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Table 4 Social and environmental dimension aspects related to dengue mortality according to content analysis

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. [87, 92]
• 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. [2931, 76, 77, 80, 91, 93]
• 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. [27, 87, 88, 9297]
• 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, 3741, 52, 55, 60, 62, 66, 70, 73, 76, 79, 80, 83, 88, 98101]
• Together with type of infection/immunological status, was described as an important determinant.
  1. aConcept according to what has been described in the literature. YES Considered to be a determinant, NO Not considered to be a determinant, NC Non-conclusive information