Structural Racism, Place, and COVID-19: A Narrative Review Describing How We Prepare for an Endemic COVID-19 Future.
Structural Racism, Place, and COVID-19: A Narrative Review Describing How We Prepare for an Endemic COVID-19 Future.
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正如最近的COVID-19所证明的那样，地点是健康的社会决定因素。先前关于美国健康差异的文献往往没有承认结构性种族主义对历史上边缘化社区（即黑人和非裔美国人社区、西班牙裔/拉丁裔社区、土著社区[即第一民族、美洲原住民、阿拉斯加原住民和夏威夷原住民]和太平洋岛民）基于地点的健康差异的作用。这篇叙述性综述总结了结构性种族主义和地方之间的交集，它们是造成COVID-19健康差异的因素。这一叙述审查说明了受结构性种族主义影响的独特的基于地方的卫生保健经验，包括卫生系统和服务以及物理环境。我们在在线数据库中搜索了同行评审和政府来源，这些来源是2000年至2021年间以英文发表的，与美国历史上边缘化社区中基于地方的卫生不平等有关。然后，我们叙述了结构性种族主义的历史轨迹与历史上边缘化社区当前COVID-19健康结果之间的联系。结构性种族主义很少被认为是地方作为健康的社会决定因素的一个因素。这篇叙述性回顾详细介绍了地方如何与结构性种族主义的结果错综复杂地交织在一起，重点关注一个人获得卫生系统和服务以及物质环境，包括室外空气和饮用水的机会。在2019冠状病毒病大流行期间，地域、健康差异和结构性种族主义的作用得到了赤裸裸的体现，历史上被边缘化的社区遭受了更高的2019冠状病毒病发病率和死亡率。随着COVID-19的流行，了解基于地方的不平等和结构性种族主义如何导致COVID-19在发病率和死亡率方面的种族差异至关重要。通过反种族主义政策战略解决结构性的基于地方的种族主义卫生不平等问题，是推动美国实现卫生平等的一种方式。
Place is a social determinant of health, as recently evidenced by COVID-19. Previous literature surrounding health disparities in the United States often fails to acknowledge the role of structural racism on place-based health disparities for historically marginalized communities (i.e., Black and African American communities, Hispanic/Latinx communities, Indigenous communities [i.e., First Nations, Native American, Alaskan Native, and Native Hawaiian], and Pacific Islanders). This narrative review summarizes the intersection between structural racism and place as contributors to COVID-19 health disparities. This narrative review accounts for the unique place-based health care experiences influenced by structural racism, including health systems and services and physical environment. We searched online databases for peer-reviewed and governmental sources, published in English between 2000 and 2021, related to place-based U.S. health inequities in historically marginalized communities. We then narrate the link between the historical trajectory of structural racism and current COVID-19 health outcomes for historically marginalized communities. Structural racism has infrequently been named as a contributor to place as a social determinant of health. This narrative review details how place is intricately intertwined with the results of structural racism, focusing on one's access to health systems and services and physical environment, including the outdoor air and drinking water. The role of place, health disparities, and structural racism has been starkly displayed during the COVID-19 pandemic, where historically marginalized communities have been subject to greater rates of COVID-19 incidence and mortality. As COVID-19 becomes endemic, it is crucial to understand how place-based inequities and structural racism contributed to the COVID-19 racial disparities in incidence and mortality. Addressing structurally racist place-based health inequities through anti-racist policy strategies is one way to move the United States toward achieving health equity.
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影响因子：
3.4
作者：
Bazzoli, Gloria J.;Lee, Woolton;Mobley, Lee Rivers
通讯作者：
Mobley, Lee Rivers
影响因子：
4.9
作者：
Baldwin, Laura-Mae;Hollow, Walter B.;Grossman, David C.
通讯作者：
Grossman, David C.
DOI：
10.3390/ijerph110909553
发表时间：
2014-09-15
影响因子：
--
作者：
Batterman S;Burke J;Isakov V;Lewis T;Mukherjee B;Robins T
通讯作者：
Robins T
影响因子：
--
作者：
Barber, Sharrelle
通讯作者：
Barber, Sharrelle
影响因子：
0.8
作者：
Carrera, Jennifer S.;Flowers, Catherine Coleman
通讯作者：
Flowers, Catherine Coleman