The COVID-19 pandemic and health inequalities.

Abstract:

: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 syndemicpandemic 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.

authors

Bambra C,Riordan R,Ford J,Matthews F

doi

10.1136/jech-2020-214401

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

964-968

issue

11

eissn

0143-005X

issn

1470-2738

pii

jech-2020-214401

journal_volume

74

pub_type

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