Social determinants of COVID-19 incidence and outcomes: A rapid review
Early reports indicate that the social determinants of health are implicated in COVID-19 incidence and outcomes. To inform the ongoing response to the pandemic, we conducted a rapid review of peer-reviewed studies to examine the social determinants of COVID-19. We searched Ovid MEDLINE, Embase, Psyc...
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| Published in: | PloS one Vol. 16; no. 3; p. e0248336 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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United States
Public Library of Science
31.03.2021
Public Library of Science (PLoS) |
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| ISSN: | 1932-6203, 1932-6203 |
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| Abstract | Early reports indicate that the social determinants of health are implicated in COVID-19 incidence and outcomes. To inform the ongoing response to the pandemic, we conducted a rapid review of peer-reviewed studies to examine the social determinants of COVID-19. We searched Ovid MEDLINE, Embase, PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials from December 1, 2019 to April 27, 2020. We also searched the bibliographies of included studies, COVID-19 evidence repositories and living evidence maps, and consulted with expert colleagues internationally. We included studies identified through these supplementary sources up to June 25, 2020. We included English-language peer-reviewed quantitative studies that used primary data to describe the social determinants of COVID-19 incidence, clinical presentation, health service use and outcomes in adults with a confirmed or presumptive diagnosis of COVID-19. Two reviewers extracted data and conducted quality assessment, confirmed by a third reviewer. Forty-two studies met inclusion criteria. The strongest evidence was from three large observational studies that found associations between race or ethnicity and socioeconomic deprivation and increased likelihood of COVID-19 incidence and subsequent hospitalization. Limited evidence was available on other key determinants, including occupation, educational attainment, housing status and food security. Assessing associations between sociodemographic factors and COVID-19 was limited by small samples, descriptive study designs, and the timeframe of our search. Systematic reviews of literature published subsequently are required to fully understand the magnitude of any effects and predictive utility of sociodemographic factors related to COVID-19 incidence and outcomes. PROSPERO: CRD4202017813. |
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| AbstractList | Early reports indicate that the social determinants of health are implicated in COVID-19 incidence and outcomes. To inform the ongoing response to the pandemic, we conducted a rapid review of peer-reviewed studies to examine the social determinants of COVID-19. We searched Ovid MEDLINE, Embase, PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials from December 1, 2019 to April 27, 2020. We also searched the bibliographies of included studies, COVID-19 evidence repositories and living evidence maps, and consulted with expert colleagues internationally. We included studies identified through these supplementary sources up to June 25, 2020. We included English-language peer-reviewed quantitative studies that used primary data to describe the social determinants of COVID-19 incidence, clinical presentation, health service use and outcomes in adults with a confirmed or presumptive diagnosis of COVID-19. Two reviewers extracted data and conducted quality assessment, confirmed by a third reviewer. Forty-two studies met inclusion criteria. The strongest evidence was from three large observational studies that found associations between race or ethnicity and socioeconomic deprivation and increased likelihood of COVID-19 incidence and subsequent hospitalization. Limited evidence was available on other key determinants, including occupation, educational attainment, housing status and food security. Assessing associations between sociodemographic factors and COVID-19 was limited by small samples, descriptive study designs, and the timeframe of our search. Systematic reviews of literature published subsequently are required to fully understand the magnitude of any effects and predictive utility of sociodemographic factors related to COVID-19 incidence and outcomes. PROSPERO: CRD4202017813. Early reports indicate that the social determinants of health are implicated in COVID-19 incidence and outcomes. To inform the ongoing response to the pandemic, we conducted a rapid review of peer-reviewed studies to examine the social determinants of COVID-19. We searched Ovid MEDLINE, Embase, PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials from December 1, 2019 to April 27, 2020. We also searched the bibliographies of included studies, COVID-19 evidence repositories and living evidence maps, and consulted with expert colleagues internationally. We included studies identified through these supplementary sources up to June 25, 2020. We included English-language peer-reviewed quantitative studies that used primary data to describe the social