Document detail
ID
oai:pubmedcentral.nih.gov:1051...
Topic
Original ResearchAuthor
Amele, Sarah Kibuchi, