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Social determinants of COVID-19 incidence and outcomes: A rapid review

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  • Tara L Upshaw
  • Chloe Brown
  • Robert Smith
  • Melissa Perri
  • Carolyn Ziegler
  • Andrew D Pinto

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.

Suggested Citation

  • Tara L Upshaw & Chloe Brown & Robert Smith & Melissa Perri & Carolyn Ziegler & Andrew D Pinto, 2021. "Social determinants of COVID-19 incidence and outcomes: A rapid review," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-22, March.
  • Handle: RePEc:plo:pone00:0248336
    DOI: 10.1371/journal.pone.0248336
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    2. Muna Shifa & David Gordon & Murray Leibbrandt & Mary Zhang, 2022. "Socioeconomic-Related Inequalities in COVID-19 Vulnerability in South Africa," IJERPH, MDPI, vol. 19(17), pages 1-20, August.
    3. M. O. Oleche & D. K. Manda & R. G. Mutegi & S. Kipruto & M. K. Muriithi & P. Samoei & A. W. Ndirangu & G. Mwabu, 2023. "The gendered impacts of COVID-19 and business closure due to lockdown on wage employment in Kenya," Journal of Economic Policy and Management Issues, JEPMI, vol. 2(2), pages 31-48.
    4. Gagnon-Dufresne, Marie-Catherine & Gautier, Lara & Beaujoin, Camille & Boivin, Pauline & Coulibaly, Abdourahmane & Richard, Zoé & Gomes de Medeiros, Stéphanie & Dutra Da Nóbrega, Raylson Emanuel & de , 2023. "Did the design and planning of testing and contact tracing interventions for COVID-19 consider social inequalities in health? A multiple case study from Brazil, Canada, France & Mali," Social Science & Medicine, Elsevier, vol. 335(C).

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