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Social exclusion and health inequalities in the time of COVID-19

    Predrag Bejaković Affiliation
    ; Marinko Škare Affiliation
    ; Romina Pržiklas Družeta Affiliation

Abstract

Social exclusion as a process leads to a state of multiple relative deprivations in diverse areas of social life, like employment, education, healthcare, social ties, respect. Individuals or groups may have a worse position in several areas, particularly with other individuals or groups in society. Coronavirus pandemics disproportionately affect poorer communities and socially excluded people. Socially excluded are double victims; due to their position, they are more prone to infection by a coronavirus, further increasing their exclusion. The purpose of this contribution is to provide a conceptual framework for analyzing the relationship between social exclusion and health disparities during the COVID-19 pandemic. The goal is to comprehend the causes and consequences of unequal power relationships and offer critical assessments of current policies and measures to reduce health inequalities. Health and social inequalities are a significant constraint to economic revival and a successful fight against pandemics. The extent of the economic and health crisis caused by pandemic shock largely depends on past health and social inequality.

Keyword : social exclusion, poverty, COVID-19, healthcare, health inequalities

How to Cite
Bejaković, P., Škare, M., & Pržiklas Družeta, R. (2021). Social exclusion and health inequalities in the time of COVID-19. Technological and Economic Development of Economy, 27(6), 1563-1581. https://doi.org/10.3846/tede.2021.16001
Published in Issue
Dec 9, 2021
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This work is licensed under a Creative Commons Attribution 4.0 International License.

References

Abrigo, M. R. M., & Love, I. (2016). Estimation of panel vector autoregression in stata. The Stata Journal: Promoting Communications on Statis-tics and Stata, 16(3), 778–804. https://doi.org/10.1177/1536867X1601600314

Acter, T., Uddin, N., Das, J., Akhter, A., Choudhury, T. R., & Kimf, S. (2020). Evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as coronavirus disease 2019 (COVID-19) pandemic: A global health emergency. Science of the Total Environment, 730, 138996. https://doi.org/10.1016/j.scitotenv.2020.138996

Allen, M. R., & Smith, L. A. (1996). Monte Carlo SSA: Detecting irregular oscillations in the Presence of Colored Noise. Journal of Climate, 9(12), 3373–3404. 2.0.CO;2> https://doi.org/10.1175/1520-0442(1996)009<3373:MCSDIO>2.0.CO;2

Al Jazeera. (2020). Fire tears through Greece refugee camp after coronavirus protest. https://www.aljazeera.com/news/2020/04/fire-tears-greece-refugee-camp-coronavirus-protest-200419104541547.html

Alkire, S., Dirksen, J., Nogales, R., & Oldiges, C. (2020). Multidimensional poverty and COVID-19 risk factors: A rapid overview of interlinked deprivations across 5.7 billion people (OPHI Briefing 53). Oxford Poverty & Human Development Initiative. https://ophi.org.uk/b53/

Ataguba, J. E. (2020). COVID-19 pandemic, a war to be won: Understanding its economic implications for Africa. Applied Health Economics and Health Policy, (18), 325–328. https://doi.org/10.1007/s40258-020-00580-x

Atkinson, A. B., Guio, A. C., & Marlier, E. (2017). Monitoring social inclusion in Europe. Publications Office of the European Union. https://ec.europa.eu/eurostat/documents/3217494/8031566/KS-05-14-075-EN-N.pdf/c3a33007-6cf2-4d86-9b9e-d39fd3e5420c

Atkinson, A. B. (1998). Poverty in Europe. Basil Blackwell.

Atkinson, A. B., & Marlier, E. (2010). Analysing and measuring social inclusion in a global context. United Nations Department of Economic and Social Affairs.

Baldwin, R., & Weder di Mauro, B. (2020). Introduction in economics in the time of COVID-19. In R. Baldwin & B. Weder di Mauro (Eds.), Economics in the time of COVID-19 (pp. 1–31). Centre for Economic Policy Research. https://voxeu.org/article/economics-time-COVID-19-new-ebook

Barr, N. (2012). Economics of the Welfare State. Oxford University Press.

