Socioeconomic and demographic risk factors in COVID-19 hospitalization among immigrants and ethnic minorities

Background Immigrants and ethnic minorities have been shown to be at increased risk of hospitalization from COVID-19. Our aim was to analyse the contribution of socioeconomic and demographic risk factors on hospital admissions for COVID-19 among immigrants and ethnic minorities compared to the major...

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Veröffentlicht in:European journal of public health 2022-04, Vol.32 (2), p.302-310
Hauptverfasser: Islamoska, Sabrina, Petersen, Jørgen Holm, Benfield, Thomas, Norredam, Marie
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container_title European journal of public health
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creator Islamoska, Sabrina
Petersen, Jørgen Holm
Benfield, Thomas
Norredam, Marie
description Background Immigrants and ethnic minorities have been shown to be at increased risk of hospitalization from COVID-19. Our aim was to analyse the contribution of socioeconomic and demographic risk factors on hospital admissions for COVID-19 among immigrants and ethnic minorities compared to the majority population. Methods We used nationwide register data on all hospitalized COVID-19 cases between February and June 2020 (N = 2232) and random controls from the general population (N = 498 117). We performed logistic regression analyses and adjusted for age, sex, comorbidity, and socioeconomic and demographic factors. The main outcome measure was hospitalization with COVID-19 and was estimated using odds ratios (OR) and 95% confidence intervals (95% CI). Results Among 2232 COVID-19 cases, the OR of hospitalization with COVID-19 among immigrants and descendants of non-Western origin was 2.5 times higher (95% CI: 2.23–2.89) compared with individuals of Danish origin with most pronounced results among individuals from Iraq, Morocco, Pakistan and Somalia. The OR was largely attributed to comorbidity and socioeconomic factors, especially household size, occupation, and population density. Conclusion There is a significantly higher OR of hospitalization with COVID-19 among non-Western immigrants and ethnic minorities compared with ethnic Danes. This knowledge is crucial for health policymakers and practitioners in both the current and future pandemics to identify more vulnerable groups and target prevention initiatives.
doi_str_mv 10.1093/eurpub/ckab186
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Our aim was to analyse the contribution of socioeconomic and demographic risk factors on hospital admissions for COVID-19 among immigrants and ethnic minorities compared to the majority population. Methods We used nationwide register data on all hospitalized COVID-19 cases between February and June 2020 (N = 2232) and random controls from the general population (N = 498 117). We performed logistic regression analyses and adjusted for age, sex, comorbidity, and socioeconomic and demographic factors. The main outcome measure was hospitalization with COVID-19 and was estimated using odds ratios (OR) and 95% confidence intervals (95% CI). Results Among 2232 COVID-19 cases, the OR of hospitalization with COVID-19 among immigrants and descendants of non-Western origin was 2.5 times higher (95% CI: 2.23–2.89) compared with individuals of Danish origin with most pronounced results among individuals from Iraq, Morocco, Pakistan and Somalia. The OR was largely attributed to comorbidity and socioeconomic factors, especially household size, occupation, and population density. Conclusion There is a significantly higher OR of hospitalization with COVID-19 among non-Western immigrants and ethnic minorities compared with ethnic Danes. This knowledge is crucial for health policymakers and practitioners in both the current and future pandemics to identify more vulnerable groups and target prevention initiatives.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckab186</identifier><identifier>PMID: 34718522</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>At risk populations ; Care and treatment ; Comorbidity ; Confidence intervals ; Coronaviruses ; COVID-19 ; Demographics ; Diagnosis ; Economic aspects ; Emigrants and Immigrants ; Ethnic and Racial Minorities ; Ethnic factors ; Ethnicity ; Health aspects ; Hospital care ; Hospitalization ; Humans ; Immigrants ; Minorities ; Minority &amp; ethnic groups ; Minority groups ; Pandemics ; Policy making ; Population density ; Prevention ; Public health ; Regression analysis ; Risk analysis ; Risk Factors ; Social aspects ; Social factors ; Socioeconomic Factors ; Socioeconomics ; Statistical analysis</subject><ispartof>European journal of public health, 2022-04, Vol.32 (2), p.302-310</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.</rights><rights>COPYRIGHT 2022 Oxford University Press</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-4813dc1de76c326ef24e45a03424fffafaa8f1d810d4b762785ed69dbf4451e83</citedby><cites>FETCH-LOGICAL-c449t-4813dc1de76c326ef24e45a03424fffafaa8f1d810d4b762785ed69dbf4451e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8586727/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8586727/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1598,27843,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34718522$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Islamoska, Sabrina</creatorcontrib><creatorcontrib>Petersen, Jørgen Holm</creatorcontrib><creatorcontrib>Benfield, Thomas</creatorcontrib><creatorcontrib>Norredam, Marie</creatorcontrib><title>Socioeconomic and demographic risk factors in COVID-19 hospitalization among immigrants