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Disproportionate infection, hospitalisation and death from COVID-19 in ethnic minority groups and Indigenous Peoples: an application of the Priority Public Health Conditions analytical framework.
Irizar, Patricia; Pan, Daniel; Taylor, Harry; Martin, Christopher A; Katikireddi, Srinivasa Vittal; Kannangarage, Niluka Wijekoon; Gomez, Susana; La Parra Casado, Daniel; Srinivas, Prashanth Nuggehalli; Diderichsen, Finn; Baggaley, Rebecca F; Nellums, Laura B; Koller, Theadora Swift; Pareek, Manish.
Afiliação
  • Irizar P; Faculty of Humanities, School of Social Sciences, University of Manchester, UK.
  • Pan D; Department of Respiratory Sciences, University of Leicester, UK.
  • Taylor H; Leicester NIHR Biomedical Research Centre, UK.
  • Martin CA; Department of Infectious Diseases and HIV Medicine, University Hospitals of Leicester NHS Trust, UK.
  • Katikireddi SV; Development Centre for Population Health, University of Leicester, UK.
  • Kannangarage NW; Li Ka Shing Centre for Health Information and Discovery, Oxford Big Data Institute, University of Oxford, UK.
  • Gomez S; Department of Global Health and Social Medicine, King's College London, UK.
  • La Parra Casado D; Department of Respiratory Sciences, University of Leicester, UK.
  • Srinivas PN; Leicester NIHR Biomedical Research Centre, UK.
  • Diderichsen F; Department of Infectious Diseases and HIV Medicine, University Hospitals of Leicester NHS Trust, UK.
  • Baggaley RF; Development Centre for Population Health, University of Leicester, UK.
  • Nellums LB; MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, UK.
  • Koller TS; World Health Organization, Geneva, Switzerland.
  • Pareek M; World Health Organization, Geneva, Switzerland.
EClinicalMedicine ; 68: 102360, 2024 Feb.
Article em En | MEDLINE | ID: mdl-38545088
ABSTRACT
The COVID-19 pandemic has resulted in disproportionate consequences for ethnic minority groups and Indigenous Peoples. We present an application of the Priority Public Health Conditions (PPHC) framework from the World Health Organisation (WHO), to explicitly address COVID-19 and other respiratory viruses of pandemic potential. This application is supported by evidence that ethnic minority groups were more likely to be infected, implying differential exposure (PPHC level two), be more vulnerable to severe disease once infected (PPHC level three) and have poorer health outcomes following infection (PPHC level four). These inequities are driven by various interconnected dimensions of racism, that compounds with socioeconomic context and position (PPHC level one). We show that, for respiratory viruses, it is important to stratify levels of the PPHC framework by infection status and by societal, community, and individual factors to develop optimal interventions to reduce inequity from COVID-19 and future infectious diseases outbreaks.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2024 Tipo de documento: Article