The coronavirus disease (COVID-19) has critically impacted global health systems and economies, especially in developing countries. Those countries have been struggling to address the preexisting burden of diseases with limited resources, which will become even more challenging during COVID-19. The economic implications related to COVID-19 in those countries include a high cost of care, market failures in pluralistic health systems, high out-of-pocket expenses, the added burden of noncommunicable diseases, missed economic opportunities, and socioeconomic consequences like unemployment and poverty. It is essential to assess the prevalent gaps, mobilize resources, strengthen health systems financing and leadership, enhance research capacities informing evidence-based policymaking, and foster effective partnerships for addressing health and economic disparities due to COVID-19.
COVID-19 pandemic is affecting mental health and wellbeing across populations. The continued burden of psychosocial stressors in different contexts necessitates multipronged interventions that address mental health problems and associated disparities. Global evidence suggests that social capital plays a critical role in determining mental health outcomes in communities, which can be leveraged for improving mental health in COVID-19. As communities with better social capital is likely to have a lower burden of mental disorders, it is necessary to assess potential measures to use social capital for mental health promotion in vulnerable populations. The existing forms of social capital may provide social support within and between communities that are critically affected by COVID-19. Alongside faster recovery from socioeconomic challenges, social capital interventions may strengthen the social determinants of mental health and empower communities to alleviate the psychosocial consequences of this pandemic.
Background: Syndemics or synergies of cooccurring epidemics are widely studied across health and social sciences in recent years. Methods: We conducted a meta-knowledge analysis of articles published between 2001 to 2020 in this growing field of academic scholarship. Results: We found a total of 830 articles authored by 3025 authors, mostly from high-income countries. Publications on syndemics are gradually increasing since 2003, with rapid development in 2013. Each article was cited more than 15 times on average, and most (n = 604) articles were original studies. Syndemics research focused on several areas, including HIV/AIDS, substance abuse, mental health, gender minority stressors, racism, violence, chronic physical and mental disorders, food insecurity, social determinants of health, and coronavirus disease 2019. Moreover, biopsychosocial interactions between multiple health problems were studied across medical, anthropological, public health, and other disciplines of science. Conclusions: The limited yet rapidly evolving literature on syndemics informs transdisciplinary interests to understand complex coexisting health challenges in the context of systematic exclusion and structural violence in vulnerable populations. The findings also suggest applications of syndemic theory to evaluate clinical and public health problems, examine the socioecological dynamics of factors influencing health and wellbeing, and use the insights to alleviate health inequities in the intersections of synergistic epidemics and persistent contextual challenges for population health.
Background: Syndemics or synergies of cooccurring epidemics are widely studied across health and social sciences in recent years. Methods: We conducted a meta-knowledge analysis of articles published between 2001 to 2020 in this growing field of academic scholarship. Results: We found a total of 830 articles authored by 3025 authors, mostly from high-income countries. Publications on syndemics are gradually increasing since 2003, with rapid development in 2013. Each article was cited more than 15 times on average, and most (n = 604) articles were original studies. Syndemics research focused on several areas, including HIV/AIDS, substance abuse, mental health, gender minority stressors, racism, violence, chronic physical and mental disorders, food insecurity, social determinants of health, and coronavirus disease 2019. Moreover, biopsychosocial interactions between multiple health problems were studied across medical, anthropological, public health, and other disciplines of science. Conclusions: The limited yet rapidly evolving literature on syndemics informs transdisciplinary interests to understand complex coexisting health challenges in the context of systematic exclusion and structural violence in vulnerable populations. The findings also suggest applications of syndemic theory to evaluate clinical and public health problems, examine the socioecological dynamics of factors influencing health and wellbeing, and use the insights to alleviate health inequities in the intersections of synergistic epidemics and persistent contextual challenges for population health.
Mental disorders are highly prevalent in different population groups in Bangladesh. Effective policymaking and evaluation may need economic evidence on complex mental health problems. In this systematic review, we aimed to evaluate the current evidence on the economic burden of mental disorders in Bangladesh. We searched six major databases and additional sources using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We included studies that were published in English, as peer-reviewed articles, reported any economic burden of any mental disorders, and focused on the Bangladeshi population. Among a total of 1241 citations, no study met our criteria. This scarcity of evidence on the economic burden of mental disorders can be attributable to many factors, including a suboptimal state of research in mental health, lack of institutional and national priorities on mental health economic research, and lack of capacities or resources to improve knowledge. Future efforts should aim at strengthening research capacities, providing resources, prioritizing mental health research, improving collaboration, and effective policymaking and strategic planning to promote mental health economic research in the context of Bangladesh.
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