美国的COVID-19缓解政策,政治和结构脆弱性
Lisa Cacari Stone1, Blake Boursaw1, Usamah Wasif2
1The University of New Mexico, Albuquerque, NM, USA.
概括
由于社会决定因素,COVID-19死亡率不成比例地影响了弱势群体. 政治因素和社会脆弱性影响了疫情应对的有效性,突出了结构性变革的必要性.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 卫生社会学 卫生社会学
背景情况:
- 美国COVID-19疫情揭示了患病率和死亡率的巨大差异.
- 种族和少数民族群体面临不成比例的高病例和死亡率,以及较早的死亡率.
- 政府对疫情的反应在各州之间不一致,联邦行动延迟.
研究的目的:
- 调查COVID-19健康结果的政治,结构和政策决定因素.
- 检查政府应对措施和社会脆弱性对流行病结果的综合影响.
- 了解公共卫生紧急情况期间政治动态和健康的社会决定因素之间的相互作用.
主要方法:
- 利用统计和计量经济学建模技术.
- 分析了与COVID-19大流行相关的公共使用数据.
- 检查了国家层面的政策变化及其对健康结果的影响.
主要成果:
- 党派和政治意识形态显著影响了州级的流行病反应.
- 以前存在的社会脆弱性影响了政府干预的有效性.
- 包容性决策优先考虑受影响社区与更好的流行病应对相关.
结论:
- 解决结构性脆弱性对于减轻流行病伤害至关重要.
- 包容性的政府流程提高了对流行病的准备和应对.
- 未来的流行病准备需要将政治动态与健康的社会决定因素相结合.
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