通过Sundown城镇的结构性种族主义及其与COVID-19当地风险及其种族和民族多样性的关系
Yulin Hswen1,2, Franklin Yang3, Circe Le-Compte4
1Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Preventive medicine reports
|June 26, 2023
概括
历史上排除少数民族的日落城镇今天显示出更少的多样性和更低的COVID-19风险. 这些地区延续了种族隔离,影响了种族和民族少数群体目前的健康不平等.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康 公平 卫生 公平
背景情况:
- 历史上,日落城镇强制执行种族排斥,迫使少数民族在黑夜后离开.
- 这种隔离的遗产可能会影响当今的社区健康结果.
- 了解历史隔离在健康差异中的作用对于公共卫生干预至关重要.
研究的目的:
- 为了检查日落城镇地位和COVID-19风险之间的关系.
- 探索历史上的种族隔离如何影响当前的种族和民族多样性.
- 分析日落城镇对当今公共卫生指标的影响.
主要方法:
- 使用了多层次的层次模型.
- 编制了美国2400多个日落城镇的目录.
- 分析了日落城镇地位,COVID-19本地风险指数和城市层面的多样性之间的相关性.
主要成果:
- 日落城镇的种族和民族多样性明显较低.
- 这些历史上排斥的城镇的COVID-19局部风险指数较低.
- 调查结果表明,日落城镇延续了隔离,影响了当前的健康不平等.
结论:
- 日落城镇继续影响社区层面的不平等对少数群体的COVID-19风险.
- 公共卫生官员应优先为历史上隔离的少数民族地区提供资源.
- 解决结构性种族主义问题对于风险社区的流行病准备是必不可少的.
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