02088nas a2200361 4500000000100000008004100001260001600042653002100058653003400079653002200113653002300135653002300158653002400181100001300205700001400218700001400232700001300246700001300259700001500272700001200287700001400299700001100313700001500324700001600339700002000355700001400375245006300389856015300452300000900605490000700614520109100621022001401712 2023 d bElsevier BV10aGeneral Medicine10aSocial determinants of health10aFungal infections10aWorking Conditions10aHealth care access10aStructural Conflict1 aJenks JD1 aPrattes J1 aWurster S1 aSprute R1 aSeidel D1 aOliverio M1 aEgger M1 aDel Rio C1 aSati H1 aCornely OA1 aThompson GR1 aKontoyiannis DP1 aHoenigl M00aSocial determinants of health as drivers of fungal disease uhttps://www.sciencedirect.com/science/article/pii/S2589537023005023/pdfft?md5=422a93829713381b05a403aaf36ccbbf&pid=1-s2.0-S2589537023005023-main.pdf a1-130 v663 a

Disparities in social determinants of health (SDOH) play a significant role in causing health inequities globally. The physical environment, including housing and workplace environment, can increase the prevalence and spread of fungal infections. A number of professions are associated with increased fungal infection risk and are associated with low pay, which may be linked to crowded and sub-optimal living conditions, exposure to fungal organisms, lack of access to quality health care, and risk for fungal infection. Those involved and displaced from areas of armed conflict have an increased risk of invasive fungal infections. Lastly, a number of fungal plant pathogens already threaten food security, which will become more problematic with global climate change. Taken together, disparities in SDOH are associated with increased risk for contracting fungal infections. More emphasis needs to be placed on systematic approaches to better understand the impact and reducing the health inequities associated with these disparities.

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