Journal article
‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity
Preventive medicine, Vol.139, pp.106229-106229
10/2020
DOI: 10.1016/j.ypmed.2020.106229
PMID: 32763263
Abstract
First recognized in December 2019, the Coronavirus Disease 2019 (COVID19) was declared a global pandemic by the World Health Organization on March 11, 2020. To date, the most utilized definition of ‘most at risk’ for COVID19 morbidity and mortality has focused on biological susceptibility to the virus. This paper argues that this dominant biomedical definition has neglected the ‘fundamental social causes’ of disease, constraining the effectiveness of prevention and mitigation measures; and exacerbating COVID19 morbidity and mortality for population groups living in marginalizing circumstances. It is clear - even at this early stage of the pandemic - that inequitable social conditions lead to both more infections and worse outcomes. Expanding the definition of ‘most at risk’ to include social factors is critical to implementing equitable interventions and saving lives. Prioritizing populations with social conditions is necessary for more effective control of the epidemic in its next phase; and should become standard in the planning for, and prevention and mitigation of all health conditions. Reversing disparities and health inequities is only possible through an expansion of our ‘most-at-risk’ definition to also include social factors.
Details
- Title: Subtitle
- ‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity
- Creators
- Rima A Afifi - University of Iowa College of Public Health, Department of Community and Behavioral Health, 145 N Riverside Drive, Iowa City, IA 52242, USANicole Novak - University of Iowa College of Public Health, Department of Community and Behavioral Health, 145 N Riverside Drive, Iowa City, IA 52242, USAPaul A Gilbert - University of Iowa College of Public Health, Department of Community and Behavioral Health, 145 N Riverside Drive, Iowa City, IA 52242, USABernadette Pauly - University of Victoria School of Nursing, Victoria, British Columbia, CanadaSawsan Abdulrahim - American University of Beirut, Faculty of Health Sciences, Department of Health Promotion and Community Health, Beirut, LebanonSabina Faiz Rashid - BRAC University, James P Grant School of Public Health, Dhaka, BangladeshFernando Ortega - Universidad San Francisco de Quito, College of Health Sciences, Quito, EcuadorRashida A Ferrand - London School of Hygiene and Tropical Medicine, Harare, Zimbabwe
- Resource Type
- Journal article
- Publication Details
- Preventive medicine, Vol.139, pp.106229-106229
- DOI
- 10.1016/j.ypmed.2020.106229
- PMID
- 32763263
- NLM abbreviation
- Prev Med
- ISSN
- 0091-7435
- eISSN
- 1096-0260
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 10/2020
- Academic Unit
- Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984066342102771
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