Health disparities in past influenza pandemics: A scoping review of the literature

被引:9
作者
D'Adamo, Angela [1 ,2 ]
Schnake-Mahl, Alina [3 ,4 ]
Mullachery, Pricila H. [3 ,7 ]
Lazo, Mariana [3 ,5 ]
Roux, Ana V. Diez [3 ,6 ]
Bilal, Usama [3 ,6 ,8 ]
机构
[1] State Univ New Jersey, Edward J Bloustein Sch Planning & Publ Policy, New Brunswick, NJ USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
[3] Drexel Dornsife Sch Publ Hlth, Urban Hlth Collaborat, Philadelphia, PA USA
[4] Drexel Dornsife Sch Publ Hlth, Dept Hlth Management & Policy, Philadelphia, PA USA
[5] Drexel Dornsife Sch Publ Hlth, Dept Community Hlth & Prevent, Philadelphia, PA USA
[6] Drexel Dornsife Sch Publ Hlth, Dept Epidemiol & Biostat, Philadelphia, PA USA
[7] Temple Univ, Dept Hlth Serv Adm & Policy, Coll Publ Hlth, Philadelpha, PA USA
[8] Drexel Dornsife Sch Publ Hlth, Urban Hlth Collaborat, 3600 Market St Suite 730, Philadelphia, PA 19104 USA
基金
美国国家卫生研究院;
关键词
Health inequities; Influenza; Pandemic; Social class; Ethnic groups; SPANISH INFLUENZA; MORTALITY-RATES; UNITED-STATES; H1N1; CARE; MORBIDITY; ETHNICITY; EPIDEMIC; OUTCOMES; ILLNESS;
D O I
10.1016/j.ssmph.2022.101314
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: The COVID-19 pandemic has exacerbated existing health disparities. To provide a historical perspec-tive on health disparities for pandemic acute respiratory viruses, we conducted a scoping review of the public health literature of health disparities in influenza outcomes during the 1918, 1957, 1968, and 2009 influenza pandemics.Methods: We searched for articles examining socioeconomic or racial/ethnic disparities in any population, examining any influenza-related outcome (e.g., incidence, hospitalizations, mortality), during the 1918, 1957, 1968, and 2009 influenza pandemics. We conducted a structured search of English-written articles in PubMed supplemented by a snowball of articles meeting inclusion criteria. Results: A total of 29 articles met inclusion criteria, all but one focusing exclusively on the 1918 or 2009 pan-demics. Individuals of low socioeconomic status, or living in low socioeconomic status areas, experienced higher incidence, hospitalizations, and mortality in the 1918 and 2009 pandemics. There were conflicting results regarding racial/ethnic disparities during the 1918 pandemic, with differences in magnitude and direction by outcome, potentially due to issues in data quality by race/ethnicity. Racial/ethnic minorities had generally higher incidence, mortality, and hospitalization rates in the 1957 and 2009 pandemics.Conclusion: Individuals of low socioeconomic status and racial/ethnic minorities have historically experienced worse influenza outcomes during pandemics. These historical patterns can inform current research to understand disparities in the ongoing COVID-19 pandemic and future pandemics.
引用
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页数:9
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