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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorPoliti, Julieta
dc.contributor.authorMartin-Sanchez, Mario
dc.contributor.authorMercuriali, Lilas
dc.contributor.authorBorras Bermejo, Blanca
dc.contributor.authorLopez-Contreras, Joaquin
dc.contributor.authorVilella, Anna
dc.date.accessioned2022-01-13T17:20:08Z
dc.date.available2022-01-13T17:20:08Z
dc.date.issued2021-05-20
dc.identifier.citationPoliti 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.issn1560-7917
dc.identifier.urihttp://hdl.handle.net/11351/6792
dc.descriptionCoronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Epidemiology; Socio-economic status
dc.description.abstractBackground: 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.isoeng
dc.publisherEuropean Centre for Disease Prevention and Control
dc.relation.ispartofseriesEurosurveillance;26(20)
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectDesigualtat social
dc.subjectMortalitat
dc.subjectCOVID-19 (Malaltia) - Epidemiologia - Barcelona (Catalunya)
dc.subject.meshCoronavirus Infections
dc.subject.mesh/epidemiology
dc.subject.meshSocioeconomic Factors
dc.subject.meshMortality
dc.subject.meshBarcelona
dc.titleEpidemiological characteristics and outcomes of COVID-19 cases: mortality inequalities by socio-economic status, Barcelona, Spain, 24 February to 4 May 2020
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.2807/1560-7917.ES.2021.26.20.2001138
dc.subject.decsinfecciones por Coronavirus
dc.subject.decs/epidemiología
dc.subject.decsfactores socioeconómicos
dc.subject.decsmortalidad
dc.subject.decsBarcelona
dc.relation.publishversionhttps://doi.org/10.2807/1560-7917.ES.2021.26.20.2001138
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut 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.pmid34018483
dc.identifier.wos000653091900001
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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