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[社会不平等与新冠疫情:大流行的社会流行病学视角]

[Social Inequalities and COVID-19: Social-Epidemiological Perspectives on the Pandemic].

作者信息

Wachtler Benjamin, Hoebel Jens

机构信息

Fachgebiet Soziale Determinanten der Gesundheit, Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, Berlin.

出版信息

Gesundheitswesen. 2020 Sep;82(8-09):670-675. doi: 10.1055/a-1226-6708. Epub 2020 Aug 28.

Abstract

The new Coronavirus Disease (COVID-19) hits specific population groups harder than others. However, social-epidemiological patterns of the pandemic which go beyond differences by age and gender have hardly been addressed in Germany. First reports from other western industrialised countries indicate that people living in socioeconomically deprived areas and people of color have an increased risk of severe COVID-19 progression and mortality. Social inequalities in the risk of infection due to different living and working conditions, and social inequalities in the susceptibility and risk factors for severe COVID-19, particularly in pre-existing medical conditions, might play an important role in explaining those findings. Such inequalities are well established for Germany, as well. It can therefore be assumed that also in Germany people with a lower socioeconomic status might be more affected during the further course of the pandemic. In addition, the interventions to contain the pandemic might have unequal social, economic and psychological impacts on different social groups. Hence, the COVID-19 pandemic has the overall potential to increase social and health inequalities. Social-epidemiological research into COVID-19 is therefore needed to advance measures of health protection and infection control in an evidence-based, targeted and socially equitable manner.

摘要

新型冠状病毒病(COVID-19)对特定人群的影响比对其他人群更为严重。然而,德国几乎未探讨过该大流行病超越年龄和性别差异的社会流行病学模式。其他西方工业化国家的初步报告表明,生活在社会经济贫困地区的人群以及有色人种感染COVID-19后病情严重发展和死亡的风险更高。由于生活和工作条件不同导致的感染风险方面的社会不平等,以及COVID-19严重程度的易感性和风险因素方面的社会不平等,尤其是在既有医疗状况方面,可能在解释这些发现中发挥重要作用。这种不平等在德国也很普遍。因此可以假定,在德国,社会经济地位较低的人群在大流行病的后续发展过程中可能受到更大影响。此外,遏制大流行病的干预措施可能对不同社会群体产生不平等的社会、经济和心理影响。因此,COVID-19大流行病总体上有可能加剧社会和健康不平等。因此,需要对COVID-19进行社会流行病学研究,以便以循证、有针对性和社会公平的方式推进健康保护和感染控制措施。

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