The COVID-19 pandemic and health inequalities
The COVID-19 pandemic and health inequalities
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DOI：
10.1136/jech-2020-214401
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发表时间：
2020-11-01
影响因子：
6.3
通讯作者：
Matthews, Fiona
中科院分区：
文献类型：
--
作者：
Bambra, Clare;Riordan, Ryan;Matthews, Fiona
本文探讨了COVID-19大流行对健康不平等的影响。它概述了流行病不平等的历史和当代证据-借鉴了对1918年西班牙流感大流行的国际研究，2009年H1N1疫情以及新出现的COVID-19感染率和死亡率的社会经济，种族和地理不平等的国际估计。然后，它研究了COVID-19中的这些不平等与慢性病和健康的社会决定因素中现有的不平等之间的关系，认为我们正在经历一场综合流行病。本报告继而探讨为应对COVID-19疫情而在国际上实施的封锁措施对健康不平等的潜在影响，重点关注经济危机可能带来的不平等影响。本文最后反思了确保COVID-19大流行不会增加后代健康不平等所需的长期公共卫生政策应对措施。
This essay examines the implications of the COVID-19 pandemic for health inequalities. It outlines historical and contemporary evidence of inequalities in pandemics-drawing on international research into the Spanish influenza pandemic of 1918, the H1N1 outbreak of 2009 and the emerging international estimates of socioeconomic, ethnic and geographical inequalities in COVID-19 infection and mortality rates. It then examines how these inequalities in COVID-19 are related to existing inequalities in chronic diseases and the social determinants of health, arguing that we are experiencing a syndemic pandemic. It then explores the potential consequences for health inequalities of the lockdown measures implemented internationally as a response to the COVID-19 pandemic, focusing on the likely unequal impacts of the economic crisis. The essay concludes by reflecting on the longer-term public health policy responses needed to ensure that the COVID-19 pandemic does not increase health inequalities for future generations.