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Asian-Americans and Pacific Islanders in COVID-19: Emerging Disparities Amid Discrimination

Coronavirus disease 2019 (COVID-19) is a global pandemic. In the USA, the burden of mortality and morbidity has fallen on minority populations. The understanding of the impact of this pandemic has been limited in Asian-Americans and Pacific Islanders (AAPIs), though disaggregated data suggest dispro...

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Autores principales: Wang, Daniel, Gee, Gilbert C., Bahiru, Ehete, Yang, Eric H., Hsu, Jeffrey J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7531609/
https://www.ncbi.nlm.nih.gov/pubmed/33009656
http://dx.doi.org/10.1007/s11606-020-06264-5
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author Wang, Daniel
Gee, Gilbert C.
Bahiru, Ehete
Yang, Eric H.
Hsu, Jeffrey J.
author_facet Wang, Daniel
Gee, Gilbert C.
Bahiru, Ehete
Yang, Eric H.
Hsu, Jeffrey J.
author_sort Wang, Daniel
collection PubMed
description Coronavirus disease 2019 (COVID-19) is a global pandemic. In the USA, the burden of mortality and morbidity has fallen on minority populations. The understanding of the impact of this pandemic has been limited in Asian-Americans and Pacific Islanders (AAPIs), though disaggregated data suggest disproportionately high mortality rates. AAPIs are at high risk for COVID-19 transmission, in part due to their over-representation in the essential workforce, but also due to cultural factors, such as intergenerational residency, and other social determinants of health, including poverty and lack of health insurance. Some AAPI subgroups also report a high comorbidity burden, which may increase their susceptibility to more severe COVID-19 infection. Furthermore, AAPIs have encountered rising xenophobia and racism across the country, and we fear such discrimination only serves to exacerbate these rapidly emerging disparities in this community. We recommend interventions including disaggregation of mortality and morbidity data, investment in community-based healthcare, advocacy against discrimination and the use of non-inflammatory language, and a continued emphasis on underlying comorbidities, to ensure the protection of vulnerable communities and the navigation of this current crisis.
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spelling pubmed-75316092020-10-05 Asian-Americans and Pacific Islanders in COVID-19: Emerging Disparities Amid Discrimination Wang, Daniel Gee, Gilbert C. Bahiru, Ehete Yang, Eric H. Hsu, Jeffrey J. J Gen Intern Med Perspective Coronavirus disease 2019 (COVID-19) is a global pandemic. In the USA, the burden of mortality and morbidity has fallen on minority populations. The understanding of the impact of this pandemic has been limited in Asian-Americans and Pacific Islanders (AAPIs), though disaggregated data suggest disproportionately high mortality rates. AAPIs are at high risk for COVID-19 transmission, in part due to their over-representation in the essential workforce, but also due to cultural factors, such as intergenerational residency, and other social determinants of health, including poverty and lack of health insurance. Some AAPI subgroups also report a high comorbidity burden, which may increase their susceptibility to more severe COVID-19 infection. Furthermore, AAPIs have encountered rising xenophobia and racism across the country, and we fear such discrimination only serves to exacerbate these rapidly emerging disparities in this community. We recommend interventions including disaggregation of mortality and morbidity data, investment in community-based healthcare, advocacy against discrimination and the use of non-inflammatory language, and a continued emphasis on underlying comorbidities, to ensure the protection of vulnerable communities and the navigation of this current crisis. Springer International Publishing 2020-10-02 2020-12 /pmc/articles/PMC7531609/ /pubmed/33009656 http://dx.doi.org/10.1007/s11606-020-06264-5 Text en © Society of General Internal Medicine 2020
spellingShingle Perspective
Wang, Daniel
Gee, Gilbert C.
Bahiru, Ehete
Yang, Eric H.
Hsu, Jeffrey J.
Asian-Americans and Pacific Islanders in COVID-19: Emerging Disparities Amid Discrimination
title Asian-Americans and Pacific Islanders in COVID-19: Emerging Disparities Amid Discrimination
title_full Asian-Americans and Pacific Islanders in COVID-19: Emerging Disparities Amid Discrimination
title_fullStr Asian-Americans and Pacific Islanders in COVID-19: Emerging Disparities Amid Discrimination
title_full_unstemmed Asian-Americans and Pacific Islanders in COVID-19: Emerging Disparities Amid Discrimination
title_short Asian-Americans and Pacific Islanders in COVID-19: Emerging Disparities Amid Discrimination
title_sort asian-americans and pacific islanders in covid-19: emerging disparities amid discrimination
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7531609/
https://www.ncbi.nlm.nih.gov/pubmed/33009656
http://dx.doi.org/10.1007/s11606-020-06264-5
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