The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index; 17 of the 50 sources its claims cite were checked for support.
The COVID-19 pandemic and health inequalities
Open accessAbstract
This essay examines the implications of the COVID-19 pandemic for health inequalities. It outlines historical and contemporary evidence of inequalities in pandemics—drawing on international research into the Spanish influenza pandemic of 1918, the H1N1 outbreak of 2009 and the emerging international estimates of socio-economic, ethnic and geographical inequalities in COVID-19 infection and mortality rates. It then examines how these inequalities in COVID-19 are related to existing inequalities in chronic diseases and the social determinants of health, arguing that we are experiencing a syndemic pandemic . It then explores the potential consequences for health inequalities of the lockdown measures implemented internationally as a response to the COVID-19 pandemic, focusing on the likely unequal impacts of the economic crisis. The essay concludes by reflecting on the longer-term public health policy responses needed to ensure that the COVID-19 pandemic does not increase health inequalities for future generations.
Overview
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Verification
Claims the paper makes
17 of 50 cited sources checked · 6 supported · 1 flagged · accuracy not yet measured
At least one cited source doesn’t support this claim or points to a different paper, and none confirmed it — see the verdicts below.
In the paper
“Similarly, access to healthcare is lower in disadvantaged and marginalised communities-even in universal healthcare systems.32”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Disputedcites [32] Todd A , Copeland A , Kasim A , et al. Access all areas? An area-level analysis of the relationship between community pharmacy and primary care distribution, urbanity and social deprivation in England. BMJ Open 2015;5:e007328. doi: 10.1136/bmjopen-2014-007328 sourceExperimental — accuracy not yet measured
The Conclusions (page unavailable) report the opposite pattern for the access this study measured: a higher proportion of people in England’s most deprived areas live within a 20-minute walk of a GP premises. The Discussion’s principal findings likewise say GP-premises accessibility was highest in the most deprived areas. The paper measures proximity to GP premises and pharmacies, not healthcare access in general or access among all marginalised communities. (LLM, conf=0.87)
Checked by a reasoning model — may be wrong.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Disputed
Every source the paper cites for this claim was checked and supports it.
In the paper
“and across Sweden, there were inequalities in mortality between the highest and lowest occupational classes -particularly among men.7”
§ The COVID-19 pandemic and health inequalities > PART 1. HISTORICAL AND CONTEMPORARY EVIDENCE OF INEQUALITIES IN PANDEMICS
What the sources say
- Supportedcites [7] source
The Discussion reports social-class differences in excess mortality during the July 1918–June 1919 pandemic and says they were larger among men than women. The Regression results likewise identify low-skilled men as having the highest excess mortality and farmers the lowest; the paper does not claim a uniform class gradient. (LLM, conf=0.91)
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“In contrast, countries with smaller pre-existing social and economic inequalities, such as New Zealand, did not experience any socio-economic inequalities in mortality.8 9”
§ The COVID-19 pandemic and health inequalities > PART 1. HISTORICAL AND CONTEMPORARY EVIDENCE OF INEQUALITIES IN PANDEMICS
What the sources say
- Not matchedcites [8] Rice G , Bryder L . Black november: the 1918 influenza pandemic in New Zealand . Christchurch: Canterbury University Press, 2005.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Partly supportedcites [9] sourceExperimental — accuracy not yet measured
The Results (Univariate results, page unavailable) show no significant trend in mortality risk by occupational class among New Zealand military personnel; the paper also reports no significant occupational-class association in its fully adjusted model. But it does not establish that New Zealand had smaller pre-existing social and economic inequalities or that the country experienced no socioeconomic inequalities in pandemic mortality. The study was restricted to New Zealand military personnel in the Northern Hemisphere, so the claim generalizes beyond its population. (LLM, conf=0.87)
Strength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Not matched
Every source the paper cites for this claim was checked and supports it.
In the paper
“Another study found positive associations between people with financial issues (eg, financial barriers to healthcare access) and influenza-like illnesses during the 2009 H1N1 pandemic in the USA.15”
§ The COVID-19 pandemic and health inequalities > PART 1. HISTORICAL AND CONTEMPORARY EVIDENCE OF INEQUALITIES IN PANDEMICS
What the sources say
- Supportedcites [15] source
The COMMENT section (page not provided) reports that respondents with financial barriers to healthcare were more likely to report influenza-like illness, even after adjustment for age, medical conditions, and employment. This directly supports the cited association in the US pandemic study. (LLM, conf=0.94)
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“For example, globally, Mexico experienced a higher mortality rate than that in higher-income countries.12”
§ The COVID-19 pandemic and health inequalities > PART 1. HISTORICAL AND CONTEMPORARY EVIDENCE OF INEQUALITIES IN PANDEMICS
What the sources say
- Supportedcites [12] source
The Discussion states that Mexico had higher 2009 pandemic-related mortality rates than the United States, Europe, or Australia. It also compares an estimated 11.1 deaths per 100,000 in Mexico with 4 per 100,000 in the United States. (LLM, conf=0.91)
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Various studies on cyclical winter influenza in North America have also found associations between mortality, morbidity and symptom severity and socio-economic status among adults and children.16 17”
§ The COVID-19 pandemic and health inequalities > PART 1. HISTORICAL AND CONTEMPORARY EVIDENCE OF INEQUALITIES IN PANDEMICS
What the sources say
- Partly supportedcites [16] sourceExperimental — accuracy not yet measured
The Discussion reports that influenza-related hospitalizations increased as neighborhood socioeconomic status decreased among adults in New Haven County across four seasons. The Introduction also reports an earlier Connecticut finding for children. These passages support an association with hospitalization, but not the claimed associations with mortality or symptom severity across North America. (LLM, conf=0.88)
- Not checked — no full text of the sourcecites [17] source
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Similarly, old-age pensions in the UK were protected from austerity cuts after the GFC and research has suggested that this prevented health inequalities increasing amongst the older population.45”
§ The COVID-19 pandemic and health inequalities > PART 3. THE GREAT LOCKDOWN: THE COVID-19 ECONOMIC CRISIS AND HEALTH INEQUALITIES
What the sources say
- Partly supportedcites [45] sourceExperimental — accuracy not yet measured
The Background and Discussion say UK pensioners were largely protected from austerity and suggest that maintaining these benefits may explain why the mental-health gap did not widen in the study’s older cohort. The Conclusion limits that finding to an 18-month study of the most and least deprived neighbourhoods of Stockton-on-Tees; it does not establish that pension protection prevented health inequalities from increasing among the UK’s older population generally. (LLM, conf=0.85)
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Partly supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Housing is also an important factor in driving health inequalities.34”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Supportedcites [34] source
The Introduction describes housing and neighbourhood conditions as an upstream determinant that plays a role in health inequalities. The Abstract also calls them important social determinants of health. Together, these passages support the citing sentence's broad claim. (LLM, conf=0.93)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Decades of research into the psychosocial determinants of health have found that the chronic stress of material and psychological deprivation is associated with immunosuppression.36”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Partly supportedcites [36] sourceExperimental — accuracy not yet measured
The Results report that chronic stressors, including unemployment and caregiving, were associated with reduced function on almost all immune measures examined. The Discussion describes the most chronic stressors as associated with broad immunosuppression. The paper does not establish material and psychological deprivation as distinct categories of stressor, so that specificity goes beyond its findings. (LLM, conf=0.82)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passes- Partly supported
Every source the paper cites for this claim was checked and supports it.
