The COVID-19 pandemic has threatened the health, longevity, and financial and emotional security of millions of people in the United States and worldwide. As of late November 2020, more than 13 million Americans had contracted COVID-19, and more than 260,000 had died from the disease (Centers for Disease Control and Prevention, 2020). Worldwide, more than 60 million cases and 1.4 million deaths were recorded as of that time. In the United States, the death toll has been largest among older adults, who are vulnerable not only to the virus, but to the social isolation, stigmatization, and suffering the pandemic has wrought. According to the Centers for Disease Control and Prevention (CDC), adults aged 65 and older make up 16% of the U.S. population, yet account for one third of all COVID-19 cases, half of the related hospitalizations and ICU admissions, and a staggering 80% of deaths associated with the virus. Yet these statistical snapshots belie vast disparities. COVID-19 is not egalitarian in its targets or consequences. Rather, those older adults who face other vulnerabilities, such as economic precarity, lifelong exposure to systematic racism, social and technological isolation, and the stressors imposed by roles like caregiving, are especially at risk of compromised well-being and hastened death.

中文翻译：

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COVID-19：老年人的趋势，差异和后果

COVID-19大流行威胁了美国乃至全球数百万人的健康，寿命以及财务和情感安全。截至2020年11月下旬，已有超过1300万美国人感染了COVID-19，并且有260,000多人死于该疾病（疾病控制与预防中心，2020年）。截止到那时，全球记录在案的病例超过6000万，死亡140万人。在美国，死亡人数是老年人中最大的，他们不仅容易受到病毒的侵害，而且容易受到社会孤立，污名化和大流行病的折磨。根据疾病预防控制中心（CDC）的数据，年龄在65岁以上的成年人占美国人口的16％，但占所有COVID-19病例的三分之一，一半的相关住院和重症监护病房（ICU）入院，以及令人震惊的80％与病毒有关的死亡。然而，这些统计快照掩盖了巨大的差异。COVID-19在目标或后果上不是平等主义者。相反，那些面临其他脆弱性的老年人，特别是面临经济脆弱性，终身遭受系统种族主义侵害，社会和技术孤立，以及照料等角色所施加的压力的脆弱性，尤其面临着福祉受损和死亡加速的风险。