The Disproportionate Impact of COVID-19 on Racial and Ethnic Minorities in the United States
The Disproportionate Impact of COVID-19 on Racial and Ethnic Minorities in the United States
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DOI：
10.1093/cid/ciaa815
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发表时间：
2021-02-15
影响因子：
11.8
通讯作者：
Wieland, Mark L.
中科院分区：
文献类型：
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作者：
Tai, Don Bambino Geno;Shah, Aditya;Wieland, Mark L.
2019冠状病毒病（COVID-19）大流行对种族和少数民族群体的影响不成比例，非洲裔美国人、美洲原住民和拉丁裔社区的死亡率很高。虽然正在调查这些差异的机制，但可以认为它们是由生物医学因素以及健康的社会决定因素造成的。少数群体受到慢性疾病的影响不成比例，获得医疗保健的机会较少，这可能预示着COVID-19的结果更糟。此外，少数群体社区更有可能经历使他们倾向于更糟结果的生活和工作条件。COVID-19大流行暴露出的长期结构性和社会因素支撑了这些差异。临床医生可以与患者和社区合作，减少COVID-19差距的短期影响，同时倡导结构性变革。
The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected racial and ethnic minority groups, with high rates of death in African American, Native American, and LatinX communities. Although the mechanisms of these disparities are being investigated, they can be conceived as arising from biomedical factors as well as social determinants of health. Minority groups are disproportionately affected by chronic medical conditions and lower access to healthcare that may portend worse COVID-19 outcomes. Furthermore, minority communities are more likely to experience living and working conditions that predispose them to worse outcomes. Underpinning these disparities are long-standing structural and societal factors that the COVID-19 pandemic has exposed. Clinicians can partner with patients and communities to reduce the short-term impact of COVID-19 disparities while advocating for structural change.