Social Cohesion and COVID-19: Integrative Review.

Interact J Med Res

Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand.

Published: November 2024

AI Article Synopsis

  • - The study explores how social cohesion, or the strength of social relationships, impacted health outcomes during the COVID-19 pandemic, revealing various ways it was defined and measured across different contexts.
  • - Researchers analyzed 100 studies on social cohesion, noting its influence on health behaviors and emotional well-being, while also highlighting potential negative effects and inconsistencies in how the concept is understood.
  • - The findings suggest that while social cohesion played a significant role in shaping responses to the pandemic, the literature presents challenges and limitations in accurately representing its complexities and implications.

Article Abstract

Background: Nations of considerable wealth and sophisticated health care infrastructures have experienced high rates of illness and death from COVID-19. Others with limited economic means and less developed health systems have achieved much lower burdens. To build a full understanding, an appraisal of the contribution of social relationships is necessary. Social cohesion represents a promising conceptual tool.

Objective: This study aimed to examine scholarship on social cohesion during the COVID-19 pandemic: specifically, the constructions of social cohesion being deployed, the variables chosen for representation, and the effects of and on social cohesion being reported.

Methods: The PubMed, Scopus, and JSTOR databases were searched for relevant journal articles and gray literature. A total of 100 studies met the inclusion criteria. Data were extracted and analyzed from these using spreadsheet software.

Results: Several constructions of social cohesion were found. These concerned interpersonal relationships, sameness and difference, collective action, perceptions or emotions of group members, structures and institutions of governance, locally or culturally specific versions, and hybrid or multidimensional models. Social cohesion was reported to be influential on health outcomes, health behaviors, resilience, and emotional well-being, but there was some potential for it to drive undesirable outcomes. Scholarship reported increases or decreases in quantitative measures of social cohesion, a temporary "rally round the flag" effect early in the pandemic, the variable impacts of policy on social cohesion, and changing interpersonal relationships due to the pandemic conditions. There are numerous issues with the literature that reflect the well-documented limitations of popular versions of the concept.

Conclusions: Social cohesion has been used to express a range of different aspects of relationships during the pandemic. It is claimed to promote better health outcomes, more engagement with positive health behaviors, and greater resilience and emotional well-being. The literature presents a range of ways in which it has been altered by the pandemic conditions. There are significant weaknesses to this body of knowledge that greatly impede its overall quality.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621721PMC
http://dx.doi.org/10.2196/51214DOI Listing

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