How limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings

Summary: Low-income households (LIHs) have experienced increased poverty and inaccess to healthcare services during the COVID-19 pandemic, limiting their ability to adhere to health-protective behaviors. We use an epidemiological model to show how a households' inability to adopt social distanc...

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Autores principales:	Nina Fefferman, Chien-Fei Chen, Gregory Bonilla, Hannah Nelson, Cheng-Pin Kuo
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Energy policy Energy sustainability Social sciences Sociology Science Q
Acceso en línea:	https://doaj.org/article/c0cc68485599425c9da573740ae60ca6
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spelling	oai:doaj.org-article:c0cc68485599425c9da573740ae60ca62021-11-18T04:51:13ZHow limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings2589-004210.1016/j.isci.2021.103389https://doaj.org/article/c0cc68485599425c9da573740ae60ca62021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2589004221013602https://doaj.org/toc/2589-0042Summary: Low-income households (LIHs) have experienced increased poverty and inaccess to healthcare services during the COVID-19 pandemic, limiting their ability to adhere to health-protective behaviors. We use an epidemiological model to show how a households' inability to adopt social distancing, owing to constraints in utility and healthcare expenditure, can drastically impact the course of disease outbreaks in five urban U.S. counties. LIHs suffer greater burdens of disease and death than higher income households, while functioning as a consistent source of virus exposure for the entire community due to socioeconomic barriers to following public health guidelines. These impacts worsened when social distancing policy could not be imposed. Health interventions combining social distancing and LIH resource protection strategies (e.g., utility and healthcare access) were the most effective in limiting virus spread for all income levels. Policies need to address the multidimensionality of energy, housing, and healthcare access for future disaster management.Nina FeffermanChien-Fei ChenGregory BonillaHannah NelsonCheng-Pin KuoElsevierarticleEnergy policyEnergy sustainabilitySocial sciencesSociologyScienceQENiScience, Vol 24, Iss 12, Pp 103389- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Energy policy Energy sustainability Social sciences Sociology Science Q
spellingShingle	Energy policy Energy sustainability Social sciences Sociology Science Q Nina Fefferman Chien-Fei Chen Gregory Bonilla Hannah Nelson Cheng-Pin Kuo How limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings
description	Summary: Low-income households (LIHs) have experienced increased poverty and inaccess to healthcare services during the COVID-19 pandemic, limiting their ability to adhere to health-protective behaviors. We use an epidemiological model to show how a households' inability to adopt social distancing, owing to constraints in utility and healthcare expenditure, can drastically impact the course of disease outbreaks in five urban U.S. counties. LIHs suffer greater burdens of disease and death than higher income households, while functioning as a consistent source of virus exposure for the entire community due to socioeconomic barriers to following public health guidelines. These impacts worsened when social distancing policy could not be imposed. Health interventions combining social distancing and LIH resource protection strategies (e.g., utility and healthcare access) were the most effective in limiting virus spread for all income levels. Policies need to address the multidimensionality of energy, housing, and healthcare access for future disaster management.
format	article
author	Nina Fefferman Chien-Fei Chen Gregory Bonilla Hannah Nelson Cheng-Pin Kuo
author_facet	Nina Fefferman Chien-Fei Chen Gregory Bonilla Hannah Nelson Cheng-Pin Kuo
author_sort	Nina Fefferman
title	How limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings
title_short	How limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings
title_full	How limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings
title_fullStr	How limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings
title_full_unstemmed	How limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings
title_sort	how limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/c0cc68485599425c9da573740ae60ca6
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How limitations in energy access, poverty, and socioeconomic disparities compromise health interventions for outbreaks in urban settings

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