Improving the health equity and the human rights of Canadians with dementia through a social determinants approach: a call to action in the COVID-19 pandemic.
Juanita-Dawne R BacsuMegan E O'ConnellMary Beth WightonPublished in: Canadian journal of public health = Revue canadienne de sante publique (2022)
In 2019, the Canadian Government released a national dementia strategy that identified the need to address the health inequity (e.g., avoidable, unfair, and unjust differences in health outcomes) and improve the human rights of people living with dementia. However, the novel coronavirus disease 2019 (COVID-19) pandemic is having an inequitable impact on people with dementia in terms of mortality and human rights violations. As the new Omicron COVID-19 variant approaches its peak, our commentary highlights the need for urgent action to support people living with dementia and their care partners. More specifically, we argue that reducing COVID-19 inequities requires addressing underlying population-level factors known as the social determinants of health. Health disparities cannot be rectified merely by looking at mortality rates of people with dementia. Thus, we believe that improving the COVID-19 outcomes of people with dementia requires addressing key determinants such as where people live, their social supports, and having equitable access to healthcare services. Drawing on Canadian-based examples, we conclude that COVID-19 policy responses to the pandemic must be informed by evidence-informed research and collaborative partnerships that embrace the lived experience of diverse people living with dementia and their care partners.
Keyphrases
- healthcare
- coronavirus disease
- sars cov
- mild cognitive impairment
- mental health
- public health
- endothelial cells
- cognitive impairment
- respiratory syndrome coronavirus
- quality improvement
- health information
- affordable care act
- cardiovascular disease
- induced pluripotent stem cells
- risk factors
- palliative care
- pluripotent stem cells
- cardiovascular events
- metabolic syndrome
- coronary artery disease
- risk assessment
- social media
- weight loss
- pain management
- health insurance
- global health