Addressing Racial and Ethnic Disparities in COVID-19 Among School-Aged Children: Are We Doing Enough?
Addressing Racial and Ethnic Disparities in COVID-19 Among School-Aged Children: Are We Doing Enough?
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DOI：
10.5888/pcd18.210084
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发表时间：
2021-06-03
影响因子：
5.5
通讯作者：
Coronado F
中科院分区：
文献类型：
--
作者：
White A;Liburd LC;Coronado F
COVID-19对西班牙裔、非西班牙裔黑人和非西班牙裔美洲印第安人/阿拉斯加土著儿童和青少年的不成比例的影响和相关差异已有记录。要缩小这些差距，同时克服疫情带来的意想不到的负面后果，如面对面教育中断，就需要开展广泛的社区合作，采取细致入微的方法。根据全国调查数据，一些种族和少数民族的儿童肥胖、哮喘、2型糖尿病和高血压的患病率较高；被诊断为COVID-19的频率更高；与非西班牙裔白人（NHW）相比，结果更严重。此外，与NHW儿童相比，来自某些种族和少数民族群体的儿童生活在收入低于联邦贫困水平200%的家庭或生活在缺乏稳定就业的家庭中的比例更高。与非裔美国人相比，来自某些种族和少数民族群体的儿童也更有可能通过在线学习上学。由于这些差异的根本原因是复杂和多因素的，因此需要采取有组织的以社区为基础的方法，在地方卫生部门、地方学校系统和其他公共和私人组织之间实现更积极和持续的合作，以追求卫生公平。本文总结了潜在的以社区为基础的健康促进战略，以解决COVID-19结果中的种族和民族差异以及儿童和青少年之间的教育不平等问题，特别是在实施战略伙伴关系方面，包括最初的集体工作、基于结果的活动和沟通。这些合作可以促进学校系统的政策、制度和环境变化，在面临公共卫生危机时支持应急准备、恢复和复原力。
The disproportionate impact of COVID-19 and associated disparities among Hispanic, non-Hispanic Black, and non-Hispanic American Indian/Alaska Native children and teenagers has been documented. Reducing these disparities along with overcoming unintended negative consequences of the pandemic, such as the disruption of in-person schooling, calls for broad community-based collaborations and nuanced approaches. Based on national survey data, children from some racial and ethnic minority groups have a higher prevalence of obesity, asthma, type 2 diabetes, and hypertension; were diagnosed more frequently with COVID-19; and had more severe outcomes compared with their non-Hispanic White (NHW) counterparts. Furthermore, a higher proportion of children from some racial and ethnic minority groups lived in families with incomes less than 200% of the federal poverty level or in households lacking secure employment compared with NHW children. Children from some racial and ethnic minority groups were also more likely to attend school via online learning compared with NHW counterparts. Because the root causes of these disparities are complex and multifactorial, an organized community-based approach is needed to achieve greater proactive and sustained collaborations between local health departments, local school systems, and other public and private organizations to pursue health equity. This article provides a summary of potential community-based health promotion strategies to address racial and ethnic disparities in COVID-19 outcomes and educational inequities among children and teens, specifically in the implementation of strategic partnerships, including initial collective work, outcomes-based activities, and communication. These collaborations can facilitate policy, systems, and environmental changes in school systems that support emergency preparedness, recovery, and resilience when faced with public health crises.
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DOI：
10.15585/mmwr.mm6942e1
发表时间：
2020-10-23
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Gold JAW;Rossen LM;Ahmad FB;Sutton P;Li Z;Salvatore PP;Coyle JP;DeCuir J;Baack BN;Durant TM;Dominguez KL;Henley SJ;Annor FB;Fuld J;Dee DL;Bhattarai A;Jackson BR
通讯作者：
Jackson BR
DOI：
10.1177/0020731415585986
发表时间：
2015
期刊：
International journal of health services : planning, administration, evaluation
影响因子：
--
作者：
Hahn RA;Truman BI
通讯作者：
Truman BI
影响因子：
33.9
作者：
Czeisler, Mark E.;Lane, Rashon, I;Rajaratnam, Shantha M. W.
通讯作者：
Rajaratnam, Shantha M. W.
影响因子：
12.7
作者：
Cohen, Alison Klebanoff;Syme, S. Leonard
通讯作者：
Syme, S. Leonard
影响因子：
8
作者：
Berry, Jay G.;Bloom, Sheila;Palfrey, Judith S.
通讯作者：
Palfrey, Judith S.