Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health Recommendations
Objectives: 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 iden...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-01-01
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| Series: | Public Health Reviews |
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| Online Access: | https://www.ssph-journal.org/articles/10.3389/phrs.2021.1604031/full |
| _version_ | 1798025621227438080 |
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| author | Chloe Brown Chloe Brown Katie Wilkins Katie Wilkins Amy Craig-Neil Tara Upshaw Andrew David Pinto Andrew David Pinto Andrew David Pinto Andrew David Pinto Andrew David Pinto |
| author_facet | Chloe Brown Chloe Brown Katie Wilkins Katie Wilkins Amy Craig-Neil Tara Upshaw Andrew David Pinto Andrew David Pinto Andrew David Pinto Andrew David Pinto Andrew David Pinto |
| author_sort | Chloe Brown |
| collection | DOAJ |
| description | Objectives: 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.Methods: 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.Results: 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.Conclusion: 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.Systematic Review Registration: PROSPERO, CRD42020178131. |
| first_indexed | 2024-04-11T18:21:48Z |
| format | Article |
| id | doaj.art-21e48324a4784f65b00ad60b30f1ae99 |
| institution | Directory Open Access Journal |
| issn | 2107-6952 |
| language | English |
| last_indexed | 2024-04-11T18:21:48Z |
| publishDate | 2022-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Public Health Reviews |
| spelling | doaj.art-21e48324a4784f65b00ad60b30f1ae992022-12-22T04:09:45ZengFrontiers Media S.A.Public Health Reviews2107-69522022-01-014210.3389/phrs.2021.16040311604031Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health RecommendationsChloe Brown0Chloe Brown1Katie Wilkins2Katie Wilkins3Amy Craig-Neil4Tara Upshaw5Andrew David Pinto6Andrew David Pinto7Andrew David Pinto8Andrew David Pinto9Andrew David Pinto10Upstream Lab, MAP/Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, CanadaUndergraduate Medical Education, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaUpstream Lab, MAP/Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, CanadaUndergraduate Medical Education, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaUpstream Lab, MAP/Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, CanadaUpstream Lab, MAP/Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, CanadaUpstream Lab, MAP/Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto, Toronto, ON, CanadaInstitute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, CanadaDalla Lana School of Public Health, University of Toronto, Toronto, ON, CanadaDepartment of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, CanadaDepartment of Family and Community Medicine, St. Michael’s Hospital, Toronto, ON, CanadaObjectives: 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.Methods: 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.Results: 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.Conclusion: 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.Systematic Review Registration: PROSPERO, CRD42020178131.https://www.ssph-journal.org/articles/10.3389/phrs.2021.1604031/fullpublic healthsocial determinants of healthSARS-CoV-2health equityCOVID-19prevention |
| spellingShingle | Chloe Brown Chloe Brown Katie Wilkins Katie Wilkins Amy Craig-Neil Tara Upshaw Andrew David Pinto Andrew David Pinto Andrew David Pinto Andrew David Pinto Andrew David Pinto Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health Recommendations Public Health Reviews public health social determinants of health SARS-CoV-2 health equity COVID-19 prevention |
| title | Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health Recommendations |
| title_full | Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health Recommendations |
| title_fullStr | Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health Recommendations |
| title_full_unstemmed | Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health Recommendations |
| title_short | Reducing Inequities During the COVID-19 Pandemic: A Rapid Review and Synthesis of Public Health Recommendations |
| title_sort | reducing inequities during the covid 19 pandemic a rapid review and synthesis of public health recommendations |
| topic | public health social determinants of health SARS-CoV-2 health equity COVID-19 prevention |
| url | https://www.ssph-journal.org/articles/10.3389/phrs.2021.1604031/full |
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