Socioeconomic inequalities and COVID-19 in Spain. SESPAS Report 2022 Desigualdades socioeconómicas y COVID-19 en España. Informe SESPAS 2022
Bacigalupe de la Hera, Amaia (Grupo de Investigación en Determinantes Sociales de la Salud y Cambio Demográfico-OPIK. Leoia)
Martín, Unai (Grupo de Investigación en Determinantes Sociales de la Salud y Cambio Demográfico-OPIK. Leoia)
Franco, Manuel (Department of Epidemiology. Johns Hopkins Bloomberg School of Public Health)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)

Data:	2022
Resum:	The COVID-19 pandemic has shown its syndemic nature where the contagion by coronavirus joins the high prevalence of chronic diseases in a context of great social inequality and a clear gradient of those pathologies. The objectives of this article are: 1) to show a conceptual framework of the determinants of social inequality in the COVID-19; 2) to review the available literature on socioeconomic inequalities in various aspects related to COVID-19 in Spain; and 3) propose recommendations to monitor, intervene with policies and communication guides to reduce social inequalities in COVID-19, showing examples developed in Spain. The conceptual framework includes structural and intermediate determinants reflecting the different axes of inequality that characterize the syndemic nature of COVID-19. The literature review published up to July 2021 in Spain describes a socioeconomic gradient of COVID-19, not always consistent among studies, as well as an uneven impact of many measures to control the pandemic. Finally, the proposals for reducing social inequalities in COVID-19 include: 1) to guarantee information systems and research with an equity perspective; 2) to reduce inequalities in COVID-19 through its intermediate, and economic and political determinants; and 3) to design communication models and understanding frameworks that break with hegemonies that hide the relevance of social inequality in the pandemic. Given the syndemic nature of COVID-19 and accumulated knowledge, surveillance systems, interventions and communication must include a clear perspective of health equity.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Castellà
Document:	Article ; recerca ; Versió publicada
Matèria:	Socioeconomic factors ; COVID-19 ; Syndemic ; Spain
Publicat a:	Gaceta sanitaria, Vol. 36 (enero 2022) , p. S13-S21, ISSN 1578-1283

DOI: 10.1016/j.gaceta.2022.01.011
PMID: 35781142

9 p, 1020.7 KB

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