgender vs. gender minority populations, and White vs. racial/ethnic minority subgroups. Marginalized populations experienced significant disparities in COVID-19 exposure, susceptibility, and treatment access, as well as in psychosocial effects of the pandemic. Notably, Black and Latinx populations reported significant difficulties accessing food and supplies (p = 0.002). Healthcare access disparities were also visible, with Black and Latinx respondents reporting significantly lower levels of access to a provider to see if COVID-19 testing would be appropriate (p = 0.013), medical services (p = 0.001), and use of telehealth for mental health services (p = 0.001). Sexual minority respondents reported significantly lower rates of using telehealth for mental health services (p = 0.011), and gender minority respondents reported significantly lower levels of primary care provider access (p = 0.016). There are evident COVID-19 disparities experienced in Chicago especially for Black, Latinx, sexual minority, and gender minority groups. A greater focus must be paid to health equity, including providing increased resources and supplies for affected groups, adapting to inequities in the built environment, and ensuring adequate access to healthcare services to ameliorate the burden of COVID-19 on these marginalized populations. The online version contains supplementary material available at 10.1007/s11524-020-00497-9.
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DOI：
10.1037/tra0000592
发表时间：
2020-05-01
影响因子：
6.3
作者：
Horesh, Danny;Brown, Adam D.
通讯作者：
Brown, Adam D.
影响因子：
4.8
作者：
Friedman, M. Reuel;Dodge, Brian;Reece, Michael
通讯作者：
Reece, Michael
结构性种族主义，社会危险因素和共同-19-对黑人美国人的危险融合。
DOI：
10.1056/nejmp2023616
发表时间：
2020-09-17
期刊：
The New England journal of medicine
影响因子：
--
作者：
Egede LE;Walker RJ
通讯作者：
Walker RJ
影响因子：
10.3
作者：
Asmundson, Gordon J. G.;Paluszek, Michelle M.;Taylor, Steven
通讯作者：
Taylor, Steven
影响因子：
2.6
作者：
Ghabrial, Monica A.
通讯作者：
Ghabrial, Monica A.