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Pathways to ethnic inequalities in COVID-19 health outcomes in the United Kingdom: A systematic map.
Irizar, Patricia; Kapadia, Dharmi; Amele, Sarah; Bécares, Laia; Divall, Pip; Katikireddi, Srinivasa Vittal; Kibuchi, Eliud; Kneale, Dylan; McCabe, Ronan; Nazroo, James; Nellums, Laura B; Taylor, Harry; Sze, Shirley; Pan, Daniel; Pareek, Manish.
Afiliação
  • Irizar P; Department of Sociology, School of Social Sciences, University of Manchester, UK. Electronic address: patricia.irizar@manchester.ac.uk.
  • Kapadia D; Department of Sociology, School of Social Sciences, University of Manchester, UK.
  • Amele S; MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK.
  • Bécares L; Department of Global Health & Social Medicine, King's College London, UK.
  • Divall P; University Hospitals of Leicester, Education Centre Library, Glenfield Hospital and Leicester Royal Infirmary, UK.
  • Katikireddi SV; MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK.
  • Kibuchi E; MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK.
  • Kneale D; Institute of Education, University College London, UK.
  • McCabe R; MRC/CSO Social & Public Health Sciences Unit, University of Glasgow, UK.
  • Nazroo J; Department of Sociology, School of Social Sciences, University of Manchester, UK.
  • Nellums LB; Lifespan and Population Sciences, School of Medicine, University of Nottingham, UK.
  • Taylor H; Department of Sociology, School of Social Sciences, University of Manchester, UK.
  • Sze S; Department of Cardiovascular Sciences, University of Leicester, UK.
  • Pan D; Department of Respiratory Sciences, University of Leicester, UK; NIHR Leicester BioMedical Research Centre, University Hospitals Leicester, UK; Department of Infectious Diseases and HIV Medicine, University Hospitals of Leicester NHS Trust, UK; Big Data Institute, Li Ka Shing Centre for Health Infor
  • Pareek M; Department of Respiratory Sciences, University of Leicester, UK; NIHR Leicester BioMedical Research Centre, University Hospitals Leicester, UK; Department of Infectious Diseases and HIV Medicine, University Hospitals of Leicester NHS Trust, UK.
Soc Sci Med ; 329: 116044, 2023 07.
Article em En | MEDLINE | ID: mdl-37364448
BACKGROUND: Marked ethnic inequalities in COVID-19 infection and its consequences have been documented. The aim of this paper is to identify the range and nature of evidence on potential pathways which lead to ethnic inequalities in COVID-19 related health outcomes in the United Kingdom (UK). METHODS: We searched six bibliographic and five grey literature databases from 1st December 2019 to 23rd February 2022 for research on pathways to ethnic inequalities in COVID-19 health outcomes in the UK. Meta-data were extracted and coded, using a framework informed by a logic model. Open Science Framework Registration: DOI 10.17605/OSF.IO/HZRB7. RESULTS: The search returned 10,728 records after excluding duplicates, with 123 included (83% peer-reviewed). Mortality was the most common outcome investigated (N = 79), followed by infection (N = 52). The majority of studies were quantitative (N = 93, 75%), with four qualitative studies (3%), seven academic narrative reviews (6%), nine third sector reports (7%) and five government reports (4%), and four systematic reviews or meta-analyses (3%). There were 78 studies which examined comorbidities as a pathway to mortality, infection, and severe disease. Socioeconomic inequalities (N = 67) were also commonly investigated, with considerable research into neighbourhood infrastructure (N = 38) and occupational risk (N = 28). Few studies examined barriers to healthcare (N = 6) and consequences of infection control measures (N = 10). Only 11% of eligible studies theorised racism to be a driver of inequalities and 10% (typically government/third sector reports and qualitative studies) explored this as a pathway. CONCLUSION: This systematic map identified knowledge clusters that may be amenable to subsequent systematic reviews, and critical gaps in the evidence-base requiring additional primary research. Most studies do not incorporate or conceptualise racism as the fundamental cause of ethnic inequalities and therefore the contribution to literature and policy is limited.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Racismo / COVID-19 Tipo de estudo: Qualitative_research Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Soc Sci Med Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Racismo / COVID-19 Tipo de estudo: Qualitative_research Limite: Humans País/Região como assunto: Europa Idioma: En Revista: Soc Sci Med Ano de publicação: 2023 Tipo de documento: Article