Socioeconomic Inequalities in COVID-19 in a European Urban Area: Two Waves, Two Patterns
Por:
Mari-Dell'Olmo, M, Gotsens, M, Pasarin, MI, Rodriguez-Sanz, M, Artazcoz, L, de Olalla, PG, Rius, C, Borrell, C
Publicada:
1 feb 2021
Resumen:
Background: The objective of this paper is to analyze social inequalities in COVID-19 incidence, stratified by age, sex, geographical area, and income in Barcelona during the first two waves of the pandemic. Methods: We collected data on COVID-19 cases confirmed by laboratory tests during the first two waves of the pandemic (1 March to 15 July and 16 July to 30 November, 2020) in Barcelona. For each wave and sex, we calculated smooth cumulative incidence by census tract using a hierarchical Bayesian model. We analyzed income inequalities in the incidence of COVID-19, categorizing the census tracts into quintiles based on the income indicator. Results: During the two waves, women showed higher COVID-19 cumulative incidence under 64 years, while the trend was reversed after that threshold. The incidence of the disease was higher in some poor neighborhoods. The risk ratio (RR) increased in the poorest groups compared to the richest ones, mainly in the second wave, with RR being 1.67 (95% Credible Interval-CI-: 1.41-1.96) in the fifth quintile income group for men and 1.71 (95% CI: 1.44-1.99) for women. Conclusion: Our results indicate the existence of inequalities in the incidence of COVID-19 in an urban area of Southern Europe.
Filiaciones:
Mari-Dell'Olmo, M:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ, Madrid 28029, Spain
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
Gotsens, M:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
Pasarin, MI:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ, Madrid 28029, Spain
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08003, Spain
Rodriguez-Sanz, M:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ, Madrid 28029, Spain
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08003, Spain
Artazcoz, L:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ, Madrid 28029, Spain
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08003, Spain
de Olalla, PG:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ, Madrid 28029, Spain
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08003, Spain
Rius, C:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ, Madrid 28029, Spain
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
Univ Autonoma Barcelona, Dept Pediat Obstet Gynecol Prevent Med & Publ Hlt, E-08193 Barcelona, Spain
Borrell, C:
Agencia Salut Publ Barcelona, Barcelona 08023, Spain
CIBER Epidemiol & Salud Publ, Madrid 28029, Spain
Inst Invest Biomed St Pau IIB St Pau, Barcelona 08041, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona 08003, Spain
Green Published, gold
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