Socioeconomic Inequalities in COVID-19 in a European Urban Area

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 firs...

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Detalles Bibliográficos
Autores: Marí-Dell'Olmo, Marc|||0000-0003-4345-4988, Gotsens, Mercè|||0000-0003-2952-2024, Pasarín, M. Isabel|||0000-0002-4809-1250, Rodríguez-Sanz, Maica|||0000-0002-3772-1798, Artazcoz, Lucía|||0000-0002-6300-5111, García de Olalla, Patricia|||0000-0002-2293-3560, Rius i Gibert, Maria Cristina|||0000-0001-5189-6503, Borrell i Thió, Carme|||0000-0002-1170-2505
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:252379
Acceso en línea:https://ddd.uab.cat/record/252379
https://dx.doi.org/urn:doi:10.3390/ijerph18031256
Access Level:acceso abierto
Palabra clave:COVID-19
Inequalities
Geographical area
Urban area
Descripción
Sumario: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.

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