COVID-19 exposure setting, social and gender determinants in a mediterranean region
e202212091
Keywords:
COVID-19, Social class, Emigration and immigration, Gender, Occupations, EpidemiologyAbstract
BACKGROUND // Knowledge of social and gender determinants, which influence the places where people are exposed to COVID-19, may be relevant in the development of preventive and control strategies. The aim of this paper was to determine the context in which COVID-19 cases were infected (household, work/labor, health, social-health, and social-leisure settings) according to country of origin, occupational social class and gender, which is essential in order to designing public health strategies.
METHODS // A cross-sectional study of an epidemiological registry of 56,628 COVID-19 incident cases was made, whose exposure/contagion setting was studied according to the previous variables from June 15 to December 23, 2020, in the Region of Murcia (Spain). An exact Fisher test was used to study the distribution of COVID-19 cases based on the above variables.
RESULTS // The cumulative incidence was higher in people from Africa (5,133.5 cases/100,000 inhabitants) and Latin America (11,351.1) than in non-immigrants (3,145.7). It was also higher in women (3,885.6) than in men (3,572.6). It is noteworthy, that 53.3% of the cases with employment were workers in industry or construction, artisans, agricultural workers, or elementary occupations. In contrast, during the second semester of 2020, 41.3% of the employed population in the Region of Murcia performed such jobs. The household was the main exposure setting (56.5% of cases with a known setting), followed by social-leisure (20.7%) and work/labor (18.2%). The labor settings were more important in immigrants from Africa (28.4%) and Latin America (35.7%) than in non-immigrants (12%), inversely to social-leisure settings. Labor context was more important in women (19.6%) than in men (16.5%) and in manual workers (44.1%) than in non-manual workers (26.6%).
CONCLUSIONS // The context in which COVID-19 cases were infected is different according to social inequalities related to country of origin, gender and occupational social class.
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References
Chen JT, Krieger N. Revealing the unequal burden of COVID-19 by income, race/ethnicity, and household crowding: US county versus zip code analyses. J Public Heal Manag Pract. 2021;27:S46.56.
Abedi V et al. Racial, Economic, and Health Inequality and COVID-19 Infection in the United States. J Racial Ethn Heal Disparities;2021;8(3):732-742.
Public Health England. Disparities in the risk and outcomes of COVID-19. 2020. Disponible en: https://www.gov.uk/government/publications/covid-19-review-of-disparities-in-risks-and-outcomes
Mackey K et al. Racial and ethnic disparities in covid-19-related infections, hospitalizations, and deaths a systematic review. Ann Intern Med. 2021;174(3):362-373. 2.
Ginsburgh V, Magerman G, Natali I. COVID-19 and the role of inequality in French regional departments. Eur J Health Econ.2021;22(2):311-327.
Consolazio et al. Assessing the Impact of Individual Characteristics and Neighborhood Socioeconomic Status During the COVID-19 Pandemic in the Provinces of Milan and Lodi. Int J Heal Serv.2021;51(3):311-324.
Galmiche S et al. Exposures associated with SARS-CoV-2 infection in France: A nationwide online case-control study. Lancet Reg Heal - Eur. 2021; 7:100148.
Rogers TN et al. Racial Disparities in COVID-19 Mortality Among Essential Workers in the United States. World Med Heal Policy. 2020;12(3):311-327.
Instituto Nacional de Estadística (INE). Ocupados por ocupación, sexo y comunidad autónoma. Porcentajes respecto del total de cada comunidad. Disponible en: https://www.ine.es/jaxiT3/Tabla.htm?t=4232&L=0
Irvine S et al. Women and the UK economy. London2022. Disponible en: https://researchbriefings.files.parliament.uk/documents/SN06838/SN06838.pdf
Aguilar-Palacio I et al. COVID-19 Inequalities: Individual and Area Socioeconomic Factors (Aragón, Spain). Int J Environ Res Public Health.2021;18(12).
Díaz-Olalla JM, Blasco-Novalbos G, ValeroOteo I. Incidencia de COVID-19 en distritos de Madrid y su relación con indicadores socioeconómicos y demográficos. Rev Esp Salud Pública. 2021; 95: 2 de julio e202107091
Marí-Dell’olmo M et al. Socioeconomic inequalities in COVID-19 in a European urban area: Two waves, two patterns. Int J Environ Res Public Health. 2021;18(3):1-1
Instituto Carlos III, Ministerio de Sanidad. Estudio Ene-COVID: cuarta ronda. Madrid; 2020. Disponible en: https://www.sanidad.gob.es/gabinetePrensa/notaPrensa/pdf/15.12151220163348113.pdf
Instituto de salud Carlos III. Informe no 58. Situación de COVID-19 en España. Madrid; 2020. Disponible en: https://www.isciii.es/QueHacemos/Servicios/VigilanciaSaludPublicaRENAVE/EnfermedadesTransmisibles/Documents/INFORMES/Informes%20COVID-19/Informe%20COVID-19.%20N%C2%BA%2058_22%20de%20diciembre%20de%202020.pdf
Ministerio de Sanidad. Gobierno de España. Estrategia de detección precoz, vigilancia y control de COVID-19. Madrid; 2020. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov/documentos/COVID19_Estrategia_vigilancia_y_control_e_indicadores.pdf
Servicio de Epidemiología. Dirección General de Salud Pública y Adicciones. Consejería de Salud de la Región de Murcia. Manual de procedimiento del COVID-19 en la Región de Murcia. Murcia; 2020. Disponible en: https://www.murciasalud.es/recursos/ficheros/482472-Manual.pdf
Instituto Nacional de Estadística (INE). Clasificación Nacional de Ocupaciones 2011 Notas Explicativas. Vol. 2011. Madrid; 2012.Disponible en: https://www.ine.es/daco/daco42/clasificaciones/cno11_notas.pdf
Domingo-Salvany A et al. Propuestas de clase social neoweberiana y neomarxista a partir de la Clasificación Nacional de Ocupaciones 2011. Gac Sanit. May 2013;27(3):263-272.
