Department of Psychological Science, Kennesaw State University.
Department of Epidemiology, Florida International University.
Behav Med. 2022 Apr-Jun;48(2):67-71. doi: 10.1080/08964289.2022.2027859. Epub 2022 Mar 23.
This introduction to the Special Issue (SI) on COVID-19 and adverse social determinants of health (SDoH) provides theoretical and empirical context for featured articles. Existing disparities and inequities are highlighted and emerging research on disparities resulting from these and the COVID-19 pandemic are briefly reviewed. General disparities and inequities resulting from the COVID-19 pandemic are briefly conceptualized through the SDoH. Critical factors outlined by the SDoH framework parallel those discussed by the Centers for Disease Control and Prevention as well as those in a conceptual framework article also feature in this SI. Some of these consist of racism, exclusion, blocked opportunity, and socioeconomic status (SES), among others. Furthermore, we discuss broader social inequities, namely growing income and wealth inequality that undermine the health and wellbeing of the general population and ethnic minority groups in particular. Big Event theory is offered as an additional conceptual framework that can illuminate potential downstream negative impacts of the pandemic. Having provided summaries of featured articles in this SI, we make a call for researchers to engage in further theoretical and empirical work to identify the most critical SDOH to further the field of public health as well as related fields and inform policy.
本特刊(SI)关于 COVID-19 和不良社会决定因素(SDoH)的介绍为特色文章提供了理论和经验背景。现有差距和不平等现象突出,并简要回顾了因这些因素和 COVID-19 大流行而产生的新研究。通过 SDoH 简要概念化 COVID-19 大流行产生的一般差距和不平等现象。SDoH 框架概述的关键因素与疾病控制和预防中心讨论的以及概念框架文章中讨论的因素相平行,这些因素也在本特刊中有所体现。其中一些包括种族主义、排斥、机会受阻和社会经济地位(SES)等。此外,我们还讨论了更广泛的社会不平等现象,即不断扩大的收入和财富不平等现象,这尤其破坏了普通民众和少数民族群体的健康和福祉。大事件理论被作为一个额外的概念框架,它可以阐明大流行可能产生的下游负面影响。在对本 SI 中的特色文章进行总结后,我们呼吁研究人员进一步开展理论和实证工作,以确定最关键的 SDoH,从而推动公共卫生领域以及相关领域的发展,并为政策提供信息。