ReviewInternational journal for equity in health2022
COVID-19 double jeopardy: the overwhelming impact of the social determinants of health.
Review in International journal for equity in health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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The trial behind it
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Who cites it
23 citing papers in PubMed.
- Adolescent Suicide During the COVID-19 Pandemic: Bullying Dynamics, Risk Factors, and Prevention Strategies-A Systematic Review.Healthcare (Basel, Switzerland) · 2026Review
- Simulating crisis triage: a methodological framework for evaluating ventilator allocation under crisis standards of care.BMC medical research methodology · 2026Article
- Factors Associated with COVID-19 Testing in Structurally Vulnerable Populations: An Exploratory Study in Southern Maine.Journal of Maine Medical Center · 2026Article
- Intersectional inequalities in COVID-19 morbidity and mortality in Sweden: a retrospective population-based cohort study.BMJ public health · 2026Article
- Forecasting COVID-19 inpatient mortality using fundamental parameters in resource-constrained settings: a countrywide multi-center cohort study.BMC infectious diseases · 2025Article
- Identifying and Addressing Social Determinants of Health with an Electronic Health Record.Journal of the American Board of Family Medicine : JABFM · 2025Observational
- A Narrative Review of Key Risk Factors for Severe Illness Following SARS-CoV-2, Influenza Virus, and Respiratory Syncytial Virus Infection.Infectious diseases and therapy · 2025Review
- A pandemic risk index to improve supply chains decision-making between US and Mexico: A COVID-19 case study.PloS one · 2025Article
- Social Determinants of Health and Healthcare Access among Latina/x/o Sexual and Gender Minority Adults.Research square · 2024Article
- Unbiased plasma profiling using pre-selected RNA aptamer pools predicts mortality in COVID-19 and identifies protein risk factors.Molecular therapy. Nucleic acids · 2024Article
- Enduring Effects of the COVID-19 Pandemic on Food Access, Nutrition, and Well-Being in Rural Appalachia.International journal of environmental research and public health · 2024Article
- Making sense of COVID-19: manifestations of health capital during the pandemic.BMC public health · 2024Article
- Substandard housing and the risk of COVID-19 infection and disease severity: A retrospective cohort study.SSM - population health · 2024Article
- Opportunities and challenges to implementing mRNA-based vaccines and medicines: lessons from COVID-19.Frontiers in public health · 2024Article
- Description of the COVID-19 epidemiology in Malaysia.Frontiers in public health · 2024Article
- Denial as an ethical problem: the example of ICU triage in the context of the COVID-19 pandemic.Asian journal of medical humanities · 2024Article
- Article
- COVID-19 infection prevention and control for hospital workers in Indonesia.Frontiers in public health · 2023Article
- Sociome Data Commons: A scalable and sustainable platform for investigating the full social context and determinants of health.Journal of clinical and translational science · 2023Article
- Community health workers: A sustainable health system innovation or just an emergency response?Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe COVID-19 pandemic has strained healthcare systems by creating a tragic imbalance between needs and resources. Governments and healthcare organizations have adapted to this pronounced scarcity by applying allocation guidelines to facilitate life-or-death decision-making, reduce bias, and save as many lives as possible. However, we argue that in societies beset by longstanding inequities, these approaches fall short as mortality patterns for historically discriminated against communities have been disturbingly higher than in the general population.
methodsWe review attack and fatality rates; survey allocation protocols designed to deal with the extreme scarcity characteristic of the earliest phases of the pandemic; and highlight the larger ethical perspectives (Utilitarianism, non-Utilitarian Rawlsian justice) that might justify such allocation practices.
resultsThe COVID-19 pandemic has dramatically amplified the dire effects of disparities with respect to the social determinants of health. Patients in historically marginalized groups not only have significantly poorer health prospects but also lower prospects of accessing high quality medical care and benefitting from it even when available. Thus, mortality among minority groups has ranged from 1.9 to 2.4 times greater than the rest of the population. Standard allocation schemas, that prioritize those most likely to benefit, perpetuate and may even exacerbate preexisting systemic injustices.
conclusionsTo be better prepared for the inevitable next pandemic, we must urgently begin the monumental project of addressing and reforming the structural inequities in US society that account for the strikingly disparate mortality rates we have witnessed over the course of the current pandemic.
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