The coronavirus disease 2019 (COVID-19) pandemic is shining a spotlight on health disparities that have long been overlooked in our society. The intersection between Adverse Childhood Experiences (ACEs), longstanding health disparities, and COVID-19 cannot be ignored. The accumulation of traumatic events throughout the childhood and adolescent years can cause toxic stress in the absence of supportive adults. This repetitive activation of the stress response system can be a catalyst to long-term, negative effects on both the body and brain. A major factor to appreciate is that ACEs do not affect all populations equally. ACEs disproportionately affect groups that have been historically oppressed. The current COVID-19 pandemic highlights this point when observing both case rates and fatality rates of the virus and has the potential to create a new series of long-term health conditions that will disproportionately affect marginalized communities. A foundational first and critical step of adopting a trauma-informed approach will help lead to system change, advance equity, and create a setting of mutuality and empowerment for our patients.

2019 年冠状病毒病 (COVID-19) 大流行让我们社会长期以来忽视的健康差异成为人们关注的焦点。不良童年经历 (ACE)、长期存在的健康差异和 COVID-19 之间的交叉不容忽视。在缺乏成人支持的情况下，整个童年和青少年时期创伤事件的积累可能会导致毒性压力。压力反应系统的这种重复激活可能会成为对身体和大脑产生长期负面影响的催化剂。需要注意的一个主要因素是 ACE 不会平等地影响所有人群。 ACE 对历史上受压迫的群体产生了不成比例的影响。当前的 COVID-19 大流行在观察病毒的发病率和死亡率时凸显了这一点，并有可能造成一系列新的长期健康状况，对边缘化社区产生不成比例的影响。采用创伤知情方法的基础性第一步和关键步骤将有助于导致系统变革，促进公平，并为我们的患者创造一个相互关系和赋权的环境。