Do COVID-19 infectious disease models incorporate the social determinants of health? A systematic review

John-Baptiste, Ava A., Moulin, Marc, Li, Zhe, Hamilton, Darren, Crichlow, Gabrielle, Klein, Daniel Eisenkraft, Alemu, Feben W., Ghattas, Lina, Mcdonald, Kathryn, Asaria, Miqdad ORCID: 0000-0002-3538-4417, Sharpe, Cameron, Pandya, Ekta, Moqueet, Nasheed, Champredon, David, Moghadas, Seyed M., Cooper, Lisa A., Pinto, Andrew, Stranges, Saverio, Haworth-Brockman, Margaret J., Galvani, Alison and Ali, Shehzad (2024) Do COVID-19 infectious disease models incorporate the social determinants of health? A systematic review. Public Health Reviews, 45. ISSN 0301-0422

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Abstract

Objectives: To identify COVID-19 infectious disease models that accounted for social determinants of health (SDH). Methods: We searched MEDLINE, EMBASE, Cochrane Library, medRxiv, and the Web of Science from December 2019 to August 2020. We included mathematical modelling studies focused on humans investigating COVID-19 impact and including at least one SDH. We abstracted study characteristics (e.g., country, model type, social determinants of health) and appraised study quality using best practices guidelines. Results: 83 studies were included. Most pertained to multiple countries (n = 15), the United States (n = 12), or China (n = 7). Most models were compartmental (n = 45) and agent-based (n = 7). Age was the most incorporated SDH (n = 74), followed by gender (n = 15), race/ethnicity (n = 7) and remote/rural location (n = 6). Most models reflected the dynamic nature of infectious disease spread (n = 51, 61%) but few reported on internal (n = 10, 12%) or external (n = 31, 37%) model validation. Conclusion: Few models published early in the pandemic accounted for SDH other than age. Neglect of SDH in mathematical models of disease spread may result in foregone opportunities to understand differential impacts of the pandemic and to assess targeted interventions.

Item Type:	Article
Additional Information:	© 2024 The Author(s)
Divisions:	Health Policy
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited:	10 Oct 2024 09:21
Last Modified:	17 Oct 2024 16:58
URI:	http://eprints.lse.ac.uk/id/eprint/125680

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