In the paper
“Likewise, there is increasing evidence that living in disadvantaged environments may produce a sense of powerlessness and collective threat among residents, leading to chronic stressors that, in time, damage health.39”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Supportedcites [39] source
Section 3.3 (Meso/community level theories; page not provided) states that disadvantaged living environments may produce collective threat and powerlessness, which act as chronic stressors damaging health over time. This directly supports the attributed claim. (LLM, conf=0.95)
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passes- Supported
- It may state two separate claims as one. 21
- Probably not a substantial claim. 2
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“Housing also impacts health inequalities materially through costs (eg, as a result of high rents) and psychosocially through insecurity (eg, short-term leases).34”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Partly supportedcites [34] sourceExperimental — accuracy not yet measured
The Introduction (page unavailable) says housing tenure may affect health psychosocially: home ownership may provide greater security than renting, while debt may cause anxiety. It does not identify high rents as a material pathway or short-term leases as the source of insecurity, and it qualifies the tenure effect rather than asserting it outright. (LLM, conf=0.84)
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Partly supported
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“For example, exposure to poor quality housing is associated with certain health outcomes, for example, damp housing can lead to respiratory diseases such as asthma while overcrowding can result in higher infection rates and increased risk of injury from household accidents.34”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Partly supportedcites [34] sourceExperimental — accuracy not yet measured
The Introduction says cold and damp housing may cause or exacerbate respiratory conditions, and that some housing-related hazards can cause injuries. The Results identify overcrowding as a housing-risk category, but the passages do not link it specifically to higher infection rates or household-accident injuries. The paper also does not specifically identify asthma as an outcome of damp housing. (LLM, conf=0.87)
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Partly supported
The cited sources that could be checked couldn’t confirm or dispute this claim.
In the paper
“For example, inequalities in premature mortality and infant mortality by income and ethnicity in the USA decreased during the period of welfare expansion in the USA ('war on poverty' era 1966 to 1980), but they increased again during the Reagan-Bush period (1980-2002) when welfare services and healthcare coverage were cut.46”
§ The COVID-19 pandemic and health inequalities > PART 3. THE GREAT LOCKDOWN: THE COVID-19 ECONOMIC CRISIS AND HEALTH INEQUALITIES
What the sources say
- Could not verifycites [46] sourceExperimental — accuracy not yet measured
The ‘Post-treatment reduction of clinical risk’ and ‘Duration of Follow-Up’ sections discuss antimalarial treatment trials, not US mortality inequalities. Searches for premature and infant mortality by income and ethnicity, the war on poverty, and the Reagan–Bush period found no passage addressing the claimed trends. (LLM, conf=0.78)
Strength:plain· not yet calibratedCausal:direct· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Could not verify
The cited sources support only part of this claim — read each source’s verdict below.
In the paper
“COVID-19 has laid bare our longstanding social, economic and political inequalities -even before the COVID-19 pandemic, life expectancy amongst the poorest groups was already declining in the UK and the USA and health inequalities in some European countries have been increasing over the last decade.50”
§ The COVID-19 pandemic and health inequalities > CONCLUSION
What the sources say
- Partly supportedcites [50] Forster T , Kentikelenis A , Bambra C . Health inequalities in Europe: setting the stage for progressive policy action, Foundation for European Progressive Studies and the Think Tank for Action on Social Change (TASC). 2018. Available https://www.feps-europe.eu/component/attachments/attachments.html?task=attachment&id=168 sourceExperimental — accuracy not yet measured
The “Healthier but Still Unequal” section (page not provided) reports widening life-expectancy gaps in Denmark and in England between 2010 and 2015, supporting the claim that health inequalities increased in some European countries before COVID-19. It does not establish that life expectancy itself declined among the poorest groups in the UK or USA; the search for that claim found no such passage. (LLM, conf=0.88)
Load-bearingStrength:plain· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Partly supported
None of the sources cited for this claim have been checked yet.
In the paper
“The international literature demonstrates that there were inequalities in prevalence and mortality rates: between high-income and low-income countries, more and less affluent neighbourhoods, higher and lower socio-economic groups, and urban and rural areas.”
§ The COVID-19 pandemic and health inequalities > PART 1. HISTORICAL AND CONTEMPORARY EVIDENCE OF INEQUALITIES IN PANDEMICS
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“These health impacts were not shared equally though-areas of the UK with higher unemployment rates had greater increases in suicide rates and inequalities in mental health increased with people living in the most deprived areas experiencing the largest increases in psychiatric morbidity and self-harm.43”
§ The COVID-19 pandemic and health inequalities > PART 3. THE GREAT LOCKDOWN: THE COVID-19 ECONOMIC CRISIS AND HEALTH INEQUALITIES
What the sources say
- Not checked — no full text of the sourcecites [43] source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“The COVID-19 pandemic is occurring against a backdrop of social and economic inequalities in existing non-communicable diseases (NCDs) as well as inequalities in the social determinants of health.”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes? Based: unclearIt may state two separate claims as one.
In the paper
“With regard to ethnic inequalities in COVID-19, data from England and Wales have found that people who are black, Asian and minority ethnic (BAME) accounted for 34.5% of 4873 critically ill COVID-19 patients (in the period ending April 16, 2020) and much higher than the 11.5% seen for viral pneumonia between 2017 and 2019.20”
§ The COVID-19 pandemic and health inequalities > PART 1. HISTORICAL AND CONTEMPORARY EVIDENCE OF INEQUALITIES IN PANDEMICS
What the sources say
- Not matchedcites [20] Intensive Care National Audit and Research Centre . Report on COVID-19 in critical care 17 April 2020 . London: Intensive Care National Audit and Research Centre, 2020.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Rests on an assumption: 14% of the population of England and Wales are from BAME backgrounds.
- Not matched
In the paper
“For example, in Chicago (in the period ending April 17, 2020), 59.2% of COVID-19 deaths were among black residents and the COVID-19 mortality rate for black Chicagoans was 34.8 per 100 000 population compared to 8.2 per 100 000 population among white residents.21”
§ The COVID-19 pandemic and health inequalities > PART 1. HISTORICAL AND CONTEMPORARY EVIDENCE OF INEQUALITIES IN PANDEMICS
What the sources say
- Not matchedcites [21] Chicago Department of Public Health . COVID-19 death characteristics for Chicago residents. 2020. Available https://www.chicago.gov/city/en/sites/covid-19/home/latest-data.html (accessed 18 Apr 2020).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Not matched
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“For example, lower-paid workers (where BAME groups are disproportionately represented)-particularly in the service sector (eg, food, cleaning or delivery services)-are much more likely to be designated as key workers and thereby are still required to go to work and rely on public transport for doing so.All these increase their exposure to the virus.”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Lower socio-economic groups have a higher exposure to poor quality or unaffordable, insecure housing and therefore have a higher rate of negative health consequences.35”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Not checked — no full text of the sourcecites [35] source
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“People with existing chronic conditions (eg, cancer or cardiovascular disease (CVD)) are less likely to receive treatment and diagnosis as health services are overwhelmed by dealing with the pandemic.”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“Just like the 1918 influenza pandemic (which had severe impacts on economic performance and increased poverty rates), the COVID-19 crisis will have huge economic, social and-ultimately-health consequences.”
