健康的社会决定因素和COVID-19
Giselle Mosnaim1, Michelle Carrasquel1, Anna R Wolfson2
1Division of Allergy and Immunology, Department of Medicine, NorthShore University HealthSystem, Evanston, Illinois.
概括
由于健康的社会决定因素,COVID-19大流行不成比例地影响了弱势群体. 解决这些因素和与社区合作是改善健康结果和准备的关键.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 社会流行病学 社会流行病学
背景情况:
- 随着COVID-19的流行,显著的健康差异得到了凸显.
- 弱势群体遭受了不成比例的严重影响.
- 健康的社会决定因素 (SDOH) 是影响健康结果的关键非医学因素.
研究的目的:
- 探索SDOH和COVID-19结果之间的复杂的相互关系.
- 为了确定导致疫情期间健康不平等的关键因素.
- 为改善健康公平和疫情准备的战略提供信息.
主要方法:
- 这项研究是对现有研究和数据的定性探索和综合.
- 它检查了获得护理,医疗保健工作人员,社会/环境因素,健康行为,疫苗接种和治疗对COVID-19结果的影响.
- 分析的重点是服务不足的社区及其独特的挑战.
主要成果:
- 健康的社会决定因素显著调解COVID-19对弱势群体的影响.
- 获得护理的障碍,医疗保健资源短缺以及社会环境因素加剧了差距.
- 健康行为,疫苗接种和治疗可获得性都受到SDOH的影响,影响结果.
结论:
- 提高对健康不平等的认识对于有效的公共卫生干预至关重要.
- 从与流行病有关的失败中吸取教训可以指导未来的战略.
- 与服务不足的社区建立合作伙伴关系对于建立性和准备能力至关重要.
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