Singu Sravani, Acharya Arpan, Challagundla Kishore, Byrareddy Siddappa N
Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Centre, Omaha, NE, United States.
Department of Biochemistry and Molecular Biology, University of Nebraska Medical Centre, Omaha, NE, United States.
Front Public Health. 2020 Jul 21;8:406. doi: 10.3389/fpubh.2020.00406. eCollection 2020.
A novel coronavirus (2019-nCoV) caused a global pandemic in the months following the first four cases reported in Wuhan, China, on December 29, 2019. The elderly, immunocompromised, and those with preexisting conditions-such as asthma, cardiovascular disease (CVD), hypertension, chronic kidney disease (CKD), or obesity-experience higher risk of becoming severely ill if infected with the virus. Systemic social inequality and discrepancies in socioeconomic status (SES) contribute to higher incidence of asthma, CVD, hypertension, CKD, and obesity in segments of the general population. Such preexisting conditions bring heightened risk of complications for individuals who contract the coronavirus disease (COVID-19) from the virus (2019-nCoV)-also known as "severe acute respiratory syndrome coronavirus 2" (SARS-CoV-2). In order to help vulnerable groups during times of a health emergency, focus must be placed at the root of the problem. Studying the social determinants of health (SDOH), and how they impact disadvantaged populations during times of crisis, will help governments to better manage health emergencies so that every individual has equal opportunity to staying healthy. This review summarizes the impact of social determinants of health (SDOH) during the COVID-19 pandemic.
2019年12月29日，中国武汉报告了首例新型冠状病毒（2019-nCoV）感染病例，随后的几个月里，该病毒引发了全球大流行。老年人、免疫功能低下者以及患有哮喘、心血管疾病（CVD）、高血压、慢性肾脏病（CKD）或肥胖症等基础疾病的人，若感染该病毒，患重病的风险更高。系统性社会不平等和社会经济地位（SES）差异导致普通人群中部分群体哮喘、CVD、高血压、CKD和肥胖症的发病率更高。这些基础疾病会使感染该病毒（2019-nCoV）——也称为“严重急性呼吸综合征冠状病毒2”（SARS-CoV-2）——而患上冠状病毒病（COVID-19）的个体出现并发症的风险增加。为了在卫生紧急情况期间帮助弱势群体，必须关注问题的根源。研究健康的社会决定因素（SDOH）及其在危机时期对弱势群体的影响，将有助于政府更好地应对卫生紧急情况，使每个人都有平等的机会保持健康。本综述总结了健康的社会决定因素（SDOH）在COVID-19大流行期间的影响。
