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Multimorbidity, Polyiatrogenesis, and COVID-19.
Ecks, Stefan.
  • Ecks S; Social Anthropology, University of Edinburgh.
Med Anthropol Q ; 34(4): 488-503, 2020 12.
Article in English | MEDLINE | ID: covidwho-957863
ABSTRACT
To date, the strongest predictor for dying with COVID-19 is suffering from several chronic disorders prior to the viral infection. Pre-existing multimorbidity is highly correlated with socioeconomic inequality. In turn, having several chronic conditions is closely linked to multiple medication intake, especially in richer countries with good access to biomedical care. Owing to its vertical structure, biomedicine often risks giving multiple treatments in an uncoordinated way. Such lack of integrated care can create complex forms of iatrogenic harm. Multimorbidity is often exacerbated by a pharmaceuticalization of social deprivation in place of integrated care. In this article, I explore the possibility that clusters of over-medication are a contributing factor to higher death rates from COVID-19, especially in poorer areas within richer countries. Anthropological perspectives on the social embeddedness of multimorbidity and multiple medication use can expand our understanding of who is most vulnerable to SARS-CoV-2.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Multimorbidity / SARS-CoV-2 / COVID-19 Type of study: Prognostic study Topics: Long Covid Limits: Female / Humans / Male Language: English Journal: Med Anthropol Q Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Multimorbidity / SARS-CoV-2 / COVID-19 Type of study: Prognostic study Topics: Long Covid Limits: Female / Humans / Male Language: English Journal: Med Anthropol Q Year: 2020 Document Type: Article