The Impacts of Neighborhood Disparities on US Population Health During the COVID-19 Pandemic: A Literature Review and Policy Analysis for Future Response

Brianna M White, Whitney S Brakefield, Olufunto A Olusanya, Rameshwari Prasad, Fekede A Kumsa, Soheil Hashtarkhani, Arash Shaban-Nejad
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Abstract

Introduction/Background: The COVID-19 pandemic has disrupted major aspects of daily life since its emergence in late 2019, impacting health and well-being worldwide. Aside from genetic predisposition, numerous external factors play key roles in determining levels of disease susceptibility and overall health status. Aim/Objectives: This review and policy analysis sought to examine literature focused on the impact of neighborhood environments on population health and well-being during the COVID-19 pandemic period. Examined studies explore the impacts of various aspects of the neighborhood environment (i.e., walkability, transportation, access to healthcare/vaccination, etc.) during the COVID-19 era on population health and well-being. Methods: Databases were searched for studies published from March 2020 to August 2022. Selected studies examine the impacts of various aspects of the neighborhood environment (i.e., walkability, transportation, access to healthcare/vaccination, climate, crime rates, persistent poverty, the social spread of misinformation, etc.) during the COVID-19 era on population health and well-being. Results: Findings from our review suggest that those living in less-than-favorable environments were faced with significant challenges, making vulnerable populations more prone to the severity of COVID-19 infection. Conclusion: We argue these results establish cause for the consideration of the effects of neighborhood environments in developing intelligent intervention strategies for both pandemic recovery and preparation for future public health emergencies, especially among vulnerable populations.
COVID-19 大流行期间邻里差距对美国人口健康的影响:文献综述与未来应对政策分析
导言/背景:COVID-19 大流行病自 2019 年底出现以来,已扰乱了日常生活的主要方面,影响了全世界的健康和福祉。除遗传易感性外,众多外部因素在决定疾病易感性水平和整体健康状态方面发挥着关键作用:本综述和政策分析旨在研究 COVID-19 大流行期间邻里环境对人口健康和福祉影响的文献。所审查的研究探讨了在 COVID-19 流行期间社区环境的各个方面(如步行能力、交通、医疗保健/疫苗接种等)对人口健康和幸福的影响:在数据库中搜索 2020 年 3 月至 2022 年 8 月期间发表的研究。所选研究考察了 COVID-19 时代邻里环境各方面(即步行能力、交通、医疗保健/疫苗接种、气候、犯罪率、持续贫困、错误信息的社会传播等)对人口健康和幸福的影响。结果:我们的研究结果表明,生活在不利环境中的人们面临着巨大的挑战,这使得弱势群体更容易受到 COVID-19 感染的严重影响。结论:我们认为,这些结果证明,在为大流行病的恢复和未来公共卫生突发事件的准备工作(尤其是在弱势群体中)制定智能干预策略时,有理由考虑邻里环境的影响。
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