COVID-19;
Healthcare disparity;
Health policy;
Equity-Structural racism;
Minority groups;
Vaccine;
D O I:
10.1016/j.jnma.2021.01.001
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Minority groups continue to suffer disproportionately from COVID-19's impact, with Blacks and Hispanics three times more likely to die from the disease than their White counterparts. The COVID-19 vaccine roll out has the potential to provide relief to these most adversely impacted communities. However, historic mistrust within racial minority communities threatens to derail the effective implementation of a vaccination program. The origin of this mistrust is multifactorial. Current day experience with structural racism and research abuses like Tuskegee Study collectively influence our perception of biased healthcare system. We outline issues and propose solutions that must be addressed to achieve a successful vaccination agenda. Mishandling of public expectations at any point may lead to an avalanche of vaccine opposition which might be unrecoverable.
机构:Capital Medical University,Department of Respiratory Medicine, Beijing Children’s Hospital, China National Clinical Research Center of Respiratory Diseases, National Center for Children’s Health
Feng-Xia Xue
Kun-Ling Shen
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h-index: 0
机构:Capital Medical University,Department of Respiratory Medicine, Beijing Children’s Hospital, China National Clinical Research Center of Respiratory Diseases, National Center for Children’s Health
机构:
Sapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, ItalySapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, Italy
De Michele, Manuela
Kahan, Joshua
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h-index: 0
机构:
Weill Cornell Med, Clin & Translat Neurosci Unit, Dept Neurol, Fell Family Brain & Mind Res Inst, New York, NY 10065 USASapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, Italy
Kahan, Joshua
Berto, Irene
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h-index: 0
机构:
Sapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, ItalySapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, Italy
Berto, Irene
Schiavo, Oscar G.
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h-index: 0
机构:
Sapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, ItalySapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, Italy
Schiavo, Oscar G.
Iacobucci, Marta
论文数: 0引用数: 0
h-index: 0
机构:
Sapienza Univ Rome, Dept Human Neurosci, Neuroradiol Unit, Rome, ItalySapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, Italy
Iacobucci, Marta
Toni, Danilo
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h-index: 0
机构:
Sapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, ItalySapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, Italy
Toni, Danilo
Merkler, Alexander E.
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Clin & Translat Neurosci Unit, Dept Neurol, Fell Family Brain & Mind Res Inst, New York, NY 10065 USASapienza Univ Rome, Emergency Dept, Stroke Unit, Rome, Italy