Unspoken Consequences of Structural Racism in the USA: Diabetes and COVID-19.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2024-10-01 Epub Date: 2023-07-17 DOI:10.1007/s40615-023-01722-2

Nicole Taikeff, Angela Achkar, Elie Naous, Joanna Mitri

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引用次数: 0

Abstract

Objectives: Black, Indigenous, and People of Color (BIPOC) are disproportionately impacted by the diabetes epidemic. This health inequity, aggravated by environmental, lifestyle, and genetic factors, has been further exacerbated by the COVID-19 pandemic. The increased risk of severe complications due to COVID-19 in BIPOC communities speaks to the importance of understanding the impacts of social and structural factors on health. This report aims to outline the connection between diabetes and vulnerability to COVID-19 through the lens of racism.

Study design: Review of original report and subsequent modeling and interpretations.

Methods: We reviewed and analyzed original data in relation to health inequity, diabetes, COVID-19, and BIPOC.

Results: This holistic approach framed the disproportionate prevalence of diabetes and vulnerability to COVID-19 not just as a health disparity, but as a health inequity.

Conclusion: Defining the relationship between diabetes, vulnerability to COVID-19, and systems of advantage, such as racism, can further support the design of health interventions and policies that reduce the disproportionate impact of these diseases on the health of BIPOC communities.

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美国结构性种族主义难以启齿的后果：糖尿病和 COVID-19。

目标：黑人、原住民和有色人种 (BIPOC) 受到糖尿病流行的影响尤为严重。环境、生活方式和遗传因素加剧了这种健康不平等，而 COVID-19 的流行则进一步加剧了这种不平等。在 BIPOC 社区，COVID-19 导致严重并发症的风险增加，这说明了解社会和结构因素对健康影响的重要性。本报告旨在从种族主义的角度概述糖尿病与 COVID-19 易感性之间的联系：研究设计：回顾原始报告及随后的建模和解释：方法：我们回顾并分析了与健康不平等、糖尿病、COVID-19 和 BIPOC 相关的原始数据：结果：这一综合方法不仅将糖尿病的高发病率和 COVID-19 的易感性归结为健康差异，还将其归结为健康不公平：定义糖尿病、易感染 COVID-19 和种族主义等优势系统之间的关系，可以进一步支持健康干预措施和政策的设计，从而减少这些疾病对黑人、印度裔和其他少数族裔群体健康的过度影响。

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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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.