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Covid-19 pandemic and the social determinants of health
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Lauren Paremoer and colleagues call for action to create a fairer and more sustainable post-covid world
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“For instance, racial minorities make up 60% of warehouse and delivery workers and 74% of cleaning service workers, resulting in unequal challenges in social distancing, susceptibility, and disease outcomes [23].”
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“These groups may be dissuaded from reporting tests due to the financial consequences of isolating [11, 12, 22] despite financial aid being available for those required to isolate, as applicants must meet specific criteria [2].”
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The impact of the COVID-19 pandemic on the socioeconomic gradient of hypertension
Vallée, A. (2024) · Journal of Public Health Policy · doi:10.1057/s41271-024-00491-4 · Cited by 4
“Emergence of the COVID-19 pandemic has further highlighted the existing socioeconomic disparities in health [5, 6].”
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“The pandemic has heightened social inequities and mental health concerns (6).”
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Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Cadernos de Saúde Pública · doi:10.1590/0102-311x00194721 · Cited by 3
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“Workplace protections are particularly important for essential workers, who are at high risk for severe SARS-CoV-2 infection given high prevalence of underlying medical conditions in that group [5, 6] as well as social vulnerability related to income and race/ethnicity [7, 8].”
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“Finally, the CT surveys failed to include informal and undocumented workers who were likely to be more vulnerable to adverse working conditions and lack of adequate PPE if they continued to work and had no access to the social protection measures that were implemented during the pandemic, such as unemployment benefits…”
BackgroundCOVID-19 and the social distribution of hunger in three Caribbean Small Island Developing States
Howitt, C., Henry, F. J., Rocke, K. D., Brown, C. R., Jones, W., Dunn, L., & Samuels, T. A. (2022) · Revista Panamericana de Salud Pública · doi:10.26633/rpsp.2022.61 · Cited by 4
“Within societies, it has become clear that social inequalities in health are profoundly and unevenly affecting COVID-19 morbidity and mortality (7).”
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Charging for NHS care and its impact on maternal health
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“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the COVID-19 pandemic.(23) But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and…”
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Europe PMC (PubMed Central) · doi:10.1093/jamia/ocab178 · Cited by 4
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“The pandemic revealed the ways that precarious, exploitative, and unsafe work conditions increased the potential for worker exposure to COVID-19.”
BackgroundInfluentialEconomic Migrants and Clinical Course of SARS-CoV-2 Infection: A Follow-Up Study
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InfluentialPharmacy Students Practicing Health Advocate Competency Roles in Workplace-Based Training
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“The extreme northwest counties in Ohio displayed high IMRs but lower overall SVI IMR , specifically lower vulnerability to poverty, not having a high school diploma, and multiunit housing.”
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“The COVID-19 pandemic significantly and disproportionately affected vulnerable, marginalized, and minority communities, already victims of marked social and economic inequity [1–6].”
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“…utilization or lack thereof, were situated within the intersection of culture and trust with socio-structural determinants of health and are barriers to care that can exacerbate existing inequities among Hispanic/Latino patients in urban and rural underserved communities (Paremoer et al., 2021).”
Woodgate, R. L., Isaak, C. A., Witt, J., Tennent, P., & Bell, A. (2024) · PLoS ONE · doi:10.1371/journal.pone.0309720 · Cited by 3
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“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the COVID-19 pandemic (23).”
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“Therefore, it could not examine the negative effects of low socioeconomic status, including low income, low education, and lack of insurance, on preventive behaviors [30].”
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“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the covid-19 pandemic [23].”
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Journal of Travel Medicine · doi:10.1093/jtm/taab125 · Cited by 3
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“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the COVID-19 pandemic.(23) But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and…”
BackgroundCanada’s pandemic response and future preparedness
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The Future of Adolescent and Young Adult Supportive Care: Looking Beyond the COVID-19 Pandemic
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“Furthermore, such inequalities, especially those seen in global health, were amplified during the pandemic, creating a new impetus for examining policy initiatives to promote health equity [12].”
