From risk factors to disease situations: A socio-spatial analysis of COVID-19 experiences in Lima, Peru

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Claudia Nieto-Sanchez , Stefanie Dens , Jesus Cisneros , Karla Solari , Mario De Los Santos , Victor Vega , Alfonso Silva-Santiesteban , Larissa Otero , Koen Peeters Grietens , Kristien Verdonck
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引用次数: 0

Abstract

The goal of this qualitative research study, part of an interdisciplinary project, was to understand the overlapping geographical distribution of COVID-19 and tuberculosis burden in Lima. Using an ethnographic approach, we applied the concept of disease situations to explore how inhabitants’ social and spatial situatedness affected their capacity to respond to the pandemic. Our results show that for some populations in Lima, the risk to develop COVID-19 did not emerge suddenly; it could be traced back to situations of living under subsistence models, relying on unstable sources of income, facing food insecurity, depending on certain mechanisms of social protection, residing in precarious living environments and lacking access to quality health care. These populations did not only have less resources to adjust to changes in daily life induced by the pandemic; they were also forced to constantly weigh the risk of COVID-19 against other pressing needs and potentially face increased risks when control measures were actually followed. Pre-existing social networks played fundamental roles as sources of emotional and material support. The lens of disease situations can help to identify and explain spatial and social configurations that enhance vulnerability, as well as resilience mechanisms that are in place to deal with crises. This perspective could inform the design of contextualised prevention and response strategies around health risks in cities as diverse as Lima, whilst building on existing resources at local levels.
从风险因素到疾病状况:对秘鲁利马 COVID-19 经验的社会空间分析。
这项定性研究是跨学科项目的一部分,目的是了解 COVID-19 和结核病在利马的重叠地理分布。我们采用人种学方法,运用疾病状况的概念来探讨居民的社会和空间位置如何影响他们应对大流行病的能力。我们的研究结果表明,对于利马的一些居民来说,罹患 COVID-19 的风险并不是突然出现的;这种风险可以追溯到生活在温饱模式下、依赖不稳定的收入来源、面临粮食不安全、依赖某些社会保护机制、居住在不稳定的生活环境中以及无法获得高质量的医疗保健服务等情况。这些人群不仅没有足够的资源来适应大流行病引起的日常生活变化,而且还被迫不断权衡 COVID-19 的风险与其他迫切需求之间的关系,并可能在实际采取控制措施时面临更大的风险。原有的社会网络作为情感和物质支持的来源发挥了重要作用。从疾病情况的角度看问题,有助于识别和解释加剧脆弱性的空间和社会结构,以及应对危机的复原机制。在利马这样的多元化城市,这一视角可以为制定针对健康风险的因地制宜的预防和应对战略提供信息,同时利用地方层面的现有资源。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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