Mesh : Humans COVID-19 / epidemiology ethnology Sociodemographic Factors Socioeconomic Factors Health Inequities

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Abstract:
Socio-demographic inequities in health treatment and outcomes are not new. However, the COVID-19 pandemic presented new opportunities to examine and address biases. This article describes a scoping review of 170 papers published prior to the onset of global vaccinations and treatment (December 2021). We report differentiated COVID-19-related patient outcomes for people with various socio-demographic characteristics, including the need for intubation and ventilation, intensive care unit admission, discharge to hospice care, and mortality. Using the PROGRESS-Plus framework, we determined that the most researched socio-demographic factor was race/ethnicity/culture/language. Members of minoritized racial and ethnic groups tended to have worse COVID-19-related patient outcomes; more research is needed about other categories of social disadvantage, given the scarcity of literature on these factors at the time of the review. It is only by researching and addressing the causes of social disadvantage that we can avoid such injustice in future public health crises.
摘要:
健康治疗和结果方面的社会人口不平等并不新鲜。然而,COVID-19大流行为检查和解决偏见提供了新的机会。本文介绍了在全球疫苗接种和治疗(2021年12月)开始之前发表的170篇论文的范围审查。我们报告了具有各种社会人口统计学特征的人与COVID-19相关的患者结局,包括需要插管和通气,重症监护室入院,出院接受临终关怀,和死亡率。使用PROGRESS-Plus框架,我们确定研究最多的社会人口因素是种族/民族/文化/语言。少数种族和族裔群体的成员往往有更糟糕的与COVID-19相关的患者预后;需要更多关于其他类别的社会劣势的研究,鉴于在审查时关于这些因素的文献很少。只有通过研究和解决社会劣势的原因,我们才能在未来的公共卫生危机中避免这种不公正。
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