Bertelli, M. (2020). Fears for African refugees as coronavirus hits crowded Rome squat. Al Jazeera. https://www.aljazeera.com/news/2020/04/fears-african-refugees-coronavirus-hits-crowded-rome-squat-200417232514207.html

Burke, R. M., Midgley, C. M., Dratch, A., Fenstersheib, M., Haupt, T., Holshue, M., Ghinai, I., Jarashow, M. C., Lo, J., McPherson, T. D., Rudman, S., Scott, S., Hall, A. J., Fry, A. M., & Rolfes, M. (2020). Active monitoring of persons exposed to patients with confirmed COVID-19 – United States, January–February 2020. MMWR Morbidity and Mortality Weekly Report, 69(9), 245–246. https://doi.org/10.15585/mmwr.mm6909e1

Byrne, D. (1999). Social exclusion. Open University Press.

Centre for Disease Control and Prevention. (2020). Interim guidelines for controlling, handling, and testing clinical specimens from person for coronavirus disease 2019 (COVID-19). http://www.cdc.gov/coronavirus/2019-ncov/lab/guidelines-clinical-specimens.html

Chan, J. F.-W., Yuan, S., Kok, K.-H., To, K. K.-W., Chu, H., Yang, J., Xing, F., Liu, J., Yip, C. C.-Y., Poon, R. W.-S., Tsoi, H.-W., Lo, S. K.-F., Chan, K.-H., Poon, V. K.-M., Chan, W.-M., Ip, J. D., Cai, J. P., Cheng, V. C.-C., Chen, H., Hui, C. K.-M., & Yuen, K.-Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. Lancet, 395(10223), 514–523. https://doi.org/10.1016/S0140-6736(20)30154-9

European Association for the Education of Adults. (2020). Outreach and access to learning during the coronavirus pandemic. https://eaea.org/2020/04/02/outreach-and-access-to-learning-during-the-coronavirus-pandemic/

European Commission. (2013). Health inequalities in the EU – Final report of a consortium.

Eurostat. (2020). Healthy life years and life expectancy at age 65 by sex. https://ec.europa.eu/eurostat/tgm/table.do?tab=table&init=1&language=en&pcode=tepsr_sp320&plugin=1

Frazer, H., Guio, A.-C., Marlier, E., Vanhercke, B., & Ward, T. (2014). Putting the fight against poverty and social exclusion at the heart of the EU agenda: A contribution to the Mid Term Review of the Europe 2020 strategy (OSE Research Paper No 15). European Social Observatory.

Gaeta, J. M., De Las Nueces, D., Munson, D. G., Barocas, J. A., & Walsh, K. E. (2020). Case 21-2020: A 66-year-old homeless man with COVID-19. New England Journal of Medicine, (383), 170–178. https://doi.org/10.1056/NEJMcpc2002421

Georgieva, K. (2020). Potential impact of the coronavirus epidemic: What we know and what we can do. International Monetary Fund Blog. https://blogs.imf.org/2020/03/04/potential-impact-of-the-coronavirus-epidemic-what-we-know-and-what-we-can-do

Ghil, M., Allen, M., Dettinger, M., Ide, K., Kondrashov, D., Mann, M. E. Robertson, A., Saunders, A., Tian, Y., Varadi, F., & Yiou, P. (2002). Advanced spectral methods for climatic time series. Reviews of Geophysics, 40(1), 3-1–3-41. https://doi.org/10.1029/2000RG000092

Gill, P., MacLeod, U., Lester, H., & Hegenbarth, A. (2013). Improving access to health care for gypsies and travellers, homeless people and sex workers. Royal College of General Practitioners, Clinical Innovation and Research Centre. http://www.rcgp.org.uk/news/2013/december/~/media/Files/Policy/A-Z-policy/RCGP-Social-Inclusion-Commissioning-Guide.ashx

Gopinath, L. (2020). Limiting the economic fallout of the coronavirus with large targeted policies. Vox. https://voxeu.org/content/limiting-economic-fallout-coronavirus-large-targeted-policies/

Gwankin, D. R. (2000). Health inequalities and the health of poor: What do we know? What can we do? Bulletin of World Health Organization, 78(1), 3–17. https://www.who.int/bulletin/archives/78(1)3.pdf?ua=1

Jaiswal, N. K., & Saxena, S. K. (2020). Classical coronaviruses. In S. Saxena (Ed.), Coronavirus disease 2019 (COVID-19). Medical virology: From pathogenesis to disease control (pp. 141–150). Springer. https://doi.org/10.1007/978-981-15-4814-7_12

Kelly, R. (2010). Social inclusion policy. Community & Enterprise Directorate Clare County Council.

