Health disparities and equity in the era of COVID-19

Nana‐Sinkam, Patrick; Kraschnewski, Jennifer L.; Sacco, Ralph L.; Chavez, Jennifer V.; Fouad, Mona N.; Gal, Tamas S.; AuYoung, Mona; Namoos, Asmaa; Winn, Robert A.; Sheppard, Vanessa B.; Corbie-Smith, Giselle; Behar-Zusman, Victoria

doi:10.1017/cts.2021.23

Cited by 76 publications

(51 citation statements)

References 46 publications

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“…Nana-Sinkam suggests that solutions for addressing health disparities and inequalities during the COVID-19 pandemic will require increased financial support. The growing demand for telehealth, experienced community health workers and the distribution of vaccines, particularly among higher-risk individuals, reveals the need for more healthcare investment ( Nana-Sinkam et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

“…Several studies show that patients with a history of pre-existing diseases, such as diabetes, hypertension, etc., have greater odds of COVID-19 mortality ( Gold et al, 2020 ). In the COVID-19 pandemic, health disparities and inequalities have been spotlighted because of financial problems and inequities in access to health services ( Nana-Sinkam et al, 2021 ). As a human-to-human transmission disease, outbreaks of COVID-19 infections occur easily in crowded places, such as densely populated cities and intensive transportation hubs ( Ahmadi et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

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Environment and COVID-19 incidence: A critical review

Han

Yin

et al. 2023

Journal of Environmental Sciences

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Environment and COVID-19 incidence: A critical review

Han

Yin

et al. 2023

Journal of Environmental Sciences

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“…Pandemics have been characterised more as a social problem than a healthcare problem ( Singu et al, 2020 ). Demographical, racial, social, economic, and health disparities exist in the context of the COVID-19 burden ( Nana-Sinkam et al, 2021 ; Poulson et al, 2021 ). As such, communities are vulnerable for different reasons, and therefore tailor-made interventions should be prioritised based on the specific profile of each area.…”

Section: Discussionmentioning

confidence: 99%

Mapping the geodemographics of racial, economic, health, and COVID-19 deaths inequalities in the conterminous US

2021

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A large number of studies have examined individual-level factors that increase COVID-19 fatalities. However, no research has focused on the geodemographic classification of the most susceptible communities to COVID-19. In this cross-sectional ecological study, we used local fuzzy geographically-weighted clustering to create the socioeconomic profile of the US counties in relation to COVID-19 death rates. We demonstrate that living in a county which has households with lower income, people with a lack of health insurance, a high African-American percentage, and lower education level, lead to 27.12% higher COVID-19 death rates than the national median, and 72.56% higher compared to the least vulnerable counties. Compared to counties with a high COVID-19 death rate, counties with a low COVID-19 death rate have 44.90% higher annual median household income and nearly double house worth (89.51% more). Results show that the effects of the COVID-19 pandemic are not universal and that the minoritised and impoverished populations suffer more. Our analysis can effectively pinpoint the most vulnerable counties and importantly allows for understanding the socioeconomic context in which tailored interventions can be applied to mitigate COVID-19 deaths.

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“…The COVID-19 pandemic has brought new attention to long-standing inequities faced by racial/ethnic minority populations and other underserved and socioeconomically disadvantaged groups. Not only have these communities borne the brunt of the pandemic in terms of negative health impacts (Iyanda et al, 2021 ; Nana-Sinkam et al, 2021 ; Riley et al, 2021 ), but complexities brought about by lack of access to essential medical resources and lack of trust of the scientific establishment due to institutional untrustworthiness and historical social injustices have made effective outreach and dissemination of evidence-based information about the pandemic difficult (Sy et al, 2020 ; Wilkins, 2018 ). Increased politicization of science and media has only added to the lack of trust in scientific information and resulted in uneven messaging and vaccination program implementation in different local communities.…”

Section: Introductionmentioning

confidence: 99%

Addressing racial/ethnic inequities in vaccine hesitancy and uptake: lessons learned from the California alliance against COVID-19

et al. 2022

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Lack of trust in biomedical research, government, and health care systems, especially among racial/ethnic minorities and under-resourced communities, is a longstanding issue rooted in social injustice. The COVID-19 pandemic has further highlighted existing health and socioeconomic inequities and increased the urgency for solutions to provide access to timely, culturally, and linguistically appropriate evidence-based information about COVID-19; and ultimately to promote vaccine uptake. California’s statewide alliance STOP COVID-19 CA (comprising eleven sites), leverages long standing community partnerships to better understand concerns, misinformation, and address racial/ethnic inequities in vaccine hesitancy and uptake. Using data from the California CEAL Communication Working Group, we demonstrate the wide range of strategies, communication methods, languages, and trusted messengers that have been effective in reaching diverse communities across the state. We also showcase challenges and lessons learned, such as the importance of including trusted community partners to share information or provide vaccines. These approaches, rooted in community engagement, are crucial for addressing inequities and responding to future public health emergencies.

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Health disparities and equity in the era of COVID-19

Abstract: This version may be subject to change during the production process.

Cited by 76 publications

References 46 publications

Environment and COVID-19 incidence: A critical review

Environment and COVID-19 incidence: A critical review

Mapping the geodemographics of racial, economic, health, and COVID-19 deaths inequalities in the conterminous US

Addressing racial/ethnic inequities in vaccine hesitancy and uptake: lessons learned from the California alliance against COVID-19

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