§ The COVID-19 pandemic and health inequalities > PART 3. THE GREAT LOCKDOWN: THE COVID-19 ECONOMIC CRISIS AND HEALTH INEQUALITIES
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“Minority ethnic groups, people living in areas of higher socioeconomic deprivation, those in poverty and other marginalised groups (such as homeless people, prisoners and street-based sex workers) generally have a greater number of coexisting NCDs, which are more severe and experienced at at a younger age.”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“For example, deprived neighbourhoods are more likely to contain houses of multiple occupation and smaller houses with a lack of outside space, as well as have higher population densities (particularly in deprived urban areas) and lower access to communal green space.27”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Not matchedcites [27] Bambra C . Health divides: where you live can kill you . Bristol: Policy Press, 2016.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Not matched
In the paper
“Previous research has found that sudden economic shocks (like the collapse of communism in the early 1990s and the global financial crisis (GFC) of 2008 41 ) lead to increases in morbidity, mental ill health, suicide and death from alcohol and substance use.”
§ The COVID-19 pandemic and health inequalities > PART 3. THE GREAT LOCKDOWN: THE COVID-19 ECONOMIC CRISIS AND HEALTH INEQUALITIES
What the sources say
- Not matchedcites [41] Stuckler D , Basu S . The body economic. why austerity kills . London: Thomas Allen, 2013.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
- Not matched
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“So, the health consequences of the COVID-19 economic crisis are likely to be similarly unequally distributed-exacerbating heath inequalities.”
§ The COVID-19 pandemic and health inequalities > PART 3. THE GREAT LOCKDOWN: THE COVID-19 ECONOMIC CRISIS AND HEALTH INEQUALITIES
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“The prevalence and severity of the COVID-19 pandemic is magnified because of the pre-existing epidemics of chronic disease-which are themselves socially patterned and associated with the social determinants of health.”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
In the paper
“Similarly, the Gypsy/Roma community-one of the most marginalised minority groups in Europe-has a smoking rate that is two to three times the European average and increased rates of respiratory diseases (such as COPD) and other COVID-19 risk factors.29”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Not matchedcites [29] European commission . Roma health report: health status of the Roma population in the member states of the European union . Brussels: European Commission, 2014.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Strength:plain· not yet calibratedCausal:correlational· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
- Not matched
In the paper
“These will likely increase COVID-19 transmission rates-as was the case with H1N1 where strong associations were found with urbanity.13”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
What the sources say
- Not checked — no full text of the sourcecites [13] source
Strength:hedged· not yet calibratedCausal:conditional· not yet calibratedTests✓ Asserted: passes✓ Checkable: passes? Load-bearing: unclear✓ Based: passesIt may state two separate claims as one.
The paper states this without a source or data behind it here, so there is nothing to check it against. The quote shows it is in the paper.
In the paper
“These state-imposed restrictionsusually requiring the government to take on emergency powershave been implemented to varying levels of severity, but all have in common a significant increase in social isolation and confinement within the home and immediate neighbourhood.”
§ The COVID-19 pandemic and health inequalities > PART 3. THE GREAT LOCKDOWN: THE COVID-19 ECONOMIC CRISIS AND HEALTH INEQUALITIES
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✗ Based: failsProbably not a substantial claim. The paper may give no reason why it holds.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“This reduced access to healthcare-before and during the outbreak -contributes to inequalities in chronic disease and is also likely to lead to worse outcomes from COVID-19 in more disadvantaged areas and marginalised communities.”
§ The COVID-19 pandemic and health inequalities > PART 2. THE SYNDEMIC OF COVID-19, CHRONIC DISEASE AND THE SOCIAL DETERMINANTS OF HEALTH
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
A conclusion the paper draws from its own results — it cites no other source for it, so there is none to check. The quote shows it is in the paper.
In the paper
“It seems likely that there will be a post-COVID-19 global economic slumpwhich could make the health equity situation even worse, particularly if health-damaging policies of austerity are implemented again.”
§ The COVID-19 pandemic and health inequalities > CONCLUSION
Tests✓ Asserted: passes✓ Checkable: passes✓ Load-bearing: passes✓ Based: passesIt may state two separate claims as one.
The paper relies on this without support.
14% of the population of England and Wales are from BAME backgrounds.
“Only 14% of the population of England and Wales are from BAME backgrounds.”
The paper relies on this without support.
Most countries failed to pursue traditional public health surveillance measures and were forced to implement lockdowns.
“While traditional public health surveillance measures of contact tracing and individual quarantine were successfully pursued by some countries (most notably by South Korea and Germany) as a way of tackling the virus in the early stages, most other countries failed to do so, and governments worldwide were eventually forced to implement mass quarantine measures -in the form of lockdowns.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“What we do know with more certainty is that times of crisis or periods of austerity are likely to disadvantage entire cohorts/generations [60], but that this will amplify prior forms of exclusion and marginalisation [3].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Conclusion attributes 1918 inequalities to COVID-19
MinorThe conclusion says inequalities both then and now arose through COVID-19. Earlier, the paper identifies the historical inequalities as occurring during the 1918 Spanish influenza pandemic, not the COVID-19 pandemic.
“Both then and now, these inequalities have emerged through the syndemic nature of COVID-19-as it interacts with and exacerbates existing social inequalities in chronic disease and the social determinants of health.”
“More recent studies have confirmed Sydenstricker's early findings: there were significant inequalities in the 1918 Spanish influenza pandemic.”
Citations
Cites
Closing the gap in a generation: health equity through action on the social determinants of health
Marmot, M. G., Friel, S., Bell, R., Houweling, T. A. J., & Taylor, S. A. J. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61690-6 · Cited by 8,473
Psychological stress and the human immune system: a meta-analytic study of 30 Years of inquiry
Segerstrom, S. C., & Miller, G. E. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.4.601 · Cited by 3,334 · cited 1×
“Decades of research into the psychosocial determinants of health have found that the chronic stresses of material and psychological deprivation is associated with immunosuppression [36].”
BackgroundAlmond, D. (2006) · Journal of Political Economy · doi:10.1086/507154 · Cited by 1,190 · cited 1×
“There is also some evidence from the USA that the pandemic had long term impacts on child health and development [11].”
BackgroundMurray, C. J., Lopez, A. D., Chin, B., Feehan, D., & Hill, K. H. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69895-4 · Cited by 605 · cited 4×
“For example, India had a mortality rate 40 times higher than Denmark and the mortality rate was 20 times higher in some South American countries than in Europe.4 In Norway, mortality rates were highest among the working-class districts of Oslo5; in the USA, they were highest among the unemployed and the urban poor in…”
BackgroundInfluentialGibson, M., Petticrew, M., Bambra, C., Sowden, A. J., Wright, K. E., & Whitehead, M. (2011) · Health & Place · doi:10.1016/j.healthplace.2010.09.011 · Cited by 539 · cited 2×
“Housing is also an important factor in driving health inequalities [34].”
