Mohamadi Efat, Olyaeemanesh Alireza, Takian Amirhossein, Yaftian Fateme, Kiani Mohammad Mehdi, Larijani Bagher
Health Equity Research Center (HERC), Tehran University of Medical Sciences (TUMS), Tehran, Iran.
National Center for Health Insurance Research, Health Insurance Organization, Tehran, Iran.
Med J Islam Repub Iran. 2022 Dec 27;36:179. doi: 10.47176/mjiri.36.179. eCollection 2022.
The impact of the COVID-19 pandemic on human life has led to profound consequences in almost all societies worldwide, and this includes its significant impact on all aspects of health. Health equity has been among the main challenges in any healthcare system. However, with the COVID-19 crisis worsening health inequalities, the need to prioritize health equity in upstream national and international plans must receive scholarly attention. Therefore, this paper reports the findings of a review of the current synthesized evidence about the impact of the COVID-19 pandemic on health equity. This is a comprehensive review in which we retrieved relevant studies during the period starting from 12/01/2019 to 01/15/2021 are retrieved from various databases. The PRISMA flow diagram and a narrative approach are used for synthesizing the evidence. We initially retrieved 1173 studies, and after a primary quality appraisal process, 40 studies entered the final phase of analysis. The included studies were categorized into five main outcome variables: Accessibility (95%), Utilization (65.8%), Financial protection: 15 (36.5%), Poverty (31.7%), and Racism (21.9%) COVID-19 pandemic has been the most devastating global challenge in recent history. While the COVID-19 crisis is still unfolding, its multidimensional adverse effects are yet to be revealed. Nevertheless, some people, e.g., the elderly, minorities, as well as marginalized and poor persons, have suffered the COVID-19 consequences more than others. In line with the whole government/whole society approach, we advocate that governments need to strengthen their special efforts to reduce the extra burden of the pandemic on the most vulnerable populations.
新冠疫情对人类生活的影响在全球几乎所有社会都引发了深远后果，这包括其对健康各个方面的重大影响。健康公平一直是任何医疗体系面临的主要挑战之一。然而，随着新冠疫情加剧健康不平等现象，在国家和国际层面的上游计划中优先考虑健康公平的必要性必须得到学界关注。因此，本文报告了一项关于新冠疫情对健康公平影响的当前综合证据综述的结果。这是一项全面综述，我们从2019年1月12日至2021年1月15日期间从各种数据库中检索了相关研究。采用PRISMA流程图和叙述性方法来综合证据。我们最初检索到1173项研究，经过初步质量评估过程后，40项研究进入最终分析阶段。纳入的研究被分为五个主要结果变量：可及性（95%）、利用情况（65.8%）、经济保护：15项（36.5%）、贫困（31.7%）和种族主义（21.9%）。新冠疫情是近代历史上最具毁灭性的全球挑战。虽然新冠危机仍在发展，但其多方面的不利影响尚未完全显现。然而，一些人群，如老年人、少数族裔以及边缘化和贫困人口，比其他人遭受新冠疫情后果的影响更大。按照政府整体/社会整体方法，我们主张政府需要加大特别努力，以减轻疫情给最脆弱人群带来的额外负担。
