Osong Public Health Res Perspect.  2021 Dec;12(6):346-360. 10.24171/j.phrp.2021.0180.

Social determinants of adherence to COVID-19 preventive guidelines: a comprehensive review

• Shushtari ZJ
• Salimi Y
• Ahmadi S
• Rajabi-Gilan N
• Shirazikhah M
• Biglarian A
• Almasi A
• Gharehghani MAM

• KMID: 2524372
• DOI: http://doi.org/10.24171/j.phrp.2021.0180

Abstract

Adherence to coronavirus disease 2019 (COVID-19) preventive guidelines (ACPG) is an important strategy to control the COVID-19 pandemic effectively. The present study aimed to identify and summarize the social determinants of ACPG among the general population. A comprehensive review was performed from December 2019 to February 2021 through searching electronic databases. Two independent reviewers assessed and selected relevant studies. Next, the characteristics and main findings of the included studies were summarized. Finally, the World Health Organization’s conceptual framework of social determinants of health was used to synthesize the identified social determinants of ACPG. Forty-one of 453 retrieved articles met the inclusion criteria. The study results showed different patterns of ACPG among various communities. Furthermore, 84 social determinants were identified and categorized into structural and intermediary determinants. ACPG is a set of complex behaviors associated with different individual sociodemographic and behavioral characteristics; living and working conditions; COVID-19 knowledge, attitudes, and risk perceptions; exposure to sources and information level; leisure activities; social support; trust; social norms; psychosocial well-being; socio-economic position; and the socio-economic and political context. Interventions to promote ACPG among the general population should consider the identified social determinants of ACPG.

Keyword

COVID-19; Guideline adherence; Preventive behavior; Preventive guidelines; Social determinants of health