Division of Allergy and Immunology, Department of Medicine, NorthShore University HealthSystem, Evanston, Illinois.
Division of Allergy and Immunology, Department of Medicine, NorthShore University HealthSystem, Evanston, Illinois.
J Allergy Clin Immunol Pract. 2023 Nov;11(11):3347-3355. doi: 10.1016/j.jaip.2023.07.027. Epub 2023 Jul 26.
The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected disadvantaged populations. Many of the factors related to the disproportionate impact on underserved communities are related to social determinants of health, defined by the World Health Organization as the nonmedical factors that influence health outcomes. They include the wider set of forces and systems shaping the conditions of daily life. This work explores the interrelationships between social determinants of health and access to care, health care professional and supply shortages, social and environmental factors, health behaviors, vaccine uptake, and treatment options on COVID-19 health outcomes. Increased awareness of inequities, learning from failures, and leveraging new opportunities to partner with key stakeholders in underserved communities create empowerment and preparedness to face new challenges.
2019 年冠状病毒病（COVID-19）大流行对弱势群体造成了不成比例的影响。许多与服务不足社区受到不成比例影响有关的因素都与健康的社会决定因素有关，世界卫生组织将其定义为影响健康结果的非医疗因素。它们包括影响日常生活条件的更广泛的力量和系统。这项工作探讨了健康的社会决定因素与获得医疗保健、医疗保健专业人员和供应短缺、社会和环境因素、健康行为、疫苗接种和 COVID-19 治疗方案之间的相互关系。提高对不平等现象的认识，从失败中吸取教训，并利用新的机会与服务不足社区的主要利益攸关方建立伙伴关系，为应对新挑战提供赋权和准备。
