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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X


ANTONANZAS SERRANO, Alma  and  GIMENO FELIU, Luis Andrés. Social determinants of health and their influence on the incidence of COVID-19. A narrative review. Rev Clin Med Fam [online]. 2022, vol.15, n.1, pp.12-19.  Epub Apr 04, 2022. ISSN 2386-8201.


The aim of this review is to analyze whether the social determinants of health influence the incidence of COVID.


An exploratory systematic review was performed to obtain a general vision of the available evidence. A bibliographic search was conducted on the PubMed database and 15 studies- 14 ecological studies and one cross-sectional study- from six different countries were included, given that they met the inclusion criteria.


An association between several social determinants of health- measured individually or by means of vulnerability indexes- and COVID-19 incidence was found in different areas. Low-income, overcrowding, poor housing conditions, poverty and belonging to certain races were associated with a higher incidence. Two studies detected higher incidence amongst women, given their presence as healthcare workers and caregivers at a family level. In terms of employment and educational level, their association with COVID-19 incidence was less robust.


Social determinants of health such as race/ethnicity, rent, sex, housing conditions and socio-economic level influence the distribution of COVID-19. Vulnerable areas for these factors show higher incidence levels.

Keywords : COVID-19; Incidence; SARS-CoV-2; Social Determinants of Health; Socio-economic Factors.

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