COVID-19: Growing Health Disparity Gaps and an Opportunity for Health Behavior Discovery?
COVID-19: Growing Health Disparity Gaps and an Opportunity for Health Behavior Discovery?
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DOI：
10.1089/heq.2020.0026
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发表时间：
2020-01-01
期刊：
影响因子：
2.7
通讯作者：
Powell-Wiley, Tiffany M.
中科院分区：
文献类型：
--
作者：
Farmer, Nicole;Wallen, Gwenyth R.;Powell-Wiley, Tiffany M.
最近，当前的冠状病毒病-2019年(新冠肺炎)在州一级大流行的种族和族裔差异受到了关注，并特别突出了围绕美国国内健康差异的持续问题。在围绕健康差距的讨论中，有一项讨论是关于心理社会压力在这次大流行中的作用，特别是广泛应用的社会疏远和孤立建议。在非大流行时期，心理社会应激源与生理反应和行为反应有显著的相关性。在当前的大流行中，人们越来越多地关注烹饪和体育活动等促进健康的行为。然而，基于结构性种族主义和对邻里环境的社会经济影响的差异，我们可能会看到，在一些不同的社区中，健康行为可能起到的缓解作用是有限的。我们从这个角度提出，行为干预可能在减轻心理社会应激源和促进健康行为方面发挥作用。在COIVD-19大流行期间，考虑在环境和感知障碍的背景下设计的多级行为干预措施的使用也可能是重要的。
Recently, racial and ethnic disparities within the current coronavirus disease-2019 (COVID-19) pandemic at the state level have received attention and notably highlight the ongoing issues surrounding health disparities within the United States. Among the discussions around health disparities lies a discussion on the role of psychosocial stress during this pandemic, especially with broadly applied social distancing and isolation recommendations. In nonpandemic times, psychosocial stressors have a significant association with physiological responses and behavioral responses. Within the current pandemic, increased attention on health-promoting behaviors, such as cooking and physical activity, has occurred. However, based on disparities from structural racism and socioeconomic effects on neighborhood environments, we may see a limiting value to the possible mitigating role of health behaviors within some disparate communities. We present in this perspective that there may be a role for behavioral interventions to mitigate psychosocial stressors and promote health behaviors. It may also be important to consider the use of multilevel behavioral interventions designed in the context of environmental and perceptual barriers during the COIVD-19 pandemic.