From: Why are people with dengue dying? A scoping review of determinants for dengue mortality
Social and environmental dimension | Consideration as determinant for dengue mortality | References | |
---|---|---|---|
SDH | Concepta | Observations | |
Poverty | Yes | • Contributes directly to income, education and living conditions. | |
• Represents a barrier for access to health care and thereby contributes to rise in dengue mortality. | |||
Social behavior | Yes | • Absence or delays in care-seeking were described as explaining dengue mortality. | |
• Reflects social and cultural aspects and is related to risk perception and awareness of disease by patients and health staff. | |||
Environmental/vector presence | NC | • Rural residence and geographical barriers were more related to access to health care than to dengue mortality itself. | |
• Vector presence and occurrence of dengue outbreaks were described as a condition that increased the risk of severe forms of dengue. | |||
Virus characteristics | Yes | • Heterogeneous infections and virulence of strains might increase disease severity | [11, 29, 32, 33, 37–41, 52, 55, 60, 62, 66, 70, 73, 76, 79, 80, 83, 88, 98–101] |
• Together with type of infection/immunological status, was described as an important determinant. |