The COVID‐19 pandemic retells a story that other diseases like HIV, diabetes, and cancer have clearly internationally illustrated. Minorities in developed countries across the globe – especially those of African, Hispanic, and Native American descent – suffer a greater burden of disease than whites. The evidence of the cause and effect relationship of racism on mental and minority health outcomes is staggering. Racism and its influence on policy and important structural systems allow health inequities across racial and ethnic groups to persist. What’s more troubling is how systemic racism impacts children from all races and has been perpetuated across many generations dating back hundreds of years. The impact of racial oppression is seen through intergenerational trauma which impacts youth in varying ways. For this article, we offer three areas in which racism causes healthcare disparities, intergenerational trauma, social determinants, and cultural mistrust. Effective policy change and a greater level of accountability must be placed on major systems including health care, to most fully counter racism’s varied role in sustaining mental health inequities.

中文翻译：

---

辩论：暴露出最严重的弱点-种族主义在COVID-19时代对健康的影响。

COVID-19大流行病重述了一个故事，其他疾病如HIV，糖尿病和癌症已在国际上清楚地说明过。全球发达国家的少数民族，尤其是非洲裔，西班牙裔和美国原住民裔，比白人遭受更大的疾病负担。种族主义对心理和少数群体健康结局的因果关系的证据令人震惊。种族主义及其对政策和重要结构体系的影响使种族和族裔群体之间的健康不平等现象继续存在。更令人不安的是，系统性种族主义如何影响各个种族的儿童，这种现象已经延续了数百年。通过代际创伤可以看出种族压迫的影响，代际创伤以各种方式影响青年。对于本文，我们提供了三个领域，其中种族主义导致医疗保健差异，代际创伤，社会决定因素和文化上的不信任。必须对包括卫生保健在内的主要系统进行有效的政策变更和更高级别的问责制，以最充分地消除种族主义在维持精神卫生不平等方面的各种作用。