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Syndemic Theory and Its Use in Developing Health Interventions and Programming: A Scoping Review
Simon M Outram1, Kimberly A Koester2, Lissa Moran2
1Division of Prevention Science, Department of Medicine, University of California, San Francisco, CA, 94143, USA. simon.outram@ucsf.edu.
Current HIV/AIDS Reports
|August 20, 2024
Summary
Syndemic theory, which links social factors to disease interactions, is rarely fully utilized in healthcare interventions. Greater focus on social drivers and disease interplay is needed for effective community health improvements.
Area of Science:
- Public Health
- Social Epidemiology
- Health Intervention Research
Background:
- Syndemics theory posits that social factors drive disease interactions, necessitating understanding for population health.
- Effective application of syndemic theory is crucial for positive community and individual health outcomes.
Purpose of the Study:
- To review healthcare interventions that explicitly employ syndemic theory.
- To assess the extent to which syndemic theory is integrated into intervention design and implementation.
Main Methods:
- A multi-stage scoping review of 921 articles was conducted.
- Inclusion criteria focused on interventions addressing multiple social-biological outcomes in specific populations, using syndemic theory.
Main Results:
- Only 11 out of 921 reviewed articles met the inclusion criteria for substantial engagement with syndemic theory and original healthcare interventions.
- 45 articles showed some engagement but did not fully meet the criteria.
Conclusions:
- Syndemic theory is frequently referenced but seldom fully implemented in healthcare interventions.
- Future interventions should prioritize demonstrating disease interactions, their social drivers, and grounding strategies in these findings.
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