• J Epidemiol Community Health · Nov 2020

    The COVID-19 pandemic and health inequalities.

    • Clare Bambra, Ryan Riordan, John Ford, and Fiona Matthews.
    • Population Health Sciences Institute, Newcastle University Institute for Health and Society, Newcastle upon Tyne, UK clare.bambra@newcastle.ac.uk.
    • J Epidemiol Community Health. 2020 Nov 1; 74 (11): 964-968.

    AbstractThis 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.© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.

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