COVID-19 as a syndemic: from inequalities to biological embodiment

COVID-19 as a syndemic: from inequalities to biological embodiment
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COVID-19 作为一种综合症:从不平等到生物学体现

DOI:
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发表时间:
2021
影响因子:
4.4
通讯作者:
P. Vineis
P. Vineis
中科院分区:
医学3区
文献类型:
--
作者:
P. Vineis

文献摘要

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摘要不同的决定因素在人、人群、社区和整个社会的健康和福祉中发挥着作用。在COVID-19疫情期间(及以后),这些决定因素的直接和间接影响变得更加明显。个体近端因素,如年龄、种族、社会经济地位、基础合并症,同时增加了个体感染风险以及发生严重疾病并发症(包括死亡)的风险。COVID-19作为一种综合流行病的概念正是基于这一点提出的,即疾病的社会经济决定因素催化了健康状况的恶化。
Abstract Different determinants play a role in the health and wellbeing of people, population groups, communities, and the society as a whole. During the COVID-19 epidemic (and beyond) the direct and indirect impact of such determinants has become yet more evident. Individual proximal factors such as age, ethnicity, socioeconomic position, underlying comorbidities have concurred to increase individual risk of acquiring the infection as well as of developing severe disease complications, including death. The concept of COVID-19 as a syndemic has been proposed on this ground, whereby socioeconomic determinants of disease have catalyzed health worse outcomes.