Systems Thinking, Causal Loop Diagram, and Systems Dynamic in Public Health Challenges: Navigating Long COVID Syndrome and Sense of Smell in LGBTQIA+ Communities.

Public health challenges Pub Date : 2024-09-03 eCollection Date: 2024-09-01 DOI:10.1002/puh2.70004
Behnaz Akbari, Jessica M Wang, Namdar Baghaei-Yazdi, Hooshang Lahooti, Janet Hope Sherman
{"title":"Systems Thinking, Causal Loop Diagram, and Systems Dynamic in Public Health Challenges: Navigating Long COVID Syndrome and Sense of Smell in LGBTQIA+ Communities.","authors":"Behnaz Akbari, Jessica M Wang, Namdar Baghaei-Yazdi, Hooshang Lahooti, Janet Hope Sherman","doi":"10.1002/puh2.70004","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The coronavirus pandemic has profoundly affected global health, economic stability, and environmental sustainability. Despite these challenges, significant gaps in data remain, particularly in effectively assessing and engaging diverse communities such as color, LGBTQIA+ individuals, and low-income groups. This shortage of comprehensive research limits our capacity to undertake sensitive studies, specifically in dealing with the complexities of long COVID, which some individuals continue to suffer from after their initial recovery.</p><p><strong>Objective: </strong>This review delves into the ongoing repercussions of long-term COVID-19, a postinfectious syndrome marked by neurological symptoms such as cognitive deficits and sensory impairments, which may last well beyond the acute phase of the illness. These symptoms frequently overlap with mental health issues (e.g., anxiety and depression), which can aggravate the socioeconomic challenges faced by vulnerable populations, especially within the LGBTQA+ communities.</p><p><strong>Methods: </strong>To tackle these complex interactions, we have introduced a novel public health framework: model-based systems thinking (MBST), which incorporates System Dynamics and causal loop diagrams (CLD).</p><p><strong>Results and discussion: </strong>The articles were selected on the basis of their discussion of COVID-19-associated anosmia, exploration of olfactory dysfunction alongside neurocognitive disorders, and the challenges experienced in LGBQA+ communities. This approach offers a robust framework for dissecting the intricate ties between socioeconomic factors, health outcomes, and the extended recovery trajectories associated with long-term COVID-19, with a particular focus on olfactory dysfunction. We also explore strategies to make our models more accessible to healthcare providers and the LGBTQA+ communities, encouraging its broader adoption.</p><p><strong>Conclusion: </strong>Long COVID's impact on public health and marginalized communities highlights the urgent need for adopting systems thinking models. Additionally, this article calls for a concerted effort from all experts to foster multidisciplinary, team-based research and implement effective support measures for COVID-19 survivors across all communities, mainly focusing on the scientific, social, and behavioral challenges LGBTQIA+ and low-income individuals face.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 3","pages":"e70004"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039704/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public health challenges","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/puh2.70004","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

Abstract

Background: The coronavirus pandemic has profoundly affected global health, economic stability, and environmental sustainability. Despite these challenges, significant gaps in data remain, particularly in effectively assessing and engaging diverse communities such as color, LGBTQIA+ individuals, and low-income groups. This shortage of comprehensive research limits our capacity to undertake sensitive studies, specifically in dealing with the complexities of long COVID, which some individuals continue to suffer from after their initial recovery.

Objective: This review delves into the ongoing repercussions of long-term COVID-19, a postinfectious syndrome marked by neurological symptoms such as cognitive deficits and sensory impairments, which may last well beyond the acute phase of the illness. These symptoms frequently overlap with mental health issues (e.g., anxiety and depression), which can aggravate the socioeconomic challenges faced by vulnerable populations, especially within the LGBTQA+ communities.

Methods: To tackle these complex interactions, we have introduced a novel public health framework: model-based systems thinking (MBST), which incorporates System Dynamics and causal loop diagrams (CLD).

Results and discussion: The articles were selected on the basis of their discussion of COVID-19-associated anosmia, exploration of olfactory dysfunction alongside neurocognitive disorders, and the challenges experienced in LGBQA+ communities. This approach offers a robust framework for dissecting the intricate ties between socioeconomic factors, health outcomes, and the extended recovery trajectories associated with long-term COVID-19, with a particular focus on olfactory dysfunction. We also explore strategies to make our models more accessible to healthcare providers and the LGBTQA+ communities, encouraging its broader adoption.

Conclusion: Long COVID's impact on public health and marginalized communities highlights the urgent need for adopting systems thinking models. Additionally, this article calls for a concerted effort from all experts to foster multidisciplinary, team-based research and implement effective support measures for COVID-19 survivors across all communities, mainly focusing on the scientific, social, and behavioral challenges LGBTQIA+ and low-income individuals face.

公共卫生挑战中的系统思维、因果循环图和系统动态:在LGBTQIA+社区中导航长冠状病毒综合征和嗅觉
背景:冠状病毒大流行深刻影响了全球健康、经济稳定和环境可持续性。尽管存在这些挑战,但数据方面仍然存在重大差距,特别是在有效评估和吸引有色人种、LGBTQIA+个人和低收入群体等不同社区方面。全面研究的缺乏限制了我们进行敏感研究的能力,特别是在处理长期COVID的复杂性方面,一些人在初步康复后仍然受到影响。目的:本综述深入研究了长期COVID-19的持续影响,这是一种以认知缺陷和感觉障碍等神经系统症状为特征的感染后综合征,可能会持续到疾病的急性期之后。这些症状经常与心理健康问题(如焦虑和抑郁)重叠,这可能加剧弱势群体,特别是LGBTQA+社区所面临的社会经济挑战。方法:为了解决这些复杂的相互作用,我们引入了一个新的公共卫生框架:基于模型的系统思维(MBST),它结合了系统动力学和因果循环图(CLD)。结果和讨论:这些文章是根据他们对covid -19相关嗅觉障碍的讨论、嗅觉功能障碍与神经认知障碍的探索以及LGBQA+社区所面临的挑战而选择的。这种方法为剖析与COVID-19长期相关的社会经济因素、健康结果和长期恢复轨迹之间的复杂关系提供了一个强大的框架,特别关注嗅觉功能障碍。我们还探索了使我们的模型更容易被医疗保健提供者和LGBTQA+社区使用的策略,鼓励其更广泛的采用。结论:COVID对公共卫生和边缘化社区的长期影响凸显了采用系统思维模式的迫切需要。此外,本文呼吁所有专家共同努力,促进多学科、基于团队的研究,并为所有社区的COVID-19幸存者实施有效的支持措施,主要关注LGBTQIA+和低收入人群面临的科学、社会和行为挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信