Role of Social Determinants of Health in COVID-19 Recovery

作者：Neelima Navuluri, Nrupen A. Bhavsar, Vivian Chen, Margaret Falkovic, Laura J. Fish, Lauren Gray, Christina Makarushka, Laura Mkumba, Hnin Lwin, A. Stiefer, Deepshikha Charan Ashana · 发表于：JAMA Network Open · 年份：2025 · DOI：10.1001/jamanetworkopen.2024.53261 · 被引用次数：4 · 研究领域：Food Security and Health in Diverse Populations、COVID-19 and Mental Health、Health disparities and outcomes

Importance: Health systems are increasingly required to conduct health-related social needs screening. However, how social resources negatively and positively affect recovery from acute illnesses, such as COVID-19, is incompletely understood. Objective: To examine how social determinants of health (SDOH) influence recovery from COVID-19. Design, Setting, and Participants: In this qualitative study, patients were recruited for semistructured interviews from a post-COVID-19 pulmonary clinic at a southeastern US academic medical center between November 2022 and March 2023. Caregivers were included in dyadic interviews when available. Interviews queried participants about SDOH domains, as defined by the US Centers for Disease Control and Prevention, and their relationship with COVID-19 recovery. Main Outcome and Measures: Phenomenologic analysis identified themes characterizing participant perspectives on the influence of SDOH on COVID-19 recovery. Results: A total of 24 interviews were conducted: 10 (42%) with patient-caregiver dyads, 13 (54%) with patients alone, and 1 (4%) with 2 patients who also served as each other's caregiver. Most participants were female (18 patients [72%] and 6 caregivers [60%]). The median age of patients was 57 years (IQR, 44-61 years) and of caregivers was 47 years (IQR, 39-62 years). Three cross-cutting themes that overlapped SDOH domains were identified. Participants noted that innovative mobilization of social resources (eg, policies to secure inc...