BackgroundSelf-citationIntroduction to Syndemics: A Critical Systems Approach to Public and Community Health
Singer, M. C. (2009) · Medical Entomology and Zoology · Cited by 537
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Clinical Features Predicting Mortality Risk in Patients With Viral Pneumonia: The MuLBSTA Score
Guo, L., Wei, D., Zhang, X., Wu, Y., Li, Q. Y., Zhou, M., & Qu, J. (2019) · Frontiers in Microbiology · doi:10.3389/fmicb.2019.02752 · Cited by 412
Gkiouleka, A., Huijts, T., Beckfield, J., & Bambra, C. (2018) · Social Science & Medicine · doi:10.1016/j.socscimed.2018.01.025 · Cited by 319
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- Lacobucci G . GPs in deprived areas face severest pressures. BMJ . 2019;365:l2104.
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Campbell, M. H., Marek, L., Wiki, J., Hobbs, M., Sabel, C. E., McCarthy, J. P., & Kingham, S. (2021) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2020-216108 · Cited by 35
Trips for outdoor exercise at different stages of the COVID-19 pandemic in Scotland
Semple, T., Fountas, G., & Fonzone, A. (2021) · Journal of Transport & Health · doi:10.1016/j.jth.2021.101280 · Cited by 36
“, those in certain occupations or lower income groups) have been at greater risk of infection and mortality (Bambra et al., 2020).”
BackgroundDavis, A., Lembo, T., Laurie, E., Mutua, E., Loosli, K., Nthambi, M., Nimegeer, A., Mnzava, K., Msoka, E. F., Nasuwa, F., et al. (2021) · Antimicrobial Resistance and Infection Control · doi:10.1186/s13756-022-01071-5 · Cited by 38
“The Coronavirus disease (COVID19) pandemic is no exception [2].”
BackgroundHoldroyd, I., Vodden, A., Srinivasan, A., Kuhn, I. L., Bambra, C. L., & Ford, J. A. (2022) · BMJ Open · doi:10.1136/bmjopen-2022-063137 · Cited by 41
Self-citationMolenaar, J., & PRAAG, L. V. (2022) · SSM - Qualitative Research in Health · doi:10.1016/j.ssmqr.2022.100076 · Cited by 37
Colonialism, malaria, and the decolonization of global health
Bump, J. B., & Aniebo, I. (2022) · PLOS Global Public Health · doi:10.1371/journal.pgph.0000936 · Cited by 46
Ransome, Y., Ojikutu, B. O., Buchanan, M., Johnston, D., & Kawachi, I. I. (2021) · Journal of Urban Health · doi:10.1007/s11524-021-00532-3 · Cited by 34
“, area-level socioeconomic deprivation and racial residential segregation) [4] that disproportionally exacerbated exposure risk in predominantly Black areas [5, 6].”
BackgroundAdams, E. A., Parker, J., Jablonski, T., Kennedy, J., Tasker, F., Hunter, D. J., Denham, K., Smiles, C., Muir, C., O'Donnell, A. J., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19063459 · Cited by 46
Food Insecurity and Delayed or Forgone Medical Care During the COVID-19 Pandemic
Bertoldo, J., Wolfson, J. A., Sundermeir, S. M., Edwards, J. G., Gibson, D., Agarwal, S., & Labrique, A. (2022) · American Journal of Public Health · doi:10.2105/ajph.2022.306724 · Cited by 38
Šehović, A. B., & Govender, K. (2021) · Global Public Health · doi:10.1080/17441692.2021.1916056 · Cited by 37
“This consequence of COVID-19 is also attributable to already weak health and social systems strained by populations carrying a high burden of disease (HIV, TB, malaria and increasing rates of diabetes) and exacerbated by existing poor social determinants of health (Bambra et al., 2020; Lisk, 2009).”
BackgroundWendt, A. T., Ricardo, L. I. C., Costa, C. S., Knuth, A. G., Tenório, M. C. M., & Crochemore‐Silva, I. (2021) · Journal of Physical Activity and Health · doi:10.1123/jpah.2021-0291 · Cited by 34
El impacto de la pandemia de COVID-19 sobre la salud. Informe SESPAS 2022
Torres-Cantero, A. M., León, E. E. Á., Morán‐Sánchez, I., Campillo, I. S. L., Bernal, E., Pereña, M. H., & Martínez-Morata, I. (2022) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2022.02.008 · Cited by 48
“…han impactado sobre los determinantes sociales de la enfermedad, pro-duciendo un aumento de las desigualdades allí donde los sistemas sociales no han podido responder de forma apropiada, y en los paí-ses que, como Espa˜na, Italia y Grecia, habían aplicado medidas de ajuste del gasto social 10 .”
Defining health equity: A modern US perspective
Prentice, K. R., Beitelshees, M., Hill, A., & Jones, C. H. (2024) · iScience · doi:10.1016/j.isci.2024.111326 · Cited by 43
Heslop, P., Byrne, V., Calkin, R., et al. (2021) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.12914 · Cited by 34
Dupré, J., & Leonelli, S. (2022) · European Journal for Philosophy of Science · doi:10.1007/s13194-022-00450-4 · Cited by 39
“…by shifting to the idea of “syndemic”, defined as “a set of closely intertwined and mutually enhancing health problems that significantly affect the overall health status of a population within the context of a perpetuating configuration of noxious social conditions” (Bambra et al., 2020, 13).”
BackgroundDow‐Fleisner, S., Seaton, C. L., Li, E., Plamondon, K., Oelke, N. D., Kurtz, D., Jones, C., Currie, L. M., Pesut, B., Hasan, K., et al. (2022) · BMC Public Health · doi:10.1186/s12889-022-13254-1 · Cited by 34
“Historical analyses have suggested that measures to mitigate the spread of COVID-19 will have unequal consequences and economic impacts, exacerbating heath inequities [36].”
BackgroundKhlat, M., Ghosn, W., Guillot, M., Vandentorren, S., Delpierre, C., du Loû, A. D., Fouillet, A., Ghosn, W., Guillot, M., Lefèvre, T., et al. (2022) · Social Science & Medicine · doi:10.1016/j.socscimed.2022.115160 · Cited by 34
Moreno‐Agostino, D., Woodhead, C., Ploubidis, G. B., & Das‐Munshi, J. (2023) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-023-02424-0 · Cited by 39
“The onset of the COVID-19 pandemic has had unequal implications for different groups within the population [27, 28].”
