Brown Chloe, Wilkins Katie, Craig-Neil Amy, Upshaw Tara, Pinto Andrew David
Upstream Lab, MAP/Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, Canada.
Undergraduate Medical Education, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Public Health Rev. 2022 Jan 17;42:1604031. doi: 10.3389/phrs.2021.1604031. eCollection 2021.
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. 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. 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. 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. : PROSPERO, CRD42020178131.
遏制新冠疫情的努力应考虑到日益严重的健康不平等问题。尽管许多公共卫生专家对不平等现象发表了评论，但尚未有分析将各项建议综合成一份针对从业者的指南。本次快速综述的目的是确定最受关注的领域并综合各项建议。我们进行了一项快速系统综述（国际前瞻性系统评价注册库编号：CRD42020178131）。我们检索了Ovid MEDLINE、Embase、PsycINFO、CINAHL以及Cochrane对照试验中心注册库数据库，检索时间范围为2019年12月1日至2020年4月27日。我们纳入了英文同行评审的评论文章、社论以及观点文章，这些文章探讨了新冠疫情背景下的健康社会决定因素。338篇文章符合我们的标准。作者来自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。我们将针对新冠疫情的健康社会决定因素及公平性的建议分为原级预防、一级预防、二级预防和三级预防。这些建议有助于遏制新冠疫情，并在疫情期间减少健康不平等现象。利用这些建议，公共卫生从业者可以支持更公平的疫情应对措施。：国际前瞻性系统评价注册库，编号CRD42020178131 。
