{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:52:17Z","timestamp":1791899537081,"version":"4.3.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Glob Health Promot"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Equity and social justice have long been key tenets of health promotion practice, policy and research. Health promotion foregrounds the pertinence of social, economic, cultural, political and spiritual life in creating and maintaining health. This necessitates a critical structural determinants of health perspective that actively engages with the experiences of health and wellbeing among diverse peoples. The inequitable impacts of pandemics are well documented, as are calls for improved pandemic responses. Yet, current pandemic and emergency preparedness plans do not adequately account for the social and structural determinants of health and health equity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Through five one-hour online conversations held in April 2020, we engaged 13 practice, policy, research and community leaders on the intersections of COVID-19 and gender, racism, homelessness, Indigenous health and knowledge, household food insecurity, disability, ethics and equitable futures post-COVID-19. We conducted a thematic analysis of speaker and participant contributions to investigate the impacts and influence of COVID-19 related to the structural and social determinants of health. We analyzed which policies, practices and responses amplified or undermined equity and social justice and identified opportunities for improved action.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>Analysis of the COVID-19 pandemic revealed four broad themes: \u2022\u2003oppressive, unjust systems and existing health and social inequities; \u2022\u2003health and social systems under duress and non-responsive to equity; \u2022\u2003disproportionate impacts of COVID-19 driven by underlying structural and socioeconomic inequity; and \u2022\u2003enhanced momentum for collective mobilization, policy innovations and social transformation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>There was a strong desire for a more just and equitable society in a post-COVID-19 world, going \u2018back to better\u2019 rather than \u2018back to normal.\u2019 Our analysis demonstrates that equity has not been well integrated into pandemic planning and responses. Social movement and systems theories provide insight on ways to build on existing community mobilization and policy openings for sustained social transformation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17579759211000975","type":"journal-article","created":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T02:03:51Z","timestamp":1616637831000},"page":"7-16","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":45,"title":["\u2018Back to better\u2019: amplifying health equity, and determinants of health perspectives during the COVID-19 pandemic"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0605-0143","authenticated-orcid":false,"given":"Sume","family":"Ndumbe-Eyoh","sequence":"first","affiliation":[{"name":"National Collaborating Centre for Determinants of Health, Antigonish, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pemma","family":"Muzumdar","sequence":"additional","affiliation":[{"name":"National Collaborating Centre for Determinants of Health, Antigonish, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Betker","sequence":"additional","affiliation":[{"name":"National Collaborating Centre for Determinants of Health, Antigonish, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Oickle","sequence":"additional","affiliation":[{"name":"National Collaborating Centre for Determinants of Health, Antigonish, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"key":"bibr1-17579759211000975","unstructured":"Greenwood M, de Leeuw S, Lindsay NM (eds). 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