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至关重要但被低估:新冠疫情时代非裔美国女性的健康差距

'Essential and undervalued: health disparities of African American women in the COVID-19 era'.

机构信息

Department of Sociology, Mount St. Mary's University, Emmitsburg, Maryland.

出版信息

Ethn Health. 2021 Jan;26(1):68-79. doi: 10.1080/13557858.2020.1843604. Epub 2020 Nov 15.

Abstract

OBJECTIVES

Transforming the landscape of American healthcare, COVID-19 has had unprecedented effects on the African American community. African Americans are more likely to contract COVID-19, develop complications and die from the virus. Amid the growing research on COVID-19, this manuscript pays particular attention to African American women who are disproportionately represented as 'essential' or frontline workers, yet often lack job security and risk contagion. Faced with limited testing centers, they are also at risk of having their symptoms minimized or dismissed by medical practitioners even when they show visible symptoms of COVID-19.

METHODS

Using the theoretical framework of intersectionality developed by scholars like Kimberlé Crenshaw and Patricia Hill Collins, this manuscript examines the impact of COVID-19 on African American women. It emphasizes that African American women are vulnerable to COVID-19 due to the twin legacies of racism and sexism. Intersectionality theory espouses that racism and sexism often combine with social determinants of health such as economic stability and socio-environmental factors to shape health outcomes. Within the context of COVID-19, this work underscores that African American women are susceptible to the virus due to their higher likelihood of co-morbidities like obesity, diabetes and high blood pressure. They are also likely to face eviction and homelessness if they are laid off or furloughed as a result of the pandemic.

CONCLUSION

This manuscript asserts that decades of racism and discrimination have isolated communities of color and made them particularly vulnerable to the COVID-19 virus. As many African American women deal with unemployment or continue to work as 'essential workers', the intersectionality framework sheds light on the continued legacies of racism and sexism. It asserts that targeted policy interventions are needed to mitigate the effects of COVID-19 and lessen the devastating impact(s) it has had on African American communities.

摘要

目的

新冠疫情改变了美国医疗保健的格局,对非裔美国人社区产生了前所未有的影响。非裔美国人更有可能感染新冠病毒、出现并发症并死于该病毒。在对新冠疫情的研究不断增加的情况下,本文特别关注非裔美国女性,她们不成比例地成为“必要”或一线工人,但往往缺乏工作保障,面临感染风险。由于检测中心有限,当她们出现明显的新冠病毒症状时,她们也有可能被医务人员最小化或忽视这些症状。

方法

本文使用金伯利·克伦肖和帕特里夏·希尔·柯林斯等学者提出的交叉性理论框架,考察新冠疫情对非裔美国女性的影响。它强调,由于种族主义和性别歧视的双重遗产,非裔美国女性更容易感染新冠病毒。交叉性理论主张,种族主义和性别歧视通常与健康的社会决定因素(如经济稳定和社会环境因素)相结合,从而影响健康结果。在新冠疫情的背景下,这项工作强调,由于肥胖、糖尿病和高血压等合并症的可能性更高,非裔美国女性更容易感染病毒。如果她们因疫情而被解雇或休假,她们也有可能面临被驱逐和无家可归的风险。

结论

本文断言,几十年来的种族主义和歧视使有色人种社区孤立无援,使他们特别容易感染新冠病毒。随着许多非裔美国女性失业或继续作为“必要工人”工作,交叉性框架揭示了种族主义和性别歧视的持续影响。它断言,需要采取有针对性的政策干预措施来减轻新冠疫情的影响,并减轻其对非裔美国社区造成的破坏性影响。

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