COVID-19 in New Mexico Tribal Lands: Understanding the Role of Social Vulnerabilities and Historical Racisms.
COVID-19 in New Mexico Tribal Lands: Understanding the Role of Social Vulnerabilities and Historical Racisms.
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DOI：
10.3389/fsoc.2020.610355
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发表时间：
2020
影响因子：
2.5
通讯作者：
Huyser KR
中科院分区：
文献类型：
--
作者：
Yellow Horse AJ;Deschine Parkhurst NA;Huyser KR
2019冠状病毒（COVID-19）大流行对原住民造成了严重影响。不幸的是，由于数据中土著代表的系统性删除，因此无法准确了解COVID-19对土著人民和社区的影响。早期证据表明，COVID-19能够通过大流行前的机制传播，包括不成比例的慢性健康状况、医疗保健不足以及结构性不平等导致的恶劣生活条件。利用创新数据，我们全面调查了COVID-19在邮政编码层面对新墨西哥州原住民的影响。具体而言，我们扩大了美国疾病控制和预防中心的社会脆弱性指数（SVI），以包括对土著人民的历史种族主义的结构性脆弱性的措施。我们发现，历史上嵌入的结构脆弱性（例如，部落土地状况和没有电话和完整管道的房屋单元比例较高）对于理解美洲印第安人和阿拉斯加原住民人口正在经历的COVID-19不成比例的负担至关重要。我们发现，与SVI和COVID-19的其他社会脆弱性因素相比，从土著知识中出现的历史嵌入脆弱性变量具有最大的解释力，特别是部落土地状况。研究结果表明，公共卫生迫切需要将土著知识和方法集中在减轻COVID-19对土著人民和社区的有害影响方面，特别是设计基于地方的缓解策略。
The Coronavirus 2019 (COVID-19) pandemic has disproportionally affected Indigenous Peoples. Unfortunately, there is no accurate understanding of COVID-19's impacts on Indigenous Peoples and communities due to systematic erasure of Indigenous representation in data. Early evidence suggests that COVID-19 has been able to spread through pre-pandemic mechanisms ranging from disproportionate chronic health conditions, inadequate access to healthcare, and poor living conditions stemming from structural inequalities. Using innovative data, we comprehensively investigate the impacts of COVID-19 on Indigenous Peoples in New Mexico at the zip code level. Specifically, we expand the U.S. Centers for Disease Control and Prevention's Social Vulnerability Index (SVI) to include the measures of structural vulnerabilities from historical racisms against Indigenous Peoples. We found that historically-embedded structural vulnerabilities (e.g., Tribal land status and higher percentages of house units without telephone and complete plumbing) are critical in understanding the disproportionate burden of COVID-19 that American Indian and Alaska Native populations are experiencing. We found that historically-embedded vulnerability variables that emerged epistemologically from Indigenous knowledge had the largest explanatory power compared to other social vulnerability factors from SVI and COVID-19, especially Tribal land status. The findings demonstrate the critical need in public health to center Indigenous knowledge and methodologies in mitigating the deleterious impacts of COVID-19 on Indigenous Peoples and communities, specifically designing place-based mitigating strategies.
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影响因子：
0.9
作者：
Casas-Cortes, Maria Isabel;Osterweil, Michal;Powell, Dana E.
通讯作者：
Powell, Dana E.
DOI：
10.3390/ijerph16152727
发表时间：
2019-08-01
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Ingram, Jani C.
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作者：
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Wilson, Meghan E.
影响因子：
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作者：
Arnold, Shaye Beverly
通讯作者：
Arnold, Shaye Beverly
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影响因子：
4.5
作者：
Harmon ME;Lewis J;Miller C;Hoover J;Ali AS;Shuey C;Cajero M;Lucas S;Zychowski K;Pacheco B;Erdei E;Ramone S;Nez T;Gonzales M;Campen MJ
通讯作者：
Campen MJ