Using the COVID-19 pandemic to reimagine global health teaching in high-income countries
Atkins, S. A., Banerjee, A., Bachynski, K., Daftary, A., Desai, G. S., Gross, A. M., Hedt‐Gauthier, B., Mendenhall, E., Meier, B. M., Nixon, S., et al. (2021) · BMJ Global Health · doi:10.1136/bmjgh-2021-005649 · Cited by 36
Baxter, S. K., Barnes, A., Lee, C. Y., Mead, R., & Clowes, M. (2022) · Local Government Studies · doi:10.1080/03003930.2022.2081551 · Cited by 51
“…to participation and influence within local governance systems, and this raises questions about the effectiveness of initiatives in the current economic context, particularly given the continuing social and economic impacts following the COVID-19 pandemic (Stuckler et al. 2017; Bambra et al. 2020).”
BackgroundStegeman, I., Godfrey, A., Romeo-Velilla, M., Bell, R., Staatsen, B. A. M., van der Vliet, N., Kruize, H., Morris, G., Taylor, T., Strube, R., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17197166 · Cited by 33
“The pandemic has shone a spotlight on structural weaknesses driving and sustaining health inequities across society, and the implicit need for fundamental change [10,11].”
BackgroundLuck, K. E., Doucet, S. A., & Luke, A. (2021) · Journal of Occupational Science · doi:10.1080/14427591.2020.1871401 · Cited by 33
Marmet, S., Wicki, M., Gmel, G. E., Gachoud, C., Daeppen, J., Bertholet, N., & Studer, J. (2021) · PLoS ONE · doi:10.1371/journal.pone.0255050 · Cited by 31
“People with a lower SES form one of these vulnerable population groups, as they are disproportionally affected by physical [15] and mental health problems [16] in normal times, and these issues may be further exacerbated when crises occur [11, 17, 18].”
BackgroundInfluentialTackling population health challenges as we build back from the pandemic
McCartney, G., Douglas, M., Taulbut, M., Katikireddi, S. V., & McKee, M. (2021) · BMJ · doi:10.1136/bmj-2021-066232 · Cited by 38
“35 Theserecognisedthekeyroleoftheeconomy in modifying the effect of the pandemic on health (eg, by reducing inequalitiesinexposureandsusceptibilitytothedirectandindirectpandemicimpacts 36 ) and the consequences thereof, and its importance for long term health trends.”
COVID-19 vulnerability among Brazilian sexual and gender minorities: a cross-sectional study
Neto, A. O. M., da Silva, S. A. G., Gonçalves, G. P., et al. (2022) · Cadernos de Saúde Pública · doi:10.1590/0102-311xen234421 · Cited by 32
“Multivariate analyses were sequentially performed by adding blocks of characteristics in the following order: (1) gender-related characteristics; (2) sociodemographic characteristics; and (3) healthrelated characteristics.”
MethodHartmann‐Boyce, J., HIGHTON, P. J., Rees, K., Onakpoya, I., Suklan, J., Curtis, F., O’Mahoney, L. L., Morris, E. M., Kudlek, L., Morgan, J., et al. (2024) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(23)00351-0 · Cited by 32
Encouraging Physical Activity during and after Pregnancy in the COVID-19 Era, and beyond
Atkinson, L., VIVO, M. D., Hayes, L., Hesketh, K. R., Mills, H., Newham, J. J., Olander, E. K., & Smith, D. M. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17197304 · Cited by 35
“Existing inequalities in health, and its determinants, have contributed to the impact of COVID-19 being amplified in already disadvantaged populations [35].”
BackgroundLachman, P. I. (2020) · Pediatric Research · doi:10.1038/s41390-020-01253-0 · Cited by 32
“Currently it is not certain why this is so, but the SDH plays a major role as the known risk factors and comorbidities for poorer outcomes in COVID-19 infection, such as diabetes and obesity, and other chronic diseases that are more prevalent in poorer communities and ethnic minorities.(11) Social determinants may res…”
BackgroundOluyomi, A. O., Gunter, S. M., Leining, L. M., Murray, K. O., & Amos, C. I. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18041495 · Cited by 33
Sonu, S. C., Marvin, D., & Moore, C. E. (2021) · Journal of Child & Adolescent Trauma · doi:10.1007/s40653-021-00363-z · Cited by 39
“Studies of the 1918 influenza pandemic, as well as the 2009 H1N1 influenza pandemic, showed worse outcomes in marginalized populations of the time (Bambra et al., 2020).”
BackgroundAllaria, C., Loubière, S., Mosnier, É., Monfardini, E., Auquier, P., & Tinland, A. (2021) · SSM - Population Health · doi:10.1016/j.ssmph.2021.100829 · Cited by 31
Bezzo, F. B., Silva, L., & van Ham, M. (2021) · PLoS ONE · doi:10.1371/journal.pone.0255156 · Cited by 35
“The Covid-19 pandemic is an unprecedented event in modern history, and an event with massive implications in terms of health and well-being inequalities [1].”
BackgroundMalmusi, D., Pasarín, M. I., Marí-Dell’Olmo, M., et al. (2022) · International Journal for Equity in Health · doi:10.1186/s12939-022-01628-1 · Cited by 32
“COVID-19 has shown social inequalities in its incidence, which has been reported to be higher in people with lower socioeconomic position and in ethnic minorities [2].”
BackgroundTrusting COVID-19 vaccines as individual and social goal
Falcone, R., Ansani, A., Colí, E., Marini, M., Sapienza, A., Castelfranchi, C., & Fabio Paglieri, A. (2022) · Scientific Reports · doi:10.1038/s41598-022-13675-3 · Cited by 33
Harvey, E. J., Brún, C. D., Casale, E., Finistrella, V., & Ashiru-Oredope, D. A. I. (2023) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkad034 · Cited by 32
Tokens Shuffling Approach for Privacy, Security, and Reliability in IoHT under a Pandemic
Bahbouh, N. M., Basahel, A. M., Sendra, S., et al. (2022) · Applied Sciences · doi:10.3390/app13010114 · Cited by 31
Hernandez-Salinas, C., Marsiglia, F. F., Oh, H., Campos, A. P., & Rosa, K. D. L. (2022) · Journal of Community Health · doi:10.1007/s10900-022-01182-5 · Cited by 33
“SDoH are crucial when assessing the impact of contextual factors on the health status of diverse populations as these have been identified as major drivers for health inequities, particularly during global health crises such as the COVID-19 pandemic [3, 4].”
BackgroundKerschbaumer, L., Crossett, L., Holaus, M., & Costa, U. M. (2023) · Health Policy and Technology · doi:10.1016/j.hlpt.2023.100803 · Cited by 32
Bell, Z., Nguyen, G. T., Andreae, G., Scott, S., Sermin‐Reed, L., Lake, A. A., & Heslehurst, N. (2024) · PLoS Medicine · doi:10.1371/journal.pmed.1004450 · Cited by 35
“During that period, the Coronavirus pandemic highlighted clear inequalities in access to food and health outcomes both between and within countries [12].”
