Shushtari Zahra Jorjoran, Salimi Yahya, Ahmadi Sina, Rajabi-Gilan Nader, Shirazikhah Marzieh, Biglarian Akbar, Almasi Ali, Gharehghani Mohammad Ali Mohammadi
Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Osong Public Health Res Perspect. 2021 Dec;12(6):346-360. doi: 10.24171/j.phrp.2021.0180. Epub 2021 Dec 21.
Adherence to coronavirus disease 2019 (COVID-19) preventive guidelines (ACPG) is an important strategy to control the COVID-19 pandemic effectively. The present study aimed to identify and summarize the social determinants of ACPG among the general population. A comprehensive review was performed from December 2019 to February 2021 through searching electronic databases. Two independent reviewers assessed and selected relevant studies. Next, the characteristics and main findings of the included studies were summarized. Finally, the World Health Organization's conceptual framework of social determinants of health was used to synthesize the identified social determinants of ACPG. Forty-one of 453 retrieved articles met the inclusion criteria. The study results showed different patterns of ACPG among various communities. Furthermore, 84 social determinants were identified and categorized into structural and intermediary determinants. ACPG is a set of complex behaviors associated with different individual sociodemographic and behavioral characteristics; living and working conditions; COVID-19 knowledge, attitudes, and risk perceptions; exposure to sources and information level; leisure activities; social support; trust; social norms; psychosocial well-being; socio-economic position; and the socio-economic and political context. Interventions to promote ACPG among the general population should consider the identified social determinants of ACPG.
遵守2019冠状病毒病（COVID-19）预防指南（ACPG）是有效控制COVID-19大流行的一项重要策略。本研究旨在确定并总结普通人群中ACPG的社会决定因素。通过检索电子数据库，于2019年12月至2021年2月进行了一项全面综述。两名独立评审员评估并筛选了相关研究。接下来，总结了纳入研究的特征和主要发现。最后，使用世界卫生组织的健康社会决定因素概念框架来综合已确定的ACPG社会决定因素。检索到的453篇文章中有41篇符合纳入标准。研究结果显示不同社区的ACPG模式各异。此外，确定了84个社会决定因素，并将其分为结构决定因素和中介决定因素。ACPG是一组与不同个体社会人口学和行为特征、生活和工作条件、COVID-19知识、态度和风险认知、信息来源接触和信息水平、休闲活动、社会支持、信任、社会规范、心理社会福祉、社会经济地位以及社会经济和政治背景相关的复杂行为。在普通人群中促进ACPG的干预措施应考虑已确定的ACPG社会决定因素。
