少数民族人口的老龄化与 COVID-19:完美风暴。

3区 医学 Current Epidemiology Reports Pub Date : 2021-01-01 Epub Date: 2021-03-16 DOI:10.1007/s40471-021-00267-4
Tubanji Walubita, Ariel Beccia, Esther Boama-Nyarko, Melissa Goulding, Carly Herbert, Jessica Kloppenburg, Guadalupe Mabry, Grace Masters, Asli McCullers, Sarah Forrester
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引用次数: 0

摘要

审查目的:COVID-19 是全球个人健康和福祉的一大隐患。随着 COVID-19 病例和死亡人数在美国的持续增加,老龄化的黑人和西班牙裔人群尤其容易受到 COVID-19 的影响,并容易出现严重的健康问题。本综述讨论了风化假说以及社会不平等对已发现的健康差异的影响:老龄化的少数群体在整个生命过程中经历了结构性和社会性的不平等。因此,这些人群经历了风化,这是一个由于长期处于不利地位所带来的压力而导致生理失调的过程。通过风化和持续的不平等,老龄化的少数群体暴露于 COVID-19 的风险增加,健康状况恶化。目前的综述假设并支持所观察到的差异是不平等现象造成的,这些不平等现象对黑人和西班牙裔人口的一生影响尤为严重。未来解决这些差异的努力应强调研究,以支持政府识别高危人群,为这些人群提供可获取的 COVID-19 相关信息,并实施政策以解决导致目前 COVID-19 差异长期存在的结构性和社会性不平等问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Aging and COVID-19 in Minority Populations: a Perfect Storm.

Purpose of review: COVID-19 is a major concern for the health and wellbeing of individuals worldwide. As COVID-19 cases and deaths continue to increase in the USA, aging Black and Hispanic populations have emerged as especially at-risk for increased exposure to COVID-19 and susceptibility to severe health outcomes. The current review discusses the weathering hypothesis and the influence of social inequality on the identified health disparities.

Recent findings: Aging minoritized populations have endured structural and social inequality over the lifecourse. Consequently, these populations experience weathering, a process that results in physiological dysregulation due to stress associated with persistent disadvantage. Through weathering and continued inequity, aging minoritized populations have an increased risk of exposure and poor health outcomes from COVID-19.

Summary: Current literature and available data suggests that aging minoritized persons experience high rates of COVID-19 morbidity and mortality. The current review hypothesizes and supports that observed disparities are the result of inequalities that especially affect Black and Hispanic populations over the lifecourse. Future efforts to address these disparities should emphasize research that supports governments in identifying at-risk groups, providing accessible COVID-19-related information to those groups, and implementing policy that addresses the structural and social inequities that perpetuate current COVID-19 disparities.

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Current Epidemiology Reports
Current Epidemiology Reports OTORHINOLARYNGOLOGY-
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