BackgroundDintrans, P. V., Castillo, C., de la Fuente, F., & Matilde Maddaleno, H. (2021) · PLoS ONE · doi:10.1371/journal.pone.0250707 · Cited by 30
The COVID‐19 pandemic and cause of death
Armstrong, D. (2021) · Sociology of Health & Illness · doi:10.1111/1467-9566.13347 · Cited by 31
Influence of Social Determinants of Health on COVID-19 Infection in Socially Vulnerable Groups
Morante‐García, W., Boluda, R. M. Z., García‐González, J., Campuzano-Cuadrado, P., Calvillo, C., & Alarcón, R. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031294 · Cited by 33
“The low socioeconomic level could lead to inadequate living conditions such as lack of electricity or water [36].”
BackgroundInfluentialSpring, C., Garthwaite, K., & Fisher, A. (2022) · Food Ethics · doi:10.1007/s41055-022-00099-y · Cited by 35
Economic change and population health: lessons learnt from an umbrella review on the Great Recession
Backhaus, I., Hoven, H., Tecco, C. D., et al. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-060710 · Cited by 31
Antonopoulou, V., Goffe, L., Meyer, C., Grimani, A., Graham, F., Lecouturier, J., Tang, M. Y., Chadwick, P., & Sniehotta, F. F. (2022) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2022.2085461 · Cited by 31
“55 In our analysis, socio-economic status and trust were both independently associated with vaccination intention, suggesting that the influence of socio-economic status extends beyond its association with trust.”
Real-world data for precision public health of noncommunicable diseases: a scoping review
Canfell, O. J., Kodiyattu, Z., Eakin, E., Burton‐Jones, A., Wong, I. Y., Macaulay, C., & Sullivan, C. M. (2022) · BMC Public Health · doi:10.1186/s12889-022-14452-7 · Cited by 36
“multiple parallel epidemics – of NCDs, social inequity and COVID-19 is creating unprecedented global public health burden [2].”
BackgroundHanibuchi, T., Yabe, N., & Nakaya, T. (2020) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2020.101306 · Cited by 31
The Global Polycrisis and Health Inequalities
McNamara, C. L., & Bambra, C. L. (2025) · International Journal of Social Determinants of Health and Health Services · doi:10.1177/27551938251317472 · Cited by 38
“85 There is now substantial evidence that deaths from COVID-19 are up to three times higher in more deprived neighborhoods, amongst people with low incomes, in urban compared to rural areas, and among some minority ethnic groups.”
InfluentialSelf-citationSocial Inequalities in Health Determinants in Spanish Children during the COVID-19 Lockdown
González-Rábago, Y., Cabezas-Rodríguez, A., & Unai Martín, R. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18084087 · Cited by 29
“The lockdown occurred in a context of pre-existing socioeconomic and health inequalities, in which the inequalities generated by the epidemic exacerbate pre-existing socioeconomic and health inequalities, in what some authors have termed syndemic pandemic [13].”
BackgroundAguilar, A., Bosque‐Prous, M., González-Casals, H., Colillas-Malet, E., Puigcorbé, S., Esquius, L., & Espelt, A. (2021) · Nutrients · doi:10.3390/nu13051577 · Cited by 32
“Thus, the prevalence and severity of the COVID-19 pandemic is magnified by the coexistence of previous chronic diseases (syndemic), which are also associated with social determinants of health [52].”
BackgroundSyal, S. (2021) · Journal of Urban Management · doi:10.1016/j.jum.2021.05.004 · Cited by 34
Barboza, M., Marttila, A., Burström, B., & Kulane, A. (2021) · International Journal for Equity in Health · doi:10.1186/s12939-021-01556-6 · Cited by 31
Alexiou, A., Mason, K., Fahy, K., Taylor-Robinson, D. C., & Barr, B. (2021) · International Journal of Housing Policy · doi:10.1080/19491247.2021.2002660 · Cited by 35
“This will be more pronounced in more deprived areas, which have already been hit the hardest (Bambra et al., 2020).”
Greer, S. L., Lynch, J. F., Reeves, A., Falkenbach, M., Gingrich, J. R., Cylus, J., & Bambra, C. L. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108973236 · Cited by 30
Self-citationBrowne, A., Stafford, O., Berry, A., Murphy, E., Taylor, L. K., Shevlin, M. E., McHugh, L., Carr, A., & Burke, T. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11020377 · Cited by 40
Levelling up health: A practical, evidence-based framework for reducing health inequalities
Davey, F., McGowan, V. J., Birch, J. M., Kuhn, I. L., Lahiri, A., Gkiouleka, A., Arora, A., Sowden, S. L., Bambra, C. L., & Ford, J. A. (2022) · Public Health in Practice · doi:10.1016/j.puhip.2022.100322 · Cited by 30
Self-citationDumont, R., Richard, V., Lorthe, E., Loizeau, A., Pennacchio, F., Zaballa, M.-E., Baysson, H., Nehme, M., Perrin, A., L’Huillier, A. G., et al. (2022) · Nature Communications · doi:10.1038/s41467-022-34616-8 · Cited by 30
Mazzalai, E., Giannini, D., Tosti, M. E., D’Angelo, F., Declich, S., Jaljaa, A., Caminada, S., Turatto, F., Marchi, C. D., Gatta, A., et al. (2023) · Journal of International Migration and Integration / Revue de l integration et de la migration internationale · doi:10.1007/s12134-023-01007-x · Cited by 33
Importance of social inequalities to contact patterns, vaccine uptake, and epidemic dynamics
Manna, A., Koltai, J., & Karsai, M. (2024) · Nature Communications · doi:10.1038/s41467-024-48332-y · Cited by 34
“At the same time, inequalities in the severity and fatality of a disease can be accounted for by the heterogeneity in preexisting individual health conditions, protection attitudes and access to medical care, which are themselves related to socio-demographic and economic factors 14,15 .”
Abel, Z. D. V., Roope, L. S. J., Duch, R. M., & Clarke, P. (2024) · BMC Public Health · doi:10.1186/s12889-024-20147-y · Cited by 29
“…education levels, and media exposure, amongst many others [11, 44] With higher incidence and reduced access to healthcare, as shown in this study, in certain countries, it follows that poor health outcomes will continue to be disproportionately distributed amongst the economically vulnerable [45].”
BackgroundCash‐Gibson, L., Pericàs, J. M., Martínez‐Herrera, E., & Benach, J. (2021) · International Journal of Health Services · doi:10.1177/0020731421993939 · Cited by 30
“A number of scholars have called for more in-depth critical research on COVID-19 and health inequalities, to produce strong empirical evidence based on these issues.(3,8,11) To build a comprehensive and integrated picture of the causes, distribution, and impact of the pandemic on society, requires having a strong capa…”
BackgroundOnline and telephone access to general practice: a cross-sectional patient survey
Bryce, C., O’Connell, M. D. L., Dale, J. R., Underwood, M. R., & Atherton, H. (2021) · BJGP Open · doi:10.3399/bjgpo.2020.0179 · Cited by 29
“The burden of COVID-19 ill health and economic disadvantage is not equally distributed across communities [42-44] and may be hitting hardest where awareness and use of online and telephone access is lowest, risking inequality.”
BackgroundGeospatial Analysis and Mapping Strategies for Fine-Grained and Detailed COVID-19 Data with GIS
Carballada, Ã. M., & Balsa‐Barreiro, J. (2021) · ISPRS International Journal of Geo-Information · doi:10.3390/ijgi10090602 · Cited by 29
“In addition, the impact of the pandemic foreshadows difficult economic scenarios [1], including impoverishment of large sections of communities and a substantial increase in social inequalities across multiple scales [2,3].”