Kuc-Czarnecka, M. (2020). COVID-19 and digital deprivation in Poland. Oeconomia Copernicana, 11(3), 415–431. https://doi.org/10.24136/oc.2020.017

Law, V. (2020). Coronavirus is disproportionately killing African Americans. Al Jazeera. https://www.aljazeera.com/news/2020/04/coronavirus-disproportionately-killing-african-americans-200409231336885.html

Liu, J., Liao, X., Qian, S., Yuan, J., Wang, F., Liu, Y., Wang, Z., Wang, F.-S., Liu, L., & Zhanet, Z. (2020). Community transmission of severe acute respiratory syndrome Coronavirus 2, Shenzhen, China. Emerging Infectious Diseases, 26(6), 1320–1323. https://doi.org/10.3201/eid2606.200239

Macintyre, S., McKay, L., & Ellaway, A. (2005). Are rich people or poor people more likely to be ill? Lay perceptions, by social class and neigh-borhood, of inequalities in health. Social Science & Medicine, 60(2), 313–317. https://doi.org/10.1016/j.socscimed.2004.08.001

Mamelund, S. E., Shelley-Egan, C., & Rogeberg, O. (2019). The association between socioeconomic status and pandemic influenza: protocol for a systematic review and meta-analysis. Systematic Reviews, 8, 5. https://doi.org/10.1186/s13643-018-0931-2

Mathieson, J., Popay, J., Enoch, E., Escorel, S., Hernandez, M., Johnston, H., & Rispel, L. (2008). Social Exclusion Meaning, measurement and experience and links to health inequalities, A review of literature. WHO. https://www.who.int/social_determinants/media/sekn_meaning_measurement_experience_2008.pdf.pdf

Maulsby, C. (2019). Community participation in health services development, implementation, and evaluation: A systematic review of empower-ment, health, community, and process outcomes. PLoS ONE, 14(5), e0216112. https://doi.org/10.1371/journal.pone.0216112

McKay, B., Calfas, J., & Ansari, T. (2020, March 11). Coronavirus declared pandemic by World Health Organization. Wall Street Journal. https://www.wsj.com/articles/u-s-coronavirus-cases-top-1-000-11583917794

Mema, B., & Nikolic, O. (2020). For Balkan Roma, hunger is the first curse of coronavirus. Agency France-Presse. https://www.france24.com/en/20200416-for-balkan-roma-hunger-is-the-first-curse-of-coronavirus

Mishchuk, H., Samoliuk, N., & Bilan, Y. (2019). Measuring social justice in the light of the effectiveness of public distributive policy. Admin-istratie si Management Public, (32), 63–76. https://doi.org/10.24818/amp/2019.32-05

O’Donnell, P., O’Donovan, D., & Elmusharaf, K. (2018) Measuring social exclusion in healthcare settings: a scoping review. International Jour-nal for Equity in Health, 17(15), 1–15. https://doi.org/10.1186/s12939-018-0732-1

Ong, S. W. X., Tan, Y. K., Chia, P. Y., Lee, T. H., Ng, O. T., Yen Wong, M. S., & Marimuthu, K. (2020). Air, surface environmental, and per-sonal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. Journal of American Medical Association, 323(16), 1610–1612. https://doi.org/10.1001/jama.2020.3227

Orcutt, M. (2020). If America is at war with COVID-19, it is doing a bad job of fighting, MIT Technology Review. https://www.technologyreview.com/2020/04/20/1000145/if-america-is-at-war-with-COVID-19-doing-a-bad-job-of-fighting

Pacáková, V., & Kopecká, L. (2018). Comparing inequalities in health outcomes in European countries. Journal of International Studies, 11(4), 215–227. https://doi.org/10.14254/2071-8330.2018/11-4/15

Park Hong, K. (2020). The slur I never expected to hear in 2020. The New York Time Magazine. https://www.nytimes.com/2020/04/12/magazine/asian-american-discrimination-coronavirus.html?campaign_id=52&emc=edit_ma_20200418&instance_id=17746&nl=the-new-york-times-magazine®i_id=84800688&segment_id=25455&te=1&user_id=fb794f8fa4757ae35b0ea57dee5b86b1

Peltzman, S. (2009). Mortality inequality. Journal of Economic Perspectives, 23(4), 175–190. https://doi.org/10.1257/jep.23.4.175

Popay, J., Escorel, S., Hernández, M., Johnston, H., Mathieson, J., & Rispe, L. (2008). Understanding and tackling social exclusion: Final report to the WHO Commission on social determinants of health from the Social Exclusion Knowledge Network. Social Exclusion Knowledge Net-work, Geneva.

