Is area deprivation associated with greater impacts of COVID-19 in care homes across England? A preliminary analysis of COVID-19 outbreaks and deaths

Bach-Mortensen, Anders Malthe; Esposti, Michelle Degli

doi:10.1136/jech-2020-215039

Cited by 24 publications

(17 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Studies that have associated COVID-19 cases and deaths with area deprivation highlighted occupational exposure, overcrowding, public transport use and underlying health conditions as mechanisms, which may also explain the unequal increases in psychological distress found here. 39 Since lockdown measures prevented young adults from leaving their residential area, the conditions found in the most deprived areas may have had a stronger influence on those previously able to access less deprived areas in their everyday activities. 40 Supporting the role of the economic consequences of the pandemic in mental health, we found that losing one's job or work hours was related to increased psychological distress.…”

Section: Discussionmentioning

confidence: 99%

Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: evidence from the UK Household Longitudinal Study COVID-19 waves

Gagné¹,

Nandi

Schoon³

2021

J Epidemiol Community Health

View full text Add to dashboard Cite

BackgroundDespite concerns about mental health problems among those aged 16–24 in England, which social groups have been most at risk, both over the past decade and during the COVID-19 pandemic, remains unclear.MethodsWe examined trends in psychological distress among young adults 16–24 years old in England using data from the UK Household Longitudinal Study. Using longitudinal data as repeated cross-sectional waves, we examined differences over time in mean General Health Questionnaire (GHQ) scores from wave 1 (2009–2010) to wave 10 (2018–2019) and six COVID-19 waves collected between April and November 2020, by economic activity, cohabitation with parents, parental education, area deprivation, ethnicity, age and sex.ResultsCompared with 2009–2010, increases in GHQ scores in 2018–2019 were higher in women than men (2.1 vs 1.3), those aged 16–18 than aged 22–24 (2.6 vs 0.9), those from white UK group versus other ethnic minorities, and those out of the labour force (3.6) or employed part time (2.2) than those employed full time (0.8). Compared with 2018–2019, psychological distress in 2020 also further increased among young adults residing in the most deprived areas (4.1 vs 1.2 in the least deprived areas). In 2020, losing one’s job or most of one’s work hours was associated with higher psychological distress and attenuated the differences between deprivation quartiles by 17%.ConclusionIn England, inequalities in psychological distress among young adults may have changed and increased during the COVID-19 pandemic. Investing in opportunities for young adults, particularly in more deprived areas, may be key to improve population levels of mental health.

show abstract

Section: Discussionmentioning

confidence: 99%

Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: evidence from the UK Household Longitudinal Study COVID-19 waves

Gagné¹,

Nandi

Schoon³

2021

J Epidemiol Community Health

View full text Add to dashboard Cite

show abstract

“…This difference may be due to poorer underlying health among care home residents in more deprived areas. 163,164…”

Section: Covid-19 Impactsmentioning

confidence: 99%

Unequal pandemic, fairer recovery: The COVID-19 impact inquiry report

Suleman¹,

Sonthalia²,

Webb³

et al. 2021

View full text Add to dashboard Cite

Unequal pandemic, fairer recovery: The COVID-19 impact inquiry report 2 48 5. The experiences of some groups disproportionately affected by the pandemic Some groups have faced disproportionate hardship and poorer health outcomes than others. This section looks at how the pandemic has affected the lives of four groups: care home residents, disabled people, ethnic minority communities and young people. 6. Public perceptions of COVID-19 and health inequalitiesTo inform this inquiry, the Health Foundation worked with consulting company Kantar Public to explore public attitudes to, and experiences of, health inequalities and the pandemic. 7. Recovery: risks and opportunitiesThe pandemic risks casting a long shadow over the nation's future health. This section highlights the main risks and how these might be mitigated. 8. ConclusionsThe conclusions of the inquiry point to the need for action in two main areas. First, immediate action to address the harm caused by the pandemic. Second, supporting longer term change to prevent future deterioration of health. References 79Acknowledgements 91 * Excess deaths measure additional deaths over a time period compared with the number of deaths usually expected. We measure the deaths caused by the pandemic in excess deaths instead of registered COVID-19 deaths due to discrepancies in the way COVID-19 deaths are recorded.Unequal pandemic, fairer recovery: The COVID-19 impact inquiry report 5 Changes to the determinants of health 4 * This information was provided by Nadine Smith who conducted interviews with workers at Changing Lives charity as part of research commissioned by the Health Foundation.

show abstract

“…The high importance of these features reflects the sad fact that this particularly vulnerable group is difficult to protect [50] (for an international review about protection measures see [51]), despite commonly applied, but also highly criticized isolation measures [52,53]. In addition, there was evidence that COVID-19 outbreaks in nursing homes were associated with spatial deprivation and that the latter was a major risk factor for COVID-19 deaths in nursing home residents [54].…”

Section: Nursing Home Population and Healthmentioning

confidence: 99%

Regional Characteristics of the Second Wave of SARS-CoV-2 Infections and COVID-19 Deaths in Germany

Doblhammer

Kreft

Reinke

2021

IJERPH

View full text Add to dashboard Cite

(1) Background: In the absence of individual level information, the aim of this study was to identify the regional key features explaining SARS-CoV-2 infections and COVID-19 deaths during the upswing of the second wave in Germany. (2) Methods: We used COVID-19 diagnoses and deaths from 1 October to 15 December 2020, on the county-level, differentiating five two-week time periods. For each period, we calculated the age-standardized COVID-19 incidence and death rates on the county level. We trained gradient boosting models to predict the incidence and death rates by 155 indicators and identified the top 20 associations using Shap values. (3) Results: Counties with low socioeconomic status (SES) had higher infection and death rates, as had those with high international migration, a high proportion of foreigners, and a large nursing home population. The importance of these characteristics changed over time. During the period of intense exponential increase in infections, the proportion of the population that voted for the Alternative for Germany (AfD) party in the last federal election was among the top characteristics correlated with high incidence and death rates. (4) Machine learning approaches can reveal regional characteristics that are associated with high rates of infection and mortality.

show abstract

Is area deprivation associated with greater impacts of COVID-19 in care homes across England? A preliminary analysis of COVID-19 outbreaks and deaths

Cited by 24 publications

References 2 publications

Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: evidence from the UK Household Longitudinal Study COVID-19 waves

Time trend analysis of social inequalities in psychological distress among young adults before and during the pandemic: evidence from the UK Household Longitudinal Study COVID-19 waves

Unequal pandemic, fairer recovery: The COVID-19 impact inquiry report

Regional Characteristics of the Second Wave of SARS-CoV-2 Infections and COVID-19 Deaths in Germany

Contact Info

Product

Resources

About