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评估COVID-19影响,疫苗接种,出生登记和在墨西哥恰帕斯州主要是土著人口中报告不足的情况
Elienai Joaquin-Damas1, Svenn-Erik Mamelund2, Benjamin M Schnneider3
1Centre for Research On Pandemics & Society (PANSOC), Oslo Metropolitan University, Oslo, Norway. ena_jda@outlook.com.
BMC infectious diseases
|December 3, 2024
概括
墨西哥土著社区的COVID-19病例和死亡人数报告不足. 低疫苗接种率与沟通障碍和原住民语言信息缺乏有关,突出了对文化定制健康战略的需求.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 在全球范围内,土著人口因边缘化和有限的医疗保健机会而经历健康差异.
- 在墨西哥,COVID-19大流行加剧了这些差异,墨西哥是美洲最大的土著人口的家园.
- 歧视和基本服务不足等因素加剧了大流行对土著社区的影响.
研究的目的:
- 为了调查COVID-19大流行对死亡率,接种疫苗的准入/接种和出生登记的影响,主要是墨西哥土著人口.
- 评估报告和实际COVID-19病例和死亡之间的差异.
- 在土著社区中识别疫苗接种和获得基本服务的障碍.
主要方法:
- 在奇亚帕斯州圣胡安查穆拉 (N=107) 的高中生中进行了一项在线调查.
- 该调查补充了流行病学和社会人口统计数据.
- 参与者来自墨西哥恰帕斯州一个主要的土著社区.
主要成果:
- 只有14%的受访者报告COVID-19感染,与官方数据相比,该地区的病例/死亡人数最低.
- 显著多数 (79.4%) 的受访者由于沟通障碍和当地语言信息缺乏而没有接种疫苗.
- 缺乏官方出生证明影响了5.6%的受访家庭成员和4.7%的社区居民,阻碍了获得基本服务的机会.
结论:
- 观察到土著社区的COVID-19病例和死亡人数显著不足,原因是诊断资源不足.
- 迫切需要文化敏感的公共卫生战略,整合土著语言和知识系统.
- 投资以土著语言教育对于改善土著人口的疫苗接种和公共卫生结果至关重要.
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