COVID-19 and the social determinants of health and health equity: evidence brief (12/21) via WHO
The social determinants of health are the conditions in which people are born, grow, work, live, and age and people’s access to power, money and resources. The social determinants are the major drivers of health inequities – unfair, avoidable and remediable differences in health between social groups. This evidence brief examines the influence of the social determinants of health on the current COVID-19 pandemic, focusing on the inequities of impact. The findings are drawn from a rapid systematic review of global evidence.
Inequalities in the social determinants of health have been unmasked by the COVID-19 pandemic, and have led to glaring inequities in COVID-19 health outcomes
between population groups, partly mediated through differences in capacity to adhere to public health and social measures that reduce viral transmission (such as
handwashing, use of face-masks, physical distancing, and closure of workplace, schools and public events). In turn, the broader impacts of the COVID-19 pandemic
have unequally impacted on the social determinants of health themselves, further exacerbating health inequities. These unacceptable and unjust outcomes
highlight the need to take greater account of social determinants of health in pandemic preparedness and response efforts, including for the rest of the current COVID-19 pandemic.