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“Precarious work and adverse working conditions among minority groups increases the risk of infections as well (Paremoer et al., 2021).”
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“There is a compelling urgency to globally and nationally identify those point of weakness and strengths of the health, economic and social systems to be better prepared for next pandemic/health crisis and improve equity, social justice, solidarity [3, 4].”
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“Such findings echo long-standing calls for a shift in focus to population and system approaches that address the social determinants of health [72,73].”
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“…to the fore the long-standing structural determinants of health inequities, such as precarious employment conditions, growing economic disparities, high unemployment rates, and anti-democratic political institutions and processes (Nwosu & Oyenubi, 2021; Paremoer et al., 2021; Posel & Hall, 2021).”
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · The Lancet Regional Health - Europe · doi:10.1016/j.lanepe.2021.100220 · Cited by 3
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Beyond Us: Building Collective Wellbeing
Lambert, L., Warren, M. A., Waldrop, R. J., Alsubaiei, S., Eubanks, A., & Fisher, J. L. (2022) · Springer eBooks · doi:10.1007/978-3-031-18329-4_3 · Cited by 3
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“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the covid-19 pandemic.(23) But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and…”
BackgroundVirtual Aunting and Public Health Emergencies: A Novel Approach to Sharing Public Health Guidance
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“pandemic.(23) But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and power within and between countries.”
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · The Lancet Regional Health - Americas · doi:10.1016/j.lana.2021.100070 · Cited by 2
“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the covid-19 pandemic [23].”
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.13864 · Cited by 2
THE MAIN DETERMINANTS OF THE COVID-19 SPREADING IN THE EUROPEAN UNION COUNTRIES
Tamaș, A. (2022) · International Journal of Business and Management · doi:10.20472/bm.2022.10.1.005 · Cited by 2
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Family Practice · doi:10.1093/fampra/cmab101 · Cited by 2
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Oxford Open Climate Change · doi:10.1093/oxfclm/kgab008 · Cited by 2
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2021-221353 · Cited by 2
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · International Nursing Review · doi:10.1111/inr.12711 · Cited by 2
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.104060 · Cited by 2
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · European Heart Journal · doi:10.1093/eurheartj/ehab572 · Cited by 2
“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the COVID-19 pandemic.(23) But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and…”
BackgroundAtwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Annals of The Royal College of Surgeons of England · doi:10.1308/rcsann.2021.0268 · Cited by 2
“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the covid-19 pandemic.(23) But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and…”
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Journal of Pharmacy and Pharmacology · doi:10.1093/jpp/rgab127 · Cited by 2
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · American Journal of Clinical Pathology · doi:10.1093/ajcp/aqab151 · Cited by 2
“These measures will also improve the social and economic determinants of health, the poor state of which may have made populations more vulnerable to the COVID-19 pandemic.(23) But the changes cannot be achieved through a return to damaging austerity policies or the continuation of the large inequalities of wealth and…”
(2021) · DOAJ (DOAJ: Directory of Open Access Journals) · doi:10.1136/bmjnph-2021-000356 · Cited by 2
Antonopoulou, V., Ong, M., Meyer, C., Beale, S., Lorencatto, F., Michie, S., Aldridge, R. W., & Hayward, A. C. (2024) · Research Square · doi:10.21203/rs.3.rs-3875563/v1 · Cited by 2
Atwoli, L., Baqui, A. H., Benfield, T., Bosurgi, R., Godlee, F., Hancocks, S., Horton, R. C., Laybourn‐Langton, L., Monteiro, C. A., Norman, I. J., et al. (2021) · Postgraduate Medical Journal · doi:10.1136/postgradmedj-2021-141037 · Cited by 1
Bauernfeind, A., Foldspang, A., Fernández-Ajuria, A., Otok, R., & Middleton, J. (2021) · International Journal of Public Health · doi:10.3389/ijph.2021.1604138 · Cited by 1
Bibliometric analysis and key messages of integrating Chinese and Western Medicine for COVID-19
Du, M., Li, H., Guo, H., Zhang, X. W., Rong, H., & Hao, X. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e27293 · Cited by 1
“The COVID-19 pandemic has exposed the health effects of longstanding social inequities, and also shaken up the socio-economic order on a global scale [3].”
