Evidence map›Paper›PMID 32763263›Full record

ArticlePreventive medicine2020

'Most at risk' for COVID19? The imperative to expand the definition from biological to social factors for equity.

Rima A Afifi, Nicole Novak, Paul A Gilbert, Bernadette Pauly, Sawsan Abdulrahim, Sabina Faiz Rashid, Fernando Ortega, Rashida A Ferrand

Open access · greenAbstract read
In one paragraph

Article in Preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Analyzing Commute Mode Choice Using the LCNL Model in the Post-COVID-19 Era: Evidence from China.International journal of environmental research and public health · 2022
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Mortality Risk fromEnvironmental health perspectives · 2021
    Article
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 5 countries.

Rima A AfifiUniversity of Iowa College of Public Health, Department of Community and Behavioral Health, 145 N Riverside Drive, Iowa City, IA 52242, USA. Electronic address: rima-afifi@uiowa.edu.
Nicole NovakUniversity of Iowa College of Public Health, Department of Community and Behavioral Health, 145 N Riverside Drive, Iowa City, IA 52242, USA. Electronic address: nicole-novak@uiowa.edu.
Paul A GilbertUniversity of Iowa College of Public Health, Department of Community and Behavioral Health, 145 N Riverside Drive, Iowa City, IA 52242, USA. Electronic address: paul-gilbert@uiowa.edu.
Bernadette PaulyUniversity of Victoria School of Nursing, Victoria, British Columbia, Canada. Electronic address: bpauly@uvic.ca.
Sawsan AbdulrahimAmerican University of Beirut, Faculty of Health Sciences, Department of Health Promotion and Community Health, Beirut, Lebanon. Electronic address: sawsana@au.edu.lb.
Sabina Faiz RashidBRAC University, James P Grant School of Public Health, Dhaka, Bangladesh. Electronic address: sabina.frashid@gmail.com.
Fernando OrtegaUniversidad San Francisco de Quito, College of Health Sciences, Quito, Ecuador. Electronic address: fernandoortegaperez500@gmail.com.
Rashida A FerrandLondon School of Hygiene and Tropical Medicine, Harare, Zimbabwe. Electronic address: Rashida.Ferrand@lshtm.ac.uk.
University of Iowa · USAmerican University of Beirut · LBBRAC University · BDUniversidad San Francisco de Quito · ECUniversity of Victoria · CA

Funding

Wellcome Trust 206316/Z/17/Z
6 · The paper itself

Abstract

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.

Indexed as

BetacoronavirusHealth Status DisparitiesSocial Determinants of HealthCoronavirus InfectionsCOVID-19HumansPandemicsPneumonia, ViralRisk FactorsSARS-CoV-2COVID19Decision-makingFundamental social causesHealth disparitiesHealth equityMost-at-riskPublic healthSocial determinants of health

Identifiers

PMID32763263
PMCPMC7831462
OpenAlexW3047947245

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.