Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Using a Syndemics Perspective to (Re)conceptualize Vulnerability during the COVID-19 Pandemic: A Scoping Review

Version 1 : Received: 3 June 2024 / Approved: 3 June 2024 / Online: 4 June 2024 (04:17:35 CEST)

How to cite: Hernandez Barrios, Y.; Perez Chacon, D.; Molina Gomez, Y.; Gryseels, C.; Verdonck, K.; Peeters Grietens, K.; Nieto-Sanchez, C. Using a Syndemics Perspective to (Re)conceptualize Vulnerability during the COVID-19 Pandemic: A Scoping Review. Preprints 2024, 2024060092. https://doi.org/10.20944/preprints202406.0092.v1 Hernandez Barrios, Y.; Perez Chacon, D.; Molina Gomez, Y.; Gryseels, C.; Verdonck, K.; Peeters Grietens, K.; Nieto-Sanchez, C. Using a Syndemics Perspective to (Re)conceptualize Vulnerability during the COVID-19 Pandemic: A Scoping Review. Preprints 2024, 2024060092. https://doi.org/10.20944/preprints202406.0092.v1

Abstract

Syndemics theory has been applied to study interactions between biomedical and social factors leading to clustering of diseases. Because syndemics theory focuses on interactions that enhance risk, the concept of vulnerability is central to this approach. We conducted a scoping review to better understand how syndemics theory helped to define, operationalize, and tackle issues of vulnerability during the COVID-19 pandemic. Original research, review, and opinion pieces elaborating on syndemics, vulnerability and COVID-19, published between December 2019 and October 2022 and available in PubMed, were eligible. We analysed 40 records and identified three framings of syndemics operating during this period: (1) interactions between COVID-19, diseases/health conditions and specific social factors; (2) interactions between COVID-19 and social determinants of health; and (3) impacts of COVID-19 on specific populations. Emerging conceptualizations described vulnerability to COVID-19 as a systemic issue; explained the impact of COVID-19 control measures on increased vulnerability; and presented COVID-19 as a syndemic on its own. However, this theory's potential for deepening our understanding of vulnerability during this pandemic was constrained by superficial explorations of the interactions between biomedical and social spheres, and insufficient theoretical and methodological support from the social sciences.

Keywords

syndemics; vulnerability; COVID-19; syndemic interactions; bio-social interface

Subject

Public Health and Healthcare, Other

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