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Syndemic Framework Evaluation of Severe Covid-19 Outcomes in the United States

Factors Associated With Race and Ethnicity

Bibliographic Data

ID8112053
AuthorsChristopher Williams (0000-0001-6036-5157, corresponding author), Sten H Vermund (0000-0001-7289-8698)
Year2021
Volume9
Publication date2021-09-20
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpubh.2021.720264
OpenAlexW3199969707
LanguageEN
Citations received6
References cited35

Socially and economically disadvantaged racial and ethnic minorities have experienced comparatively severe clinical outcomes from the coronavirus disease (COVID-19) pandemic in the United States. Disparities in health outcomes arise from a myriad of synergistic biomedical and societal factors. Syndemic theory provides a useful framework for examining COVID-19 and other diseases that disproportionately affect vulnerable populations. Syndemic models ground research inquiries beyond individual clinical data to include non-biological community-based drivers of SARS-CoV-2 infection risk and severity of disease. Given the importance of such economic, environmental, and sociopolitical drivers in COVID-19, our aim in this Perspective is to examine entrenched racial and ethnic health inequalities and the magnitude of associated disease burdens, economic disenfranchisement, healthcare barriers, and hostile sociopolitical contexts—all salient syndemic factors brought into focus by the pandemic. Systemic racism persists within long-term care, health financing, and clinical care environments. We present proximal and distal public policy strategies that may mitigate the impact of this and future pandemics

Coronavirus disease 2019 (COVID-19 · Disadvantaged · Disease · Economic growth · Economics · Environmental health · Ethnic group · Health care · Health equity · Inequality · Infectious disease (medical specialty · Pandemic · Political science · Public health · Race (biology · Racism · Social inequality · Sociology · Syndemic · Food Security and Health in Diverse Populations · Health disparities and outcomes · Medicine · Nursing · Racial and Ethnic Identity Research

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Citations per year1.5
Citation span2022 - 2025 (4)
Highly citedNo

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