and ethnic minorities</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Background Immigrants and ethnic minorities have been shown to be at increased risk of hospitalization from COVID-19. Our aim was to analyse the contribution of socioeconomic and demographic risk factors on hospital admissions for COVID-19 among immigrants and ethnic minorities compared to the majority population. Methods We used nationwide register data on all hospitalized COVID-19 cases between February and June 2020 (N = 2232) and random controls from the general population (N = 498 117). We performed logistic regression analyses and adjusted for age, sex, comorbidity, and socioeconomic and demographic factors. The main outcome measure was hospitalization with COVID-19 and was estimated using odds ratios (OR) and 95% confidence intervals (95% CI). Results Among 2232 COVID-19 cases, the OR of hospitalization with COVID-19 among immigrants and descendants of non-Western origin was 2.5 times higher (95% CI: 2.23–2.89) compared with individuals of Danish origin with most pronounced results among individuals from Iraq, Morocco, Pakistan and Somalia. The OR was largely attributed to comorbidity and socioeconomic factors, especially household size, occupation, and population density. Conclusion There is a significantly higher OR of hospitalization with COVID-19 among non-Western immigrants and ethnic minorities compared with ethnic Danes. 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Petersen, Jørgen Holm ; Benfield, Thomas ; Norredam, Marie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-4813dc1de76c326ef24e45a03424fffafaa8f1d810d4b762785ed69dbf4451e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>At risk populations</topic><topic>Care and treatment</topic><topic>Comorbidity</topic><topic>Confidence intervals</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Demographics</topic><topic>Diagnosis</topic><topic>Economic aspects</topic><topic>Emigrants and Immigrants</topic><topic>Ethnic and Racial Minorities</topic><topic>Ethnic factors</topic><topic>Ethnicity</topic><topic>Health aspects</topic><topic>Hospital care</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Immigrants</topic><topic>Minorities</topic><topic>Minority &amp; ethnic groups</topic><topic>Minority groups</topic><topic>Pandemics</topic><topic>Policy making</topic><topic>Population density</topic><topic>Prevention</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Social aspects</topic><topic>Social factors</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomics</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Islamoska, Sabrina</creatorcontrib><creatorcontrib>Petersen, Jørgen Holm</creatorcontrib><creatorcontrib>Benfield, Thomas</creatorcontrib><creatorcontrib>Norredam, Marie</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Islamoska, Sabrina</au><au>Petersen, Jørgen Holm</au><au>Benfield, Thomas</au><au>Norredam, Marie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socioeconomic and demographic risk factors in COVID-19 hospitalization among immigrants and ethnic minorities</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>32</volume><issue>2</issue><spage>302</spage><epage>310</epage><pages>302-310</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Background Immigrants and ethnic minorities have been shown to be at increased risk of hospitalization from COVID-19. Our aim was to analyse the contribution of socioeconomic and demographic risk factors on hospital admissions for COVID-19 among immigrants and ethnic minorities compared to the majority population. Methods We used nationwide register data on all hospitalized COVID-19 cases between February and June 2020 (N = 2232) and random controls from the general population (N = 498 117). We performed logistic regression analyses and adjusted for age, sex, comorbidity, and socioeconomic and demographic factors. The main outcome measure was hospitalization with COVID-19 and was estimated using odds ratios (OR) and 95% confidence intervals (95% CI). Results Among 2232 COVID-19 cases, the OR of hospitalization with COVID-19 among immigrants and descendants of non-Western origin was 2.5 times higher (95% CI: 2.23–2.89) compared with individuals of Danish origin with most pronounced results among individuals from Iraq, Morocco, Pakistan and Somalia. The OR was largely attributed to comorbidity and socioeconomic factors, especially household size, occupation, and population density. Conclusion There is a significantly higher OR of hospitalization with COVID-19 among non-Western immigrants and ethnic minorities compared with ethnic Danes. This knowledge is crucial for health policymakers and practitioners in both the current and future pandemics to identify more vulnerable groups and target prevention initiatives.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>34718522</pmid><doi>10.1093/eurpub/ckab186</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects At risk populations
Care and treatment
Comorbidity
Confidence intervals
Coronaviruses
COVID-19
Demographics
Diagnosis
Economic aspects
Emigrants and Immigrants
Ethnic and Racial Minorities
Ethnic factors
Ethnicity
Health aspects
Hospital care
Hospitalization
Humans
Immigrants
Minorities
Minority & ethnic groups
Minority groups
Pandemics
Policy making
Population density
Prevention
Public health
Regression analysis
Risk analysis
Risk Factors
Social aspects
Social factors
Socioeconomic Factors
Socioeconomics
Statistical analysis
title Socioeconomic and demographic risk factors in COVID-19 hospitalization among immigrants and ethnic minorities
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