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健康的社会决定因素如何影响新冠后遗症:一项批判性综述

How do the Social Determinants of Health Impact the Post-Acute Sequelae of COVID-19: A Critical Review.

作者信息

Voss Joachim G, Pinto Melissa D, Burton Candace W

机构信息

Case Western Reserve University, Frances Payne Bolton School of Nursing, Health Education Campus, 9500 Euclid Avenue, Cleveland, OH 44106, USA.

University of California, Irvine, Sue and Bill Gross School of Nursing, 854 Health Sciences, Irvine, CA 92697, USA.

出版信息

Nurs Clin North Am. 2023 Dec;58(4):541-568. doi: 10.1016/j.cnur.2023.07.004. Epub 2023 Aug 23.

Abstract

The review critically analyzes the social determinants of health (SDOH) variables in the current literature of patients with post-acute sequelae (PASC) of COVID-19 in the United States. Race, gender, and age were discussed as well as health outcomes, severity of illness, and phenotypes of long-COVID. Most research was retrospectively with samples that had access to health insurance, which did not capture populations with poor or no access to health care. More research is needed that directly addresses the impact on SDOH on PASC. The current literature is sparse and provides little actionable information.

摘要

该综述批判性地分析了美国新冠后急性后遗症(PASC)患者当前文献中的健康社会决定因素(SDOH)变量。讨论了种族、性别和年龄,以及健康结果、疾病严重程度和长期新冠的表型。大多数研究是回顾性的,样本来自有医疗保险的人群,没有涵盖难以获得或无法获得医疗保健的人群。需要更多直接探讨SDOH对PASC影响的研究。当前的文献稀少,几乎没有可实际应用的信息。

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