Structural racial discrimination Long in the US (US) Contributed By reducing medical access and economic inequality, the health imbalance of a small number of communities. COVID-19 Pandemic It has worsened These problems experienced by ethnic and ethnic minorities Higher rates Serious diseases, loss of occupation and poor living conditions.
For more than 9 million veterans, there are more Veterans Health (VHA) It is racially and racially. In addition, VHA registrants tend to have A There is a high number of accompanying diseases and a serious risk of serious Covid-19 diseases. Compared to the general population of the United States. Previous research was found to be a small number of veterans. Unbalanced Due to the excess mortality rate during the covid-19 pandemic, the work did not explain the fundamental health of the Veteran soldiers, such as a group level of group level of the accompanying disease burden.
New research:
In the study “Covid-19 Pandemic period during the period“The researchers have investigated how infectious diseases have unbalanced the veterans who have been critical of other races and ethnic backgrounds. Existing workUsing a longer period of time and previously proven approaches, we identify excessive mortality due to Covid-19 Pandemic. Excess mortality is the number of deaths of certain time (eg, infectious diseases) rather than expected according to the historical average.
methods:
Researchers queryed national data VHA’s Company Data Warehouse Veteran population statistics (e.g. race/ethnic, age) and other characteristics This was previously related to the risk of death (for example, service connection disorders, major accompanying diseases). Using the proven death risk prediction model Anticipated The mortality rate of a veteran soldier who uses five years of nodules and controls the burden of disease. Once it was established, it was used to create a model. prediction The veteran mortality rate of the epidemic era (March to December 2020) estimates the excess mortality rate of each race/national group.
result :
In order to fill the mortality risk prediction model, researchers analyzed the data of about 9.3 million unique Veterans who were treated in VHA between 2016 and 2020, excluding racial/people or county information missing.
During the epidemic period from March to December 2020, they were 7.8 million veterans and 261,523 veteran deaths. Overall, the mortality rate of Veterans was 16% higher than normal during the epidemic period, which is an excess of 42,348 cases.
In the case of certain races and national groups, the excess mortality rate has increased significantly. Native Americans, Black and Hispanic Veterans faced excess mortality (40%, 32%, and 26%, respectively, compared to the lowest calculated excess mortality rate (17%) in the non -Hispanic veterans. But this inconsistency of the VHA was smaller than the US population.
conclusion:
The results of this study reflect the wider social inequalities worsened by infectious diseases. In order to solve this problem in VHA, it is essential to increase the funds for veteran -specific programs that expand health care services in the underprivileged and improve treatment access. Successful VHA’s remote health services are expanded Arrived at a small number of veterans In remote or rural areas, it is one of the effective strategies for guaranteeing medical treatment in a timely manner.
Establishment of target interventions such as community volunteer activities and culturally competent treatment can reduce imbalances and improve the health results of a small number of Veterans. The provider education program for cultural competencies Improve Patient provider interaction and treatment quality.
During the Covid-19 pandemic, VHA observed race and ethnic discretion in excessive mortality, and a few Veterans died at a higher rate than the white veterans. Although there have been progress in dealing with structural racism within the VHA, especially in the color community, treatment quality, delivery and approach should be further improved.
