While most children with coronavirus 2019 (COVID-19) experience mild illness, some are vulnerable to severe disease and develop long-term complications. Children with disabilities, those from lower-income homes, and those from racial and ethnic minority groups are more likely to be hospitalized and to have poor outcomes following an infection. For many of these same children, a wide range of social, economic, and environmental disadvantages have made it more difficult for them to access COVID-19 vaccines. Ensuring vaccine equity in children and decreasing health disparities promotes the common good and serves society as a whole. In this article, we discuss how the pandemic has exposed long-standing injustices in historically marginalized groups and provide a summary of the research describing the disparities associated with COVID-19 infection, severity, and vaccine uptake. Last, we outline several strategies for addressing some of the issues that can give rise to vaccine inequity in the pediatric population.

中文翻译：

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儿科 COVID-19 健康差异和疫苗公平性。

虽然大多数感染 2019 年冠状病毒 (COVID-19) 的儿童病情较轻，但有些儿童很容易患上严重疾病并出现长期并发症。残疾儿童、来自低收入家庭的儿童以及来自少数种族和族裔群体的儿童感染后更有可能住院治疗并且预后不佳。对于这些儿童中的许多人来说，广泛的社会、经济和环境劣势使他们更难获得 COVID-19 疫苗。确保儿童接种疫苗的公平性并减少健康差异可促进共同利益并服务于整个社会。在这篇文章中，我们讨论了大流行如何暴露了历史上被边缘化的群体中长期存在的不公正现象，并提供了描述与 COVID-19 感染相关的差异的研究摘要，严重程度和疫苗接种率。最后，我们概述了解决可能导致儿科人群疫苗不公平的一些问题的几种策略。