{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:10:19Z","timestamp":1792087819313,"version":"4.4.0"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To synthesize the best available evidence on the relationship between the social determinants of health and health outcomes among adults during the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>COVID\u201019 has created widespread global transmission. Rapid increase in individuals infected with COVID\u201019 prompted significant public health responses from governments globally. However, the social and economic impact on communities may leave some individuals more susceptible to the detrimental effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A three\u2010step search strategy was used to find published and unpublished papers. Databases searched included:\u00a0MEDLINE, CINAHL, EMBASE, and Google Scholar. All identified citations were uploaded into\u00a0Endnote X9, with duplicates removed. Methodological quality of eligible papers was assessed by two reviewers, with meta\u2010synthesis conducted in accordance with JBI methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen papers were included. Three synthesized\u2010conclusions were established (a) Vulnerable populations groups, particularly those from a racial minority and those with low incomes, are more susceptible and have been disproportionately affected by COVID\u201019 including mortality; (b) Gender inequalities and family violence have been exacerbated by COVID\u201019, leading to diminished wellbeing among women; and (c) COVID\u201019 is exacerbating existing social determinants of health through loss of employment\/income, disparities in social class leading to lack of access to health care, housing instability, homelessness, and difficulties in physical distancing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Reflection on social and health policies implemented are necessary to ensure that the COVID\u201019 pandemic does not exacerbate health inequalities into the future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.12959","type":"journal-article","created":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T14:52:12Z","timestamp":1629211932000},"page":"942-952","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":194,"title":["The social determinants of health and health outcomes among adults during the COVID\u201019 pandemic: A systematic review"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7908-3819","authenticated-orcid":false,"given":"Heidi","family":"Green","sequence":"first","affiliation":[{"name":"School of Nursing Faculty of Science Medicine and Health University of Wollongong Wollongong NSW Australia"},{"name":"St George Hospital Centre for Research in Nursing and Health Kogarah NSW Australia"},{"name":"Centre for Evidence Based Initiatives in Health Care: a Joanna Briggs Centre of Excellence Wollongong NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritin","family":"Fernandez","sequence":"additional","affiliation":[{"name":"School of Nursing Faculty of Science Medicine and Health University of Wollongong Wollongong NSW Australia"},{"name":"St George Hospital Centre for Research in Nursing and Health Kogarah NSW Australia"},{"name":"Centre for Evidence Based Initiatives in Health Care: a Joanna Briggs Centre of Excellence Wollongong NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"MacPhail","sequence":"additional","affiliation":[{"name":"School of Health and Society Faculty of the Arts Social Sciences and Humanities University of Wollongong Wollongong NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/spol.12704"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997-020-00351-0"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.160177"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31689-5"},{"key":"e_1_2_9_6_1","volume-title":"COVID\u201019: Shedding light on racial and health inequities in the USA","author":"Baptiste D. 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