Importance of collecting data on socioeconomic determinants from the early stage of the COVID-19 outbreak onwards
Importance of collecting data on socioeconomic determinants from the early stage of the COVID-19 outbreak onwards
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DOI：
10.1136/jech-2020-214297
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发表时间：
2020-08-01
影响因子：
6.3
通讯作者：
Kelly-Irving, Michelle
中科院分区：
文献类型：
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作者：
Khalatbari-Soltani, Saman;Cumming, Robert G.;Kelly-Irving, Michelle
社会经济地位的差异与疾病和死亡率有着广泛的关联，没有理由认为新出现的2019冠状病毒病（COVID-19）不会出现这种情况，这种情况已达到大流行水平。SEP处于更不利地位的个人更有可能受到COVID-19的大多数已知风险因素的影响。SEP以前已被确定为一般传染病的潜在决定因素。我们假设SEP通过职业、生活条件、健康相关行为、合并症和免疫功能直接或间接在COVID-19大流行中发挥重要作用。然而，社会经济因素对COVID-19传播、严重程度和结果的影响尚不清楚，有待审查和调查。在这里，我们简要回顾了SEP被认为是COVID-19潜在风险因素之一的程度。在29项报告了COVID-19患者特征及其潜在风险因素的符合条件的研究中，只有一项研究报告了轻度或重度疾病患者的职业状况。这一文献的简要概述突出表明，在收集数据时忽视了重要的社会经济特征。随着COVID-19在全球范围内蔓延，收集和报告有关社会经济决定因素以及种族/民族的数据以识别高风险人群至关重要。系统记录COVID-19患者的社会经济特征将有利于识别最脆弱的群体，确定SEP与COVID-19的关系，并制定公平的公共卫生预防措施，指南和干预措施。
Disadvantaged socioeconomic position (SEP) is widely associated with disease and mortality, and there is no reason to think this will not be the case for the newly emerged coronavirus disease 2019 (COVID-19) that has reached a pandemic level. Individuals with a more disadvantaged SEP are more likely to be affected by most of the known risk factors of COVID-19. SEP has been previously established as a potential determinant of infectious diseases in general. We hypothesise that SEP plays an important role in the COVID-19 pandemic either directly or indirectly via occupation, living conditions, health-related behaviours, presence of comorbidities and immune functioning. However, the influence of socioeconomic factors on COVID-19 transmission, severity and outcomes is not yet known and is subject to scrutiny and investigation. Here we briefly review the extent to which SEP has been considered as one of the potential risk factors of COVID-19. From 29 eligible studies that reported the characteristics of patients with COVID-19 and their potential risk factors, only one study reported the occupational position of patients with mild or severe disease. This brief overview of the literature highlights that important socioeconomic characteristics are being overlooked when data are collected. As COVID-19 spreads worldwide, it is crucial to collect and report data on socioeconomic determinants as well as race/ethnicity to identify high-risk populations. A systematic recording of socioeconomic characteristics of patients with COVID-19 will be beneficial to identify most vulnerable groups, to identify how SEP relates to COVID-19 and to develop equitable public health prevention measures, guidelines and interventions.