Emerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany

ABSTRACT: Over the course of the second pandemic wave in late 2020, new infections with severe acute respiratory syndrome coronavirus-2 shifted from the most affluent to the most deprived regions of Germany. This study investigated how this trend in infections played out for deaths due to coronaviru...

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Autores principales:	Jens Hoebel, Niels Michalski, Michaela Diercke, Osamah Hamouda, Morten Wahrendorf, Nico Dragano, Enno Nowossadeck
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	To follow COVID-19 Acute respiratory infection Socioeconomic factors Place Health equity Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/71faca176bab478a9e70dadd182f0dff
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spelling	oai:doaj.org-article:71faca176bab478a9e70dadd182f0dff2021-11-18T04:45:53ZEmerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany1201-971210.1016/j.ijid.2021.10.037https://doaj.org/article/71faca176bab478a9e70dadd182f0dff2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1201971221008328https://doaj.org/toc/1201-9712ABSTRACT: Over the course of the second pandemic wave in late 2020, new infections with severe acute respiratory syndrome coronavirus-2 shifted from the most affluent to the most deprived regions of Germany. This study investigated how this trend in infections played out for deaths due to coronavirus disease 2019 (COVID-19) by examining area-level socio-economic disparities in COVID-19-related mortality during the second pandemic wave in Germany. The analysis was based on nationwide data on notified deaths, which were linked to an area-based index of socio-economic deprivation. In the autumn and winter of 2020/2021, COVID-19-related deaths increased faster among residents in Germany's more deprived districts. From late 2020 onwards, the mortality risks of men and women in the most deprived districts were 1.52 (95% confidence interval [CI] 1.27−1.82] and 1.44 (95% CI 1.19−1.73) times higher than among those in the most affluent districts, respectively, after adjustment for age, urbanization and population density. To promote health equity in the pandemic and beyond, deprived populations should receive increased attention in pandemic planning, infection control and disease prevention.Jens HoebelNiels MichalskiMichaela DierckeOsamah HamoudaMorten WahrendorfNico DraganoEnno NowossadeckElsevierarticleTo followCOVID-19Acute respiratory infectionSocioeconomic factorsPlaceHealth equityInfectious and parasitic diseasesRC109-216ENInternational Journal of Infectious Diseases, Vol 113, Iss , Pp 344-346 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	To follow COVID-19 Acute respiratory infection Socioeconomic factors Place Health equity Infectious and parasitic diseases RC109-216
spellingShingle	To follow COVID-19 Acute respiratory infection Socioeconomic factors Place Health equity Infectious and parasitic diseases RC109-216 Jens Hoebel Niels Michalski Michaela Diercke Osamah Hamouda Morten Wahrendorf Nico Dragano Enno Nowossadeck Emerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany
description	ABSTRACT: Over the course of the second pandemic wave in late 2020, new infections with severe acute respiratory syndrome coronavirus-2 shifted from the most affluent to the most deprived regions of Germany. This study investigated how this trend in infections played out for deaths due to coronavirus disease 2019 (COVID-19) by examining area-level socio-economic disparities in COVID-19-related mortality during the second pandemic wave in Germany. The analysis was based on nationwide data on notified deaths, which were linked to an area-based index of socio-economic deprivation. In the autumn and winter of 2020/2021, COVID-19-related deaths increased faster among residents in Germany's more deprived districts. From late 2020 onwards, the mortality risks of men and women in the most deprived districts were 1.52 (95% confidence interval [CI] 1.27−1.82] and 1.44 (95% CI 1.19−1.73) times higher than among those in the most affluent districts, respectively, after adjustment for age, urbanization and population density. To promote health equity in the pandemic and beyond, deprived populations should receive increased attention in pandemic planning, infection control and disease prevention.
format	article
author	Jens Hoebel Niels Michalski Michaela Diercke Osamah Hamouda Morten Wahrendorf Nico Dragano Enno Nowossadeck
author_facet	Jens Hoebel Niels Michalski Michaela Diercke Osamah Hamouda Morten Wahrendorf Nico Dragano Enno Nowossadeck
author_sort	Jens Hoebel
title	Emerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany
title_short	Emerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany
title_full	Emerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany
title_fullStr	Emerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany
title_full_unstemmed	Emerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany
title_sort	emerging socio-economic disparities in covid-19-related deaths during the second pandemic wave in germany
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/71faca176bab478a9e70dadd182f0dff
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Emerging socio-economic disparities in COVID-19-related deaths during the second pandemic wave in Germany

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