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COVID-19: A Syndemic Requiring an Integrated Approach for Marginalized Populations.
Rosemary M Caron1, Amanda Rodrigues Amorim Adegboye2
1Department of Health Management and Policy, Master of Public Health Program, College of Health and Human Services, University of New Hampshire, Durham, NH, United States.
Frontiers in Public Health
|May 28, 2021
Summary
The COVID-19 pandemic disproportionately impacts marginalized groups due to social determinants of health (SDoH). Implementing Essential Public Health Services (EPHS) can mitigate these health inequities for all populations.
Area of Science:
- Public Health
- Epidemiology
- Health Equity
Background:
- The COVID-19 pandemic has exacerbated existing health inequities, disproportionately affecting immigrants, refugees, and racial/ethnic minorities.
- Vulnerable populations face increased risk of COVID-19 infection, morbidity, and mortality due to socioeconomic, political, and demographic factors.
Purpose of the Study:
- To highlight the complex interplay between social determinants of health (SDoH) and the COVID-19 pandemic, creating a syndemic.
- To propose integrated recommendations for mitigating COVID-19 risks among marginalized populations.
Main Methods:
- This perspective analyzes the interaction of individual, structural, sociocultural, and socioeconomic factors contributing to disparate COVID-19 risk.
- It emphasizes a systems-level approach to address health inequities.
Main Results:
- The COVID-19 pandemic's burden is inequitably distributed, with marginalized groups experiencing higher rates of infection and mortality.
- Interactions among SDoH create a syndemic, amplifying the pandemic's impact on vulnerable populations.
Conclusions:
- Addressing health inequities requires recognizing the syndemic nature of COVID-19 and its roots in SDoH.
- Implementing the Essential Public Health Services (EPHS) framework is crucial for achieving 'Health for All' by dismantling systemic barriers.
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