BackgroundThe impact of behavioural risk factors on communicable diseases: a systematic review of reviews
Wood, S. K., Harrison, S. E., Judd, N., Bellis, M. A., Hughes, K. E., & Jones, A. (2021) · BMC Public Health · doi:10.1186/s12889-021-12148-y · Cited by 28
“With these behavioural risk factors often having higher prevalence in the poorest communities, COVID-19 has disproportionately impacted those already suffering the greatest risks of ill health, thereby widening health and social inequalities [3].”
BackgroundPilkington, H., Feuillet, T., Rican, S., de Bouillé, J. G., Bouchaud, O., Cailhol, J., Bihan, H., Lombrail, P., & Julia, C. (2021) · BMC Public Health · doi:10.1186/s12889-021-12203-8 · Cited by 27
“These intertwined factors all exacerbate the disease burden and have additive negative effects by interacting with existing NCDs and challenging social conditions [23].”
BackgroundGoffe, L., Antonopoulou, V., Meyer, C., Graham, F., Tang, M. Y., Lecouturier, J., Grimani, A., Bambra, C. L., Kelly, M. P., & Sniehotta, F. F. (2021) · Human Vaccines & Immunotherapeutics · doi:10.1080/21645515.2021.2002084 · Cited by 28
“Ease of access to a vaccine, along with a comprehensive and targeted messaging program will be critical to reduce the health inequalities that have been observed as a result of the pandemic.(15) Our findings suggest that in addition to having a positive attitude toward a COVID-19 vaccine, CVI will increase as one perc…”
BackgroundSelf-citationThe benefits, costs and feasibility of a low incidence COVID-19 strategy.
Czypionka, T., Iftekhar, E. N., Prainsack, B., Priesemann, V., Bauer, S., Valdez, A. S. C., Cuschieri, S., Glaab, E., Grill, E., Krutzinna, J. I., et al. (2022) · Apollo (University of Cambridge) · doi:10.17863/cam.81311 · Cited by 29
Cameron, A., Esiovwa, R., Connolly, J., Hursthouse, A. S., & Henriquez, F. L. (2022) · Global Policy · doi:10.1111/1758-5899.13049 · Cited by 29
Wieringa, S., Neves, A. L., Rushforth, A., Ladds, E. C., Husain, L., Finlay, T. M. D., Pope, C. J., & Greenhalgh, T. (2022) · BMJ Quality & Safety · doi:10.1136/bmjqs-2021-013305 · Cited by 29
“36 Further research into the role of translation services and software as well as 24-hour remote support and outreach services to provide these is urgently needed.”
BackgroundWarszawski, J., Meyer, L., Franck, J.-E., Rahib, D., Lydié, N., Gosselin, A., Counil, É., Kreling, R., Novelli, S., Slama, R., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0267725 · Cited by 28
“Social determinants contribute to socioeconomic, ethno-racial and spatial inequalities in COVID-19 exposure and severity [1, 2].”
BackgroundMay, T., Dawes, J., Fancourt, D. E., & Burton, A. (2022) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2022.103752 · Cited by 29
Kim, Y., Gordon, A., Rowerdink, K., Scott, L. H., & Chi, W. (2022) · Medical Care · doi:10.1097/mlr.0000000000001747 · Cited by 28
The health impacts of climate change: why climate action is essential to protect health
Jones, A. (2022) · Orthopaedics and Trauma · doi:10.1016/j.mporth.2022.07.001 · Cited by 30
A Crisis in the Health System and Quality of Healthcare in Economically Developed Countries
Biel, M., Grondys, K., & Androniceanu, A.-M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010469 · Cited by 29
“The COVID-19 pandemic worsened health inequalities even further [5,6].”
BackgroundRämgård, M., Ramji, R., Kottorp, A., & Forss, K. S. (2023) · BMC Public Health · doi:10.1186/s12889-022-14936-6 · Cited by 32
“According to Bambra and colleagues, the pandemic occurred against the backdrop of a rising rate of non-communicable diseases (NCDs) and unequal exposure to the social determinants of health, making it a more syndemic pandemic, which has further exacerbated the existing NCDs and social conditions [5].”
BackgroundUnequal Impact of COVID-19: Emergency Neoliberalism and Welfare Policy in Canada
Bryant, T., Aquanno, S. M., & Raphael, D. (2020) · Critical Studies An International and Interdisciplinary Journal · doi:10.51357/cs.v15i1.108 · Cited by 29
“It is clear that most socially and economically marginalized communities experience this public health crisis as a syndemic – “a co-occurring, synergistic pandemic that interacts with and exacerbates their existing NCDs and social conditions” (Bambra et al., 2020:2).”
BackgroundWho will receive the last ventilator: why COVID-19 policies should not prioritise healthcare workers
Chen, D. T., Shepherd, L. L., Taylor, J., & Marshall, M. F. (2021) · Journal of Medical Ethics · doi:10.1136/medethics-2021-107248 · Cited by 28
Mental Health Needs Among Asian and Asian American Adults During the COVID-19 Pandemic
McGarity‐Palmer, R., Saw, A., Sun, M., Huynh, M. P., & Takeuchi, D. T. (2023) · Public Health Reports · doi:10.1177/00333549231156566 · Cited by 29
“138(3) 535 –545 © 2023, Association of Schools and Programs of Public Health All rights reserved.”
BackgroundCOVID-19 and Dentistry in 72 Questions: An Overview of the Literature
Derruau, S., Bouchet, J., Nassif, A., Baudet, A., Yasukawa, K., Lorimier, S., Prêcheur, I., Bloch‐Zupan, A., Pellat, B., Chardin, H., et al. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10040779 · Cited by 30
“The pandemic continues to spread rapidly [26,27].”
Snowden, L. R., & Snowden, J. M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18073568 · Cited by 34
“Failure to overcome historical inadequacies will perpetuate or worsen the consequences of previous neglect [6].”
BackgroundWilliams, O., Tembo, D., Ocloo, J. E., Kaur, M., Hickey, G., Farr, M., Beresford, P., Hensman, S., Allam, A., Boolaky, U., et al. (2021) · Policy Press eBooks · doi:10.47674/9781447361770 · Cited by 28
An assessment of government measures in combatting COVID-19 using ISM and DEMATEL modelling
Priya, S. S., Priya, M. S., Jain, V., & Dixit, S. K. (2021) · Benchmarking An International Journal · doi:10.1108/bij-05-2021-0244 · Cited by 28
Antequera, A., Lawson, D. O., Noorduyn, S. G., Dewidar, O., Avey, M. T., Bhutta, Z. A., Chamberlain, C., Ellingwood, H., Francis, D., Funnell, S., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18179357 · Cited by 29
“The coronavirus disease (COVID-19) public health emergency has exacerbated preexisting social, political, and economic factors driving health inequities and led to an increase in unjust and avoidable differences in health outcomes [2,3].”
