Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health Recommendations.

IF 3.5 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH PUBLIC HEALTH REVIEWS Pub Date : 2022-01-17 eCollection Date: 2021-01-01 DOI:10.3389/phrs.2021.1604031
Chloe Brown, Katie Wilkins, Amy Craig-Neil, Tara Upshaw, Andrew David Pinto
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引用次数: 6

Abstract

Objectives: Efforts to contain the COVID-19 pandemic should take into account worsening health inequities. While many public health experts have commented on inequities, no analysis has yet synthesized recommendations into a guideline for practitioners. The objective of this rapid review was to identify the areas of greatest concern and synthesize recommendations. Methods: We conducted a rapid systematic review (PROSPERO: CRD42020178131). We searched Ovid MEDLINE, Embase, PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials databases from December 1, 2019 to April 27, 2020. We included English language peer-reviewed commentaries, editorials, and opinion pieces that addressed the social determinants of health in the context of COVID-19. Results: 338 articles met our criteria. Authors represented 81 countries. Income, housing, mental health, age and occupation were the most discussed social determinants of health. We categorized recommendations into primordial, primary, secondary and tertiary prevention that spoke to the social determinants of COVID-19 and equity. Conclusion: These recommendations can assist efforts to contain COVID-19 and reduce health inequities during the pandemic. Using these recommendations, public health practitioners could support a more equitable pandemic response. Systematic Review Registration: PROSPERO, CRD42020178131.

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减少COVID-19大流行期间的不公平现象:快速审查和综合公共卫生建议。
目标:遏制新冠肺炎大流行的努力应考虑到日益恶化的卫生不平等。尽管许多公共卫生专家对不公平现象发表了评论,但尚未有任何分析将建议纳入从业者指南。这次快速审查的目的是确定最令人关切的领域并综合建议。方法:我们进行了一项快速系统综述(PROSPERO:CDR42020178131)。我们搜索了2019年12月1日至2020年4月27日期间Ovid MEDLINE、Embase、PsycINFO、CINAHL和Cochrane对照试验中央注册数据库。我们包括了英文同行评议评论、社论和评论文章,这些文章探讨了新冠肺炎背景下健康的社会决定因素。结果:338篇文章符合我们的标准。作者代表81个国家。收入、住房、心理健康、年龄和职业是讨论最多的健康社会决定因素。我们将建议分为初级、初级、二级和三级预防,这些建议涉及新冠肺炎和公平的社会决定因素。结论:这些建议有助于遏制新冠肺炎,减少疫情期间的卫生不平等现象。利用这些建议,公共卫生从业者可以支持更公平的流行病应对措施。系统评审注册:PROSPERO,CRD42020178131。
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来源期刊
PUBLIC HEALTH REVIEWS
PUBLIC HEALTH REVIEWS Nursing-Community and Home Care
CiteScore
8.30
自引率
1.80%
发文量
47
审稿时长
5 weeks
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