COVID-19 has evolved rapidly into a pandemic with global impacts. However, as the pandemic has developed, it has become increasingly evident that the risks of COVID-19, both in terms of infection rates and particularly of severe complications, are not equal across all members of society. While general risk factors for hospital admission with COVID-19 infection include age, male sex and specific comorbidities (eg, cardiovascular disease, hypertension and diabetes), there is increasing evidence that people identifying with Black, Asian and Minority Ethnic (BAME) groupsi have disproportionately higher risks of being adversely affected by COVID-19 in the UK and the USA. The ethnic disparities include overall numbers of cases, as well as the relative numbers of critical care admissions and deaths.1 In the area of mental health, for people from BAME groups, even before the current pandemic there were already significant mental health inequalities.2 These inequalities have been increased by the pandemic in several ways. The constraints of quarantine have made access to traditional face-to-face support from mental health services more difficult in general. This difficulty will increase pre-existing inequalities where there are challenges to engaging people in care and in providing early access to services. The restrictions may also reduce the flexibility of care offers, given the need for social isolation, limiting non-essential travel and closure of routine clinics. The service impacts are compounded by constraints on the use of non-traditional or alternative routes to care and support. In addition, there is growing evidence of specific mental health consequences from significant COVID-19 infection, with increased rates …

中文翻译：

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COVID-19，心理健康和少数民族。

COVID-19已迅速演变为具有全球影响的大流行病。但是，随着大流行的发展，越来越明显的是，就感染率，尤其是严重并发症而言，COVID-19的风险在社会所有成员中并不平等。虽然因COVID-19感染而入院的一般危险因素包括年龄，男性性别和特定合并症（例如心血管疾病，高血压和糖尿病），但越来越多的证据表明，认同黑人，亚洲人和少数民族（BAME）的人有在英国和美国，受到COVID-19不利影响的风险要高得多。种族差异包括病例总数，以及重症监护病房和死亡人数的相对数量。1在精神卫生领域，对于来自BAME组的人来说，甚至在当前的大流行之前，就已经存在严重的心理健康不平等。2大流行使这些不平等现象以多种方式加剧。一般而言，由于检疫的限制，很难从心理健康服务机构获得传统的面对面支持。在使人们参与护理和提供早期获得服务方面存在挑战时，这种困难将加剧先前存在的不平等。鉴于需要社会隔离，限制不必要的旅行和关闭常规诊所，这些限制还可能降低护理服务的灵活性。服务影响因使用非传统或替代途径进行护理和支持而受到限制。此外，