BackgroundSame storm, different boats! The impact of COVID-19 on the wellbeing of school communities
O’Toole, C., & Simovska, V. (2021) · Health Education · doi:10.1108/he-02-2021-0027 · Cited by 29
Mousavi, A., Mohammadzadeh, M., & Zare, H. (2022) · Journal of Open Innovation Technology Market and Complexity · doi:10.3390/joitmc8010014 · Cited by 29
Impact of infectious disease epidemics on xenophobia: A systematic review
Silva, T. M., Cade, M. V., Figueiras, A., Roque, F., Herdeiro, M. T., & Devakumar, D. (2022) · Journal of Migration and Health · doi:10.1016/j.jmh.2022.100085 · Cited by 34
RNA Viruses, Pandemics and Anticipatory Preparedness
García-Blanco, M. A., Ooi, E. E., & Sessions, O. M. (2022) · Viruses · doi:10.3390/v14102176 · Cited by 26
“Equally, pandemics can lead to socio-economic catastrophes that enhance inequality, stress social compacts and compound the toll of poverty [4].”
BackgroundSocial inequality of urban park use during the COVID-19 pandemic
Yu, L. Z., Zhao, P., Tang, J., Pang, L., & Gong, Z. (2023) · Humanities and Social Sciences Communications · doi:10.1057/s41599-023-01918-1 · Cited by 28
Varela, A. R., Hernandéz, L. J., Cabeza, G. T., Contreras‐Arrieta, S., Restrepo, S., Laajaj, R., Buitrago, G., Guevara, Y. P. R., Caballero-Díaz, Y., Vives, M. J., et al. (2021) · The Lancet Regional Health - Americas · doi:10.1016/j.lana.2021.100048 · Cited by 27
“owever, few studies have investigated the individual risk of havng the SARS-CoV-2 infection and its association with social, ecoomic, and demographic vulnerability factors [10-11] .”
BackgroundFreitas, Â., Rodrigues, T., & Santana, P. (2020) · Journal of Urban Health · doi:10.1007/s11524-020-00471-5 · Cited by 27
“COVID-19, and the wider governmental and societal response, have brought existing health inequalities into keener focus [69, 70].”
BackgroundEqually Affected? Health-Related and Socioeconomic Adversities of the COVID-19 Pandemic in Vienna
Oberndorfer, M., Dorner, T. E., Brunnmayr, M., Berger, K., Dugandzic, B., & Bach, M. (2020) · Health & Social Care in the Community · doi:10.1111/hsc.13485 · Cited by 28
“…of the consequences of this previous economic shock and subsequent recession, a rise in suicide rates and an increased prevalence of mental illnesses, particularly among the socially disadvantaged, are anticipated (Barr et al., 2015; Corcoran et al., 2015; Kawohl & Nordt, 2020; Reger et al., 2020).”
Hafford‐Letchfield, T., Toze, M., & Westwood, S. (2021) · Health & Social Care in the Community · doi:10.1111/hsc.13531 · Cited by 27
“…responses, brought health inequalities into sharp focus and exposed structural disadvantages and discrimination faced by many marginalised communities (Bambra et al., 2020; Bibby et al., 2020;Candrian et al., 2021; Carethers, 2020; Devakumar et al., 2020; Griffiths et al., 2021; Keys et al., 2021).”
BackgroundHarm Reduction and Decriminalization of Sex Work: Introduction to the Special Section
Brooks‐Gordon, B., Morris, M., & Sanders, T. (2021) · Sexuality Research and Social Policy · doi:10.1007/s13178-021-00636-0 · Cited by 27
“In the UK context, the economic impact could be seen in the number of people claiming welfare for the first time and the reported difficulty of claiming state benefits (Bambra et al., 2020).”
BackgroundJenkins, C. L., Imran, S., Mahmood, A., Bradbury, K. J., Murray, E., Stevenson, F. A., & Hamilton, F. L. (2021) · JMIR Research Protocols · doi:10.2196/32538 · Cited by 29
“…bare the impact of pre-existing and emerging systemic health inequalities on communities most in need of accessible health care, specifically people from ethnic minority backgrounds, people from lower socioeconomic backgrounds, older people (aged ≥ 65), and people living with disabilities [1,2].”
LAVIK, A. R., Ebekozien, O. A., Noor, N., Alonso, G. T., Polsky, S., Blackman, S. M., Chen, J. B., Corathers, S. D., Demeterco‐Berggren, C., GALLAGHER, M. P., et al. (2022) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgac158 · Cited by 27
“Likewise, rates of hospitalization are higher among pediatric and adult patients both with T1D and COVID-19 who do not use CGM or insulin pumps compared to those who use these devices (16, 26).”
Dimka, J., van Doren, T. P., & Battles, H. T. (2022) · American Journal of Biological Anthropology · doi:10.1002/ajpa.24517 · Cited by 34
Expansion of Child Tax Credits and Mental Health of Parents With Low Income in 2021
Nam, J., & Kwon, S. J. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.56419 · Cited by 27
Eligulashvili, A., Darrell, M., Gordon, M., Jerome, W., Fiori, K. P., Congdon, S., & Duong, T. Q. (2024) · Scientific Reports · doi:10.1038/s41598-024-58430-y · Cited by 26
“Outcomes were interpreted with emphasis on their relationship with socioeconomic data which included median incomes, insurance status, and HSRNs.”
BackgroundGan, D. R. Y., & Best, J. R. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18199999 · Cited by 32
Coelho, L. E., Luz, P. M., Castanheira, D., Jalil, E. M., Perazzo, H., Torres, T. S., Cardoso, S. W., Peixoto, E. M., Nazer, S., Massad, E., et al. (2022) · The Lancet Regional Health - Americas · doi:10.1016/j.lana.2022.100338 · Cited by 29
Metadata
- Authors
- Bambra, C., Riordan, R., Ford, J., & Matthews, F.
- Affiliations
- Newcastle University (GB)
- University of Cambridge (GB)
- Corresponding author
- Bambra, Clare
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2020-06-13
- Volume
- 74
- Issue
- 11
- Pages
- 964-968
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC7298201
- OpenAlex
- W3034285292
- Cited by
- 2,118
- References
- 48
- Citations by year
- 2026: 216 · 2025: 196 · 2024: 298 · 2023: 364 · 2022: 508 · 2021: 454 · 2020: 80
- FWCI
- 174.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- National Institute for Health Research (NIHR200173)
- Topics
- Social Sciences › Health › Public Health and Social Inequalities
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Challenges
- Keywords
- COVID-19 pandemic, health disparities, syndemic, social determinants of health, socioeconomic disparities, ethnic inequality, regional disparities, economic impact of lockdown, public health policy
- MeSH terms
- Betacoronavirus, COVID-19, SARS-CoV-2, Humans, Pneumonia, Viral, Socioeconomic Factors, Coronavirus Infections, Health Status Disparities, Healthcare Disparities, Pandemics, Social Determinants of Health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-10-11, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-11 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Cited sources are checked with a language model’s help (gpt-6-sol).
Statistics and arithmetic are recomputed, not judged.
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