코로나19 유행의 건강형평성, 건강도시에서의 함의
Implications of the COVID-19 pandemic on health equity and healthy cities
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Objectives: The coronavirus disease (COVID-19) pandemic has disrupted the livelihood of many, however, its impacts on health and the determinants of health are disproportionate to different population subgroups. This study aims to explore the health equity issues related to COVID-19 and identify areas in which local governments can lead to ensure health equity in pandemic preparedness, response and recovery. Methods: This study explores the topic through a narrative review of the literature. Results: Health inequities due to the COVID-19 pandemic arise through multiple mechanisms, such as differential risk to infection and severity, and differential social and economic consequences due to stringent social distancing measures. Moreover, the elements of vulnerability are intersectional and based on the underlying structural and systemic inequities. Therefore, local government action require investment in the structural and systemic determinants in addition to the rapid downstream mitigation measures. Conclusions: Cities and local governments play key roles in ensuring health equity in both the rapid responses to mitigate disproportionate adverse health impacts and also serve as advocates for change in the upstream structural factors.
Abstract
Objectives: The coronavirus disease (COVID-19) pandemic has disrupted the livelihood of many, however, its impacts on health and the determinants of health are disproportionate to different population subgroups. This study aims to explore the health equity issues related to COVID-19 and identify areas in which local governments can lead to ensure health equity in pandemic preparedness, response and recovery. Methods: This study explores the topic through a narrative review of the literature. Results: Health inequities due to the COVID-19 pandemic arise through multiple mechanisms, such as differential risk to infection and severity, and differential social and economic consequences due to stringent social distancing measures. Moreover, the elements of vulnerability are intersectional and based on the underlying structural and systemic inequities. Therefore, local government action require investment in the structural and systemic determinants in addition to the rapid downstream mitigation measures. Conclusions: Cities and local governments play key roles in ensuring health equity in both the rapid responses to mitigate disproportionate adverse health impacts and also serve as advocates for change in the upstream structural factors.
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