Role of Social Determinants of Health in Widening Maternal and Child Health Disparities in the Era of Covid-19 Pandemic.
Role of Social Determinants of Health in Widening Maternal and Child Health Disparities in the Era of Covid-19 Pandemic.
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DOI：
10.21106/ijma.398
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发表时间：
2020-01-01
影响因子：
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通讯作者：
Salihu, Hamisu M
中科院分区：
文献类型：
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作者：
Dongarwar, Deepa;Ajewole, Veronica B;Salihu, Hamisu M
我们提出了一个概念模型，描述了由于当前的 COVID-19 大流行而导致少数族裔孕产妇和儿童健康 (MCH) 人群结局恶化的健康社会决定因素 (SDOH) 途径。我们使用 Z55-Z65 类别中的国际疾病分类第十版临床修改 (ICD-10) 代码来识别可能调节 MCH 差异的 SDOH。这些 SDOH 途径，加上先前存在的合并症，对少数群体社区的母婴发病率和死亡率造成了高于预期的负担。迫切需要增加资源注入，以减轻这些 SDOH 的影响，并避免在 COVID-19 大流行后少数族裔的生活质量和数量永久下降。
We present a conceptual model that describes the social determinants of health (SDOH) pathways contributing to worse outcomes in minority maternal and child health (MCH) populations due to the current COVID-19 pandemic. We used International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10) codes in the categories Z55-Z65 to identify SDOH that potentially modulate MCH disparities. These SDOH pathways, coupled with pre-existing comorbidities, exert higher-than-expected burden of maternal-fetal morbidity and mortality in minority communities. There is an urgent need for an increased infusion of resources to mitigate the effects of these SDOH and avert permanent truncation in quality and quantity of life among minorities following the COVID-19 pandemic.