dc.contributor | Vall d'Hebron Barcelona Hospital Campus |
dc.contributor.author | Politi, Julieta |
dc.contributor.author | Martin-Sanchez, Mario |
dc.contributor.author | Vilella, Anna |
dc.contributor.author | Lopez-Contreras, Joaquin |
dc.contributor.author | Mercuriali, Lilas |
dc.contributor.author | Borras Bermejo, Blanca |
dc.date.accessioned | 2022-01-13T17:20:08Z |
dc.date.available | 2022-01-13T17:20:08Z |
dc.date.issued | 2021-05-20 |
dc.identifier.citation | Politi J, Martín-Sánchez M, Mercuriali L, Borras-Bermejo B, Lopez-Contreras J, Vilella A, et al. Epidemiological characteristics and outcomes of COVID-19 cases: mortality inequalities by socio-economic status, Barcelona, Spain, 24 February to 4 May 2020. Euro Surveill. 2021 May 20;26(20):2001138. |
dc.identifier.issn | 1560-7917 |
dc.identifier.uri | https://hdl.handle.net/11351/6792 |
dc.description | Coronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Epidemiology; Socio-economic status |
dc.description.abstract | Background: Population-based studies characterising outcomes of COVID-19 in European settings are limited, and effects of socio-economic status (SES) on outcomes have not been widely investigated. Aim: We describe the epidemiological characteristics of COVID-19 cases, highlighting incidence and mortality rate differences across SES during the first wave in Barcelona, Catalonia, Spain. Methods: This population-based study reports individual-level data of laboratory-confirmed COVID-19 cases diagnosed from 24 February to 4 May 2020, notified to the Public Health Agency of Barcelona and followed until 15 June 2020. We analysed end-of-study vital status and the effects of chronic conditions on mortality using logistic regression. Geocoded addresses were linked to basic health area SES data, estimated using the composed socio-economic index. We estimated age-standardised incidence, hospitalisation, and mortality rates by SES. Results: Of 15,554 COVID-19-confirmed cases, the majority were women (n =9,028; 58%), median age was 63 years (interquartile range: 46–83), 8,046 (54%) required hospitalisation, and 2,287 (15%) cases died. Prevalence of chronic conditions varied across SES, and multiple chronic conditions increased risk of death (≥3, adjusted odds ratio: 2.3). Age-standardised rates (incidence, hospitalisation, mortality) were highest in the most deprived SES quartile (incidence: 1,011 (95% confidence interval (CI): 975–1,047); hospitalisation: 619 (95% CI: 591–648); mortality: 150 (95% CI: 136–165)) and lowest in the most affluent (incidence: 784 (95% CI: 759–809); hospitalisation: 400 (95% CI: 382–418); mortality: 121 (95% CI: 112–131)). Conclusions: COVID-19 outcomes varied markedly across SES, underscoring the need to implement effective preventive strategies for vulnerable populations. |
dc.language.iso | eng |
dc.publisher | European Centre for Disease Prevention and Control |
dc.relation.ispartofseries | Eurosurveillance;26(20) |
dc.rights | Attribution 4.0 International |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ |
dc.source | Scientia |
dc.subject | Desigualtat social |
dc.subject | Mortalitat |
dc.subject | COVID-19 (Malaltia) - Epidemiologia - Barcelona (Catalunya) |
dc.subject.mesh | Coronavirus Infections |
dc.subject.mesh | /epidemiology |
dc.subject.mesh | Socioeconomic Factors |
dc.subject.mesh | Mortality |
dc.subject.mesh | Barcelona |
dc.title | Epidemiological characteristics and outcomes of COVID-19 cases: mortality inequalities by socio-economic status, Barcelona, Spain, 24 February to 4 May 2020 |
dc.type | info:eu-repo/semantics/article |
dc.identifier.doi | 10.2807/1560-7917.ES.2021.26.20.2001138 |
dc.subject.decs | infecciones por Coronavirus |
dc.subject.decs | /epidemiología |
dc.subject.decs | factores socioeconómicos |
dc.subject.decs | mortalidad |
dc.subject.decs | Barcelona |
dc.relation.publishversion | https://doi.org/10.2807/1560-7917.ES.2021.26.20.2001138 |
dc.type.version | info:eu-repo/semantics/publishedVersion |
dc.audience | Professionals |
dc.contributor.organismes | Institut Català de la Salut |
dc.contributor.authoraffiliation | [Politi J, Martín-Sánchez M] Epidemiology Service, Public Health Agency of Barcelona (PHAB), Barcelona, Spain. Preventive Medicine and Public Health Training Unit, PSMar-UPF-PHAB (Parc de Salut Mar - Pompeu Fabra University - Public Health Agency of Barcelona), Barcelona, Spain. [Mercuriali L] Epidemiology Service, Public Health Agency of Barcelona (PHAB), Barcelona, Spain. [Borras-Bermejo B] Servei de Medicina Preventiva i Epidemiologia, Vall d'Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Lopez-Contreras J] Infectious Diseases-Internal Medicine, Hospital de Sant Pau-Universitat Autònoma de Barcelona, Bellaterra, Spain. [Vilella A] Preventive Medicine and Epidemiology Department, Hospital Clínic, Barcelona, Spain |
dc.identifier.pmid | 34018483 |
dc.identifier.wos | 000653091900001 |
dc.rights.accessrights | info:eu-repo/semantics/openAccess |