Ocupados por ocupación, sexo y comunidad autónoma. Porcentajes respecto del total de cada comunidad. Disponible en: https://www.ine.es/jaxiT3/Tabla.htm?t=4232&L=0
Padrón Municipal de Habitantes Región de Murcia. Población según lugar de nacimiento y edad, por sexo. Disponible en: https://econet.carm.es/web/crem/inicio/-/crem/sicrem/PU_padron/p20/sec31_sec16_3.html
Instituto Nacional de Estadística (INE). Ocupados por nacionalidad, sexo y comunidad autónoma. Disponible en: https://www.ine.es/jaxiT3/Tabla.htm?t=4946&L=0
COVID-19 daily epidemiology update-Canada. Disponible en: https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html#a6
Biarnés-Martínez M, Fàbregas M, Coma E, Pera G, Fina F, Rivera-Arco A, Guiriguet C, Méndez-Boo L, Medina M. Infección por SARS-CoV-2 en las distintas ocupaciones en Cataluña. Rev Esp Salud Pública. 2022; 96: 4 de mayo e202205040.
Public Health Seattle & King Country. Summary Report on Outbreaks and Exposure Settings for COVID-19 Cases in King County, WA Vol. 19. Seattle; 2020. Disponible en: https://kingcounty.gov/depts/health/covid-19/data/~/media/depts/health/communicable-diseases/documents/C19/report-outbreaks-exposure-settings-covid-19.ashx
Norwegian Institute of Public Health (NIPH). COVID-19. Ukerapport-uke 44. Oslo 2020. Disponible en: https://www.fhi.no/contentassets/8a971e7b0a3c4a06bdbf381ab52e6157/vedlegg/andre-halvar-2020/2020.11.04-ukerapport-uke-44-covid-19.pdf
Health Protection Surveillance Centre Ireland. Epidemiology of COVID-19 Outbreaks/Clusters in Ireland. Week 45 2020 (week ending 7th November 2020). Disponible en: https://www.hpsc.ie/az/respiratory/coronavirus/novelcoronavirus/surveillance/covid-19outbreaksclustersinireland/
Public Health England (PHE). Weekly Coronavirus Disease 2019 (COVID-19) surveillance report. Year: 2020 Week: 40. 2020;21. Disponible el: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/923668/Weekly_COVID19_Surveillance_Report_week_40.pdf
Luo L et al. Contact Settings and Risk for Transmission in 3410 Close Contacts of Patients With COVID-19 in Guangzhou, China: A Prospective Cohort Study. Ann Intern Med. December 1, 2020.
European Centre for Disease Prevention and Control. Surveillance of COVID-19 in long-term care facilities in the EU/EEA. 2021. Disponible en: https://www.ecdc.europa.eu/en/publications-data/surveillance-COVID-19-long-term-care-facilities-EU-EEA
Instituto de Mayores y Servicios Sociales (IMSERSO). Actualización nº 86. Enfermedad por coronavirus (COVID-19) en Centros Residenciales. Madrid 2022. Disponible en: https://imserso.es/documents/20123/117116/inf_resid_20221016.pdf/d8d23c97-246c-367f-5ca9-67f945cb3e27
Instituto de Salud Carlos III. Informe nº 60. Situación de COVID-19 en España.Casos diagnosticados a partir 10 de mayo. Madrid 2021. Disponible en: https://repisalud.isciii.es/handle/20.500.12105/11594
Ismail SA, Saliba V, Lopez Bernal J, Ramsay ME, Ladhani SN. SARS-CoV-2 infection and transmission in educational settings: a prospective, cross-sectional analysis of infection clusters and outbreaks in England. Lancet Infect Dis. 2021;21:344-353.
Brandal LT, Ofitserova TS, Meijerink H, Rykkvin R, Lund HM, Hungnes O et al. Minimal transmission of SARS-CoV-2 from paediatric COVID-19 cases in primary schools, Norway, August to November 2020. Eurosurveillance. 2020;26.
Chang HY, Tang W, Hatef E, Kitchen C, Weiner JP, Kharrazi H. Differential impact of mitigation policies and socioeconomic status on COVID-19 prevalence and social distancing in the United States. BMC Public Health. 2021;21(1):1140.
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Copyright (c) 2022 Jesús Soriano López , Diego Salmerón Martínez , Rocío García Pina , Jesús Humberto Gómez , Inés Sánchez Rodríguez , Mónica Ballesta Ruíz, María Dolores Chirlaque López
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