Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response.
Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response.
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DOI：
10.1093/jtm/taaa192
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发表时间：
2020-11-09
影响因子：
25.7
通讯作者：
Lin L
中科院分区：
文献类型：
--
作者：
Chu IY;Alam P;Larson HJ;Lin L
全球有40亿人经历了2019年冠状病毒病（COVID-19）的隔离。为遏制COVID-19疫情而实施的前所未有的流动限制可能对个人的生活、旅行和保持健康产生深远影响。本系统性综述旨在确定（i）在以往和当前传染病爆发期间大规模禁止（全社区范围的行动限制）的社会后果，以及（ii）缓解COVID-19封锁的负面社会影响的建议策略。考虑到健康的社会决定因素，我们通过检索五个数据库（Ovid-MEDLINE、EMBASE、PsycINFO、中国国家知识基础设施和世界卫生组织COVID-19数据库）进行了一项系统性综述，以查找自成立以来至2020年4月9日的出版物。对语言、地点或研究类型没有限制。这些研究包括：（i）包含经同行审查的原始经验证据;（ii）侧重于大规模检疫的非流行病学影响。由于疾病和国家背景的异质性，我们按主题综合和报告了数据。在发现的3067篇出版物中，选择了15篇原始同行评审文章进行全文提取。心理困扰、沟通不平等加剧、粮食不安全、经济挑战、获得医疗保健的机会减少、替代教育和基于性别的暴力被确定为六种传染病流行病（包括当前的COVID-19大流行病）中基于社区的隔离的负面社会后果。相比之下，利他主义的态度被确定为一个积极的后果，在以前的研究。在以往和当前的流行病中，大规模隔离造成的心理和社会后果各不相同，但各国的政策在如何满足受影响个人的需求方面存在很大差异，特别是那些在社会上处于边缘地位的人。政策制定者应平衡行动限制的利弊，促进多部门行动以解决社会不平等问题，为公众提供明确和一致的指导，并进行有时限的政策评估，以减轻COVID-19封锁的负面影响，并为未来的流行病制定准备战略。
Four billion people worldwide have experienced coronavirus disease 2019 (COVID-19) confinement. Such unprecedented extent of mobility restriction to curb the COVID-19 pandemic may have profound impacts on how individuals live, travel and retain well-being. This systematic review aims to identify (i) the social consequences of mass quarantine—community-wide movement restrictions—during previous and current infectious disease outbreaks and (ii) recommended strategies to mitigate the negative social implications of COVID-19 lockdowns. Considering social determinants of health, we conducted a systematic review by searching five databases (Ovid-MEDLINE, EMBASE, PsycINFO, China National Knowledge Infrastructure and the World Health Organization COVID-19 database) for publications from inception to 9 April 2020. No limitation was set on language, location or study type. Studies that (i) contained peer-reviewed original empirical evidence and (ii) focussed on non-epidemiological implications of mass quarantine were included. We thematically synthesized and reported data due to heterogeneous disease and country context. Of 3067 publications found, 15 original peer-reviewed articles were selected for full-text extraction. Psychological distress, heightened communication inequalities, food insecurity, economic challenges, diminished access to health care, alternative delivery of education and gender-based violence were identified as negative social consequences of community-based quarantine in six infectious disease epidemics, including the current COVID-19 pandemic. In contrast, altruistic attitudes were identified as a positive consequence during previous quarantines. Diverse psychological and social consequences of mass quarantine in previous and current epidemics were evident, but individual country policies had been highly varied in how well they addressed the needs of affected individuals, especially those who are socially marginalized. Policymakers should balance the pros and cons of movement restrictions, facilitate multisectoral action to tackle social inequalities, provide clear and coherent guidance to the public and undertake time-bound policy evaluations to mitigate the negative impact of COVID-19 lockdowns and to establish preparedness strategies for future epidemics.
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影响因子：
11.8
作者：
Blendon, RJ;Benson, JM;Taylor-Clark, K
通讯作者：
Taylor-Clark, K
影响因子：
11.8
作者：
Hawryluck L;Gold WL;Robinson S;Pogorski S;Galea S;Styra R
通讯作者：
Styra R
影响因子：
2.1
作者：
Cava, MA;Fay, KE;Wignall, R
通讯作者：
Wignall, R
影响因子：
3.8
作者：
Abramowitz SA;McLean KE;McKune SL;Bardosh KL;Fallah M;Monger J;Tehoungue K;Omidian PA
通讯作者：
Omidian PA
影响因子：
3.3
作者：
Gostin, Lawrence O.;Friedman, Eric A.;Wetter, Sarah A.
通讯作者：
Wetter, Sarah A.