How do the Social Determinants of Health Impact the Post-Acute Sequelae of COVID-19: A Critical Review

Joachim G Voss; Melissa D Pinto; Candace W Burton

doi:10.1016/j.cnur.2023.07.004

How do the Social Determinants of Health Impact the Post-Acute Sequelae of COVID-19: A Critical Review

Nurs Clin North Am. 2023 Dec;58(4):541-568. doi: 10.1016/j.cnur.2023.07.004. Epub 2023 Aug 23.

Authors

Joachim G Voss¹, Melissa D Pinto², Candace W Burton³

Affiliations

¹ Case Western Reserve University, Frances Payne Bolton School of Nursing, Health Education Campus, 9500 Euclid Avenue, Cleveland, OH 44106, USA. Electronic address: joachim.voss@case.edu.
² University of California, Irvine, Sue and Bill Gross School of Nursing, 854 Health Sciences, Irvine, CA 92697, USA.
³ University of Nevada Las Vegas School of Nursing, 4505 South Maryland Parkway, Box 453018, Las Vegas, NV 89154-3018, USA.

PMID: 37832998
DOI: 10.1016/j.cnur.2023.07.004

Abstract

The review critically analyzes the social determinants of health (SDOH) variables in the current literature of patients with post-acute sequelae (PASC) of COVID-19 in the United States. Race, gender, and age were discussed as well as health outcomes, severity of illness, and phenotypes of long-COVID. Most research was retrospectively with samples that had access to health insurance, which did not capture populations with poor or no access to health care. More research is needed that directly addresses the impact on SDOH on PASC. The current literature is sparse and provides little actionable information.

Keywords: Gender; Phenotype; Post-acute sequelae of COVID-19 (PASC); Social determinants of health.

Publication types

Review

MeSH terms

COVID-19*
Disease Progression
Humans
Post-Acute COVID-19 Syndrome
Retrospective Studies
Social Determinants of Health