BackgroundThe Impact of the COVID-19 Pandemic on the Mental Health of Families
Joseph, D. D., Mthembu, M., & Maburu, A. T. (2024) · Springer eBooks · doi:10.1007/978-3-031-55293-9_12 · Cited by 1
Social Inequality in the MENA Region
Khondker, H. H. (2024) · Springer eBooks · doi:10.1007/978-3-030-97417-6_94-1 · Cited by 1
The Promise and Treachery of Nutrition in DOHaD
Moore, V., & Warin, M. J. (2024) · Cambridge University Press eBooks · doi:10.1017/9781009201704.007 · Cited by 1
The environment, population health ethics, and genomics
Capps, B. (2024) · Elsevier eBooks · doi:10.1016/b978-0-323-91799-5.00011-5 · Cited by 1
The employment preferences of young people in Canada: a discrete choice experiment
Woodgate, R. L., Isaak, C. A., Witt, J. C., Tennent, P., & Bell, A. (2025) · BMC Public Health · doi:10.1186/s12889-025-21515-y · Cited by 1
“Adding to these barriers, the pandemic, had the greatest effect on people who experience discrimination [72], with inequality and marginality more visible, severely impacting employment for some YW [17, 58].”
Chakraborty, A., & Shah, J. (2025) · Archives of Public Health · doi:10.1186/s13690-025-01510-w · Cited by 1
“Several factors, including epidemiologic, socioeconomic, government structure, and population-level characteristics are attributable to this geographic difference in the number of COVID-19 cases [3–6].”
Evaluation of Nurse‐Led and Student‐Led Community‐Based Clinics: A Scoping Review
Li, E. W., Alli, R., Dennis, C., Pereira, R., & Siu, H. M. (2025) · Journal of Clinical Nursing · doi:10.1111/jocn.17791 · Cited by 1
Tiwana, M. H., Hollmann, L., & Smith, J. (2025) · International Journal for Equity in Health · doi:10.1186/s12939-025-02522-2 · Cited by 1
“…determinants of health, alongside biological determinants, to influence not only direct health outcomes but also secondary outcomes - defined as those that result from measures implemented to mitigate the direct health consequences - such as economic hardship and increased risk of violence [4, 5].”
Linguistic factors and COVID-19 outcomes among long-term care residents in Ontario, Canada
Reaume, M., Batista, R., Imsirovic, H., Bjerre, L. M., Kendall, C., Bouchard, L., Gauthier, A. P., Landry, J., Chomienne, M., Muray, M., et al. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-06301-0 · Cited by 1
“Epidemiological studies consistently showed that ethnicity, immigration status, and socioeconomic status were independent risk factors for COVID-19 outcomes [11].”
Metadata
- Authors
- Paremoer, L., Nandi, S., Serag, H., & Baum, F.
- Affiliations
- University of Cape Town (ZA)
- The University of Texas Medical Branch at Galveston (US)
- Flinders University (AU)
- Corresponding author
- Nandi, Sulakshana
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2021-01-28
- Volume
- 372
- Pages
- n129
- ISSN
- 1756-1833 (ISSN-L)
- PMC
- PMC7842257
- OpenAlex
- W3123581252
- Cited by
- 553
- References
- 22
- Citations by year
- 2026: 10 · 2025: 33 · 2024: 62 · 2023: 109 · 2022: 99 · 2021: 240
- FWCI
- 70.44
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- BMJ (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Public Health and Social Inequalities
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Challenges
- Keywords
- COVID-19 pandemic, social determinants of health, health equity, post-pandemic society, sustainability, health policy
- MeSH terms
- Food Insecurity, COVID-19, SARS-CoV-2, Female, Health Services Accessibility, Humans, Male, Public Policy, Socioeconomic Factors, Vulnerable Populations, Health Status Disparities, Social Determinants of Health
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