‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity
This article was published in Elsevier [ © 2020 Elsevier Inc. All rights reserved.] and the definite version is available at: https://doi.org/10.1016/j.ypmed.2020.106229 The Journal's website is at: https://www.sciencedirect.com/science/article/abs/pii/S009174352030253X?via%3Dihub
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2022
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| Länkar: | http://hdl.handle.net/10361/16539 https://doi.org/10.1016/j.ypmed.2020.106229 |
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10361-165392022-04-12T21:01:31Z ‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity Afifi, Rima A. Novak, Nicole Gilbert, Paul A. Pauly, Bernadette Abdulrahim, Sawsan Rashid, Sabina Faiz Ortegae, Fernando Ferrand, Rashida A. Brac James P. Grant School of Public Health COVID19 Health equity Public health Fundamental social causes Social determinants of health Most-at-risk Health disparities Decision-making This article was published in Elsevier [ © 2020 Elsevier Inc. All rights reserved.] and the definite version is available at: https://doi.org/10.1016/j.ypmed.2020.106229 The Journal's website is at: https://www.sciencedirect.com/science/article/abs/pii/S009174352030253X?via%3Dihub First recognized in December 2019, the Coronavirus Disease 2019 (COVID19) was declared a global pandemic by the World Health Organization on March 11, 2020. To date, the most utilized definition of ‘most at risk’ for COVID19 morbidity and mortality has focused on biological susceptibility to the virus. This paper argues that this dominant biomedical definition has neglected the ‘fundamental social causes’ of disease, constraining the effectiveness of prevention and mitigation measures; and exacerbating COVID19 morbidity and mortality for population groups living in marginalizing circumstances. It is clear - even at this early stage of the pandemic - that inequitable social conditions lead to both more infections and worse outcomes. Expanding the definition of ‘most at risk’ to include social factors is critical to implementing equitable interventions and saving lives. Prioritizing populations with social conditions is necessary for more effective control of the epidemic in its next phase; and should become standard in the planning for, and prevention and mitigation of all health conditions. Reversing disparities and health inequities is only possible through an expansion of our ‘most-at-risk’ definition to also include social factors. Published 2022-04-12T06:02:49Z 2022-04-12T06:02:49Z 2020 2020-08-06 Journal Article Afifi, R. A., Novak, N., Gilbert, P. A., Pauly, B., Abdulrahim, S., Rashid, S. F., . . . Ferrand, R. A. (2020). ‘Most at risk’ for COVID19? the imperative to expand the definition from biological to social factors for equity. Preventive Medicine, 139 doi:10.1016/j.ypmed.2020.106229 http://hdl.handle.net/10361/16539 https://doi.org/10.1016/j.ypmed.2020.106229 en_US https://www.sciencedirect.com/science/article/abs/pii/S009174352030253X?via%3Dihub Preventive Medicine application/pdf Elsevier |
| institution |
Brac University |
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Institutional Repository |
| language |
en_US |
| topic |
COVID19 Health equity Public health Fundamental social causes Social determinants of health Most-at-risk Health disparities Decision-making |
| spellingShingle |
COVID19 Health equity Public health Fundamental social causes Social determinants of health Most-at-risk Health disparities Decision-making Afifi, Rima A. Novak, Nicole Gilbert, Paul A. Pauly, Bernadette Abdulrahim, Sawsan Rashid, Sabina Faiz Ortegae, Fernando Ferrand, Rashida A. ‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity |
| description |
This article was published in Elsevier [ © 2020 Elsevier Inc. All rights reserved.] and the definite version is available at: https://doi.org/10.1016/j.ypmed.2020.106229 The Journal's website is at: https://www.sciencedirect.com/science/article/abs/pii/S009174352030253X?via%3Dihub |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Afifi, Rima A. Novak, Nicole Gilbert, Paul A. Pauly, Bernadette Abdulrahim, Sawsan Rashid, Sabina Faiz Ortegae, Fernando Ferrand, Rashida A. |
| format |
Journal Article |
| author |
Afifi, Rima A. Novak, Nicole Gilbert, Paul A. Pauly, Bernadette Abdulrahim, Sawsan Rashid, Sabina Faiz Ortegae, Fernando Ferrand, Rashida A. |
| author_sort |
Afifi, Rima A. |
| title |
‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity |
| title_short |
‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity |
| title_full |
‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity |
| title_fullStr |
‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity |
| title_full_unstemmed |
‘Most at risk’ for COVID19? The imperative to expand the definition from biological to social factors for equity |
| title_sort |
‘most at risk’ for covid19? the imperative to expand the definition from biological to social factors for equity |
| publisher |
Elsevier |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16539 https://doi.org/10.1016/j.ypmed.2020.106229 |
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