Shuhei Nomura|Alexander Parsons|Mayo Hirabayashi|Ryô Kinoshita|Yi Liao|Susan Hodgson
Social determinants of mid- to long-term disaster impacts on health: A systematic review
The University of Tokyo|Imperial College London|The University of Tokyo|The University of Tokyo|The University of Tokyo|The University of Tokyo|Imperial College London
disasters cause wide range health impacts although remains need understand improve acute disaster management stronger understanding health affected medium longer term also required inform design delivery measures manage postdisaster health risks guide actions taken events also lead reduction health impact social determinants exert powerful influence different elements risk principally vulnerability exposure capacity thus peoples health disaster health data research tended focus shortterm health impacts systematic assessment social determinants mid longterm health impacts disasters identified assessed chronic health impacts disasters explored potential socioeconomic determinants health impact systematic review findings based 28 studies highlighted regardless health outcomes event types influence disasters chronic heath persists beyond initial disaster period affecting peoples health months years using world health organizations conceptual framework social determinants health identified total 35 themes across three conceptual domains determinants related socioeconomic political context structural determinants intermediate determinants potentially influencing disaster impact investment tackle modifiable underlying determinants could aid disaster risk management improve medium longterm health outcomes disasters build community resilience