Primorac, D. (2020). COVID-19: Myth and reality. International Society for Applied Biological Science. https://isabs.hr/news/COVID-19-disease-myth-and-reality

Schoellhamer, D. H. (2001). Singular spectrum analysis for time series with missing data. Geophysical Research Letter, 28(16), 3187–3190. https://doi.org/10.1029/2000GL012698

Sen, A. (2000). Social exclusion: concept, application and scrutiny (Social Development papers 1). Asian Development Bank, Manila. https://www.adb.org/sites/default/files/publication/29778/social-exclusion.pdf

Taresh, A. A., Sari, D. W., & Purwono, R. (2021). Analysis of the relationship between income inequality and social variables: Evidence from Indonesia. Economics and Sociology, 14(1), 103–119. https://doi.org/10.14254/2071-789X.2021/14-1/7

The Alliance for Child Protection in Humanitarian Action. (2019). Technical note: Protection of children during the coronavirus pandemic. UNICEF. https://www.unicef.org/media/65991/file/Technical%20note:%20Protection%20of%20children%20during%20the%20coronavirus%20disease%202019%20(COVID-19)%20pandemic.pdf

The Economist. (2020). Africa is woefully ill-equipped to cope with COVID-19. https://www.economist.com/middle-east-and-africa/2020/03/26/africa-is-woefully-ill-equipped-to-cope-with-COVID-19

The World Bank. (2007). The World Bank Social Exclusion and the EU’s Social Inclusion Agenda. Paper Prepared for the EU8 Social Inclusion Study. https://www.worldbank.org/en/topic/social-inclusion#1

The World Health Organization. (2011). Closing the gap: policy into practice on social determinants of health [Discussion paper]. The World Conference on Social Determinants of Health.

The World Health Organization. (2020). Coronavirus disease (COVID-19) (Situation Report – 196). https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200803-COVID-19-sitrep-196-cleared.pdf?sfvrsn=8a8a3ca4_4

United Nations. (2016). World social situation 2016: Leaving no one behind – the imperative of inclusive development.

United Nations Development Programme Croatia. (2007). Unplugged: Faces of Social Exclusion in Croatia, Human Development Reports.

Vautard, R., & Ghil, M. (1989). Singular spectrum analysis in nonlinear dynamics, with applications to paleoclimatic time series. Physica D: Non-linear Phenomena, 35(3), 395–424. https://doi.org/10.1016/0167-2789(89)90077-8

Vautard, R., Yiou, P., & Ghil, M. (1992). Singular-spectrum analysis: A toolkit for short, noisy chaotic signals. Physica D: Nonlinear Phenomena, 58(1–4), 95–126. https://doi.org/10.1016/0167-2789(92)90103-T

Vavrek, R., & Kovářová, E. (2021). Assessment of the social exclusion at the regional level using multi-criteria approach: evidence from the Czech Republic. Equilibrium. Quarterly Journal of Economics and Economic Policy, 16(1), 75–102. https://doi.org/10.24136/eq.2021.003

Wagstaff, A. (2002). Poverty and health sector inequalities. Bulletin of the World Health Organization, 80(2), 97–105.

Wagstaff, A., & van Doorslaer, E. (2000). Measuring and testing for inequity in the delivery of health care. The World Bank. https://doi.org/10.2307/146369

Yamin, A .E. (2020). When misfortune becomes injustice: Evolving human rights struggles for health and social equality. Stanford University Press. https://doi.org/10.1515/9781503611313

Yin, Y., & Wunderink, R. G. (2017). MERS, SARS and other coronaviruses as causes of pneumonia. Respirology, 23(2), 130–137. https://doi.org/10.1111/resp.13196

Zoledziowski, A. (2020). The rich will win at coronavirus because of course they will. Vice. https://www.vice.com/en_ca/article/m7q5dy/the-rich-will-win-at-coronavirus-because-of-course-they-will

Zou, L., Ruan, F., Huang, M., Liang, L., Huang, H., Hong, Z., Yu, J., Kang, M., Song, Y., Xia, J., Guo, Q., Song, T., He, J., Yen, H.-L., Peiris, M., & Wu, J. (2020). SARS-COV-2 viral load in upper respiratory specimens of infected patients. New England Journal of Medicine, (382), 1177–1179. https://doi.org/10.1056/NEJMc2001737