Social Determinants and COVID‐19 Disparities: Differential Pandemic Effects and Dynamics

McNeely, Connie L.; Schintler, Laurie A.; Stabile, Bonnie

doi:10.1002/wmh3.370

Cited by 77 publications

(71 citation statements)

References 21 publications

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“…22 , 23 , 24 , 25 , 26 In countries everywhere, infection rates of certain diseases are disproportionately high in socially disadvantaged and underserved groups, negatively impacting health and well-being and driving individuals and communities into cycles of illness and poverty. 27 …”

Section: Social Factors and Covid-19mentioning

confidence: 99%

Different disease, same challenges: Social determinants of tuberculosis and COVID-19

Duarte¹,

Aguiar²,

Pinto³

et al. 2021

Pulmonology

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Infectious diseases, such as tuberculosis (TB) and the novel coronavirus (COVID-19) relate to environmental factors, understanding of which is essential to inform policy and practice and tackle them effectively. The review follows the conceptual framework offered by the World Health Organization Commission on Social Determinants of Health (defined as “all those material, psychological and behavioural circumstances linked to health and generically indicated as risk factors’ in the conventional epidemiological language”). It describes the social factors behind TB and COVID-19, the commonalities between the two diseases, and what can be learned so far from the published best practices. The social determinants sustaining TB and COVID-19 underline the importance of prioritising health and allocating adequate financial and human resources to achieve universal health coverage and health-related social protection while addressing the needs of vulnerable populations. Rapid and effective measures against poverty and other major social determinants and sources of inequality are urgently needed to develop better health in the post-COVID-19 world.

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Section: Social Factors and Covid-19mentioning

confidence: 99%

Different disease, same challenges: Social determinants of tuberculosis and COVID-19

Duarte¹,

Aguiar²,

Pinto³

et al. 2021

Pulmonology

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“…Second, we envision the COVID-19 pandemic, regardless of disease status, as a stressful life event that results in experiences of stress [ 134 , 135 , 136 ] and has a bidirectional relationship with the determinants of health, including stigma . Specifically, pandemic-related effects that are particularly salient among communities of color and other vulnerable populations have included negative determinants of health, such as unemployment or underemployment, increased isolation, reduced educational opportunities, postponement of preventive care needs, reduced access to public transportation as well as free or subsidized meals, and increased stigma related to racial or cultural identity [ 137 , 138 , 139 ]. Further, we hypothesize that vulnerable individuals who have already experienced chronic exposures to the negative determinants of health over the life course will be more likely to perceive the pandemic as stressful, as they may not have adequate protective resources or conditions to withstand the adverse impacts of the pandemic without experiencing significant health implications in the long term.…”

Section: Racism Stigma Covid-19 and Health: Proposed Integratedmentioning

confidence: 99%

Application of the Weathering Framework: Intersection of Racism, Stigma, and COVID-19 as a Stressful Life Event among African Americans

Wakeel

Njoku

2021

Healthcare

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The disproportionate impact of coronavirus disease 2019 (COVID-19) on African American communities necessitates an increased focus on the intersectional roles of racism, stigma, and other social determinants of health in influencing disease and mortality risk. The Weathering Framework is applied to demonstrate the dynamic interrelationships between these factors and to conceptualize COVID-19 as a stressful life event that will have profound health implications over the life course for African Americans. Recommendations for population health research, interventions and policies aimed at reducing COVID-19 incidence and mortality, and mitigation of the long-term impacts of the pandemic on communities of color are discussed.

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“…Pandemics and public health responses to control spread of infection can disrupt everyday life and have consequences for health and well-being. Pandemics, including COVID-19, have the capacity to worsen pre-existing inequities in health and social outcomes among vulnerable groups of people [ 1 ]. It has been widely predicted that women will experience greater impact from the current pandemic than men, due to increased likelihood of loss of employment or income, increased carer responsibilities due to closures of schools and childcare facilities and the predominantly female health and social workforce on the front line [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Detrimental Health Behaviour Changes among Females Living in Rural Areas during the COVID-19 Pandemic

Glenister

Ervin

Podubinski

2021

IJERPH

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Women are predicted to be disproportionately impacted by the COVID-19 pandemic due to increased carer responsibilities, loss of income, worry about the virus and a predominantly female healthcare workforce. Whilst there is emerging evidence that negative mental health impacts associated with the COVID-19 pandemic may be more pronounced for women than men, less attention has focussed on changes to health behaviours and health seeking experienced by women. Similarly, the impact of the pandemic in rural areas has not been investigated in detail. Our research questions were ‘have females residing in rural areas experienced changes in alcohol consumption, unhealthy food consumption, smoking, exercise or health seeking during the COVID-19 pandemic?’ and ‘are there differences in health behaviour changes between rural females living with or without children?’. Net increases (scale of 0–1) in consumption of unhealthy food (95% CI 0.05, 0.22) and alcohol (95% CI 0.12, 0.29) were observed. Net decreases (scale of −1 to 0) in visits to the doctor (95% CI −0.23, −0.35) and other health professionals (95% CI −0.40, −0.54) were observed. Compared with females living without children, females who lived with children were significantly associated with increased alcohol consumption (OR 2.4 (95% CI 1.4, 4.1), decreased visits to the doctor (OR 1.9 (95% CI 1.1, 3.2) and decreased visits to other health professionals (OR 1.9 (95% CI 1.1, 3.3). Results suggest that public health approaches may be required to support females residing in rural areas to optimise their health behaviours during the pandemic, particularly for those living with children. Policies must be gender responsive to counteract worsening health and social inequities both during and after the pandemic.

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Social Determinants and COVID‐19 Disparities: Differential Pandemic Effects and Dynamics

Cited by 77 publications

References 21 publications

Different disease, same challenges: Social determinants of tuberculosis and COVID-19

Different disease, same challenges: Social determinants of tuberculosis and COVID-19

Application of the Weathering Framework: Intersection of Racism, Stigma, and COVID-19 as a Stressful Life Event among African Americans

Detrimental Health Behaviour Changes among Females Living in Rural Areas during the COVID-19 Pandemic

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