determinants of COVID-19 incidence, clinical presentation, health service use and outcomes in adults with a confirmed or presumptive diagnosis of COVID-19. Two reviewers extracted data and conducted quality assessment, confirmed by a third reviewer. Forty-two studies met inclusion criteria. The strongest evidence was from three large observational studies that found associations between race or ethnicity and socioeconomic deprivation and increased likelihood of COVID-19 incidence and subsequent hospitalization. Limited evidence was available on other key determinants, including occupation, educational attainment, housing status and food security. Assessing associations between sociodemographic factors and COVID-19 was limited by small samples, descriptive study designs, and the timeframe of our search. Systematic reviews of literature published subsequently are required to fully understand the magnitude of any effects and predictive utility of sociodemographic factors related to COVID-19 incidence and outcomes. PROSPERO: CRD4202017813.Early reports indicate that the social determinants of health are implicated in COVID-19 incidence and outcomes. To inform the ongoing response to the pandemic, we conducted a rapid review of peer-reviewed studies to examine the social determinants of COVID-19. We searched Ovid MEDLINE, Embase, PsycINFO, CINAHL and Cochrane Central Register of Controlled Trials from December 1, 2019 to April 27, 2020. We also searched the bibliographies of included studies, COVID-19 evidence repositories and living evidence maps, and consulted with expert colleagues internationally. We included studies identified through these supplementary sources up to June 25, 2020. We included English-language peer-reviewed quantitative studies that used primary data to describe the social determinants of COVID-19 incidence, clinical presentation, health service use and outcomes in adults with a confirmed or presumptive diagnosis of COVID-19. Two reviewers extracted data and conducted quality assessment, confirmed by a third reviewer. Forty-two studies met inclusion criteria. The strongest evidence was from three large observational studies that found associations between race or ethnicity and socioeconomic deprivation and increased likelihood of COVID-19 incidence and subsequent hospitalization. Limited evidence was available on other key determinants, including occupation, educational attainment, housing status and food security. Assessing associations between sociodemographic factors and COVID-19 was limited by small samples, descriptive study designs, and the timeframe of our search. Systematic reviews of literature published subsequently are required to fully understand the magnitude of any effects and predictive utility of sociodemographic factors related to COVID-19 incidence and outcomes. PROSPERO: CRD4202017813. |
| Audience | Academic |
| Author | Ziegler, Carolyn Brown, Chloe Smith, Robert Pinto, Andrew D. Perri, Melissa Upshaw, Tara L. |
| AuthorAffiliation | 2 Translational Research Program, Faculty of Medicine, University of Toronto, Toronto, Canada 3 Undergraduate Medical Education, Faculty of Medicine, University of Toronto, Toronto, Canada SUNY Downstate: SUNY Downstate Health Sciences University, UNITED STATES 6 Dalla Lana School of Public Health, University of Toronto, Toronto, Canada 8 Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Canada 1 Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Canada 4 Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, Toronto, Canada 5 Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada 7 Health Sciences Library, Unity Health Toronto, Toronto, Canada |
| AuthorAffiliation_xml | – name: 2 Translational Research Program, Faculty of Medicine, University of Toronto, Toronto, Canada – name: 5 Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada – name: 6 Dalla Lana School of Public Health, University of Toronto, Toronto, Canada – name: 3 Undergraduate Medical Education, Faculty of Medicine, University of Toronto, Toronto, Canada – name: 4 Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, Toronto, Canada – name: 7 Health Sciences Library, Unity Health Toronto, Toronto, Canada – name: SUNY Downstate: SUNY Downstate Health Sciences University, UNITED STATES – name: 1 Upstream Lab, MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, Canada – name: 8 Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Canada |
| Author_xml | – sequence: 1 givenname: Tara L. orcidid: 0000-0002-9769-8673 surname: Upshaw fullname: Upshaw, Tara L. – sequence: 2 givenname: Chloe orcidid: 0000-0001-9636-2177 surname: Brown fullname: Brown, Chloe – sequence: 3 givenname: Robert surname: Smith fullname: Smith, Robert – sequence: 4 givenname: Melissa surname: Perri fullname: Perri, Melissa – sequence: 5 givenname: Carolyn surname: Ziegler fullname: Ziegler, Carolyn – sequence: 6 givenname: Andrew D. orcidid: 0000-0003-1841-9347 surname: Pinto fullname: Pinto, Andrew D. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33788848$$D View this record in MEDLINE/PubMed |
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| Title | Social determinants of COVID-19 incidence and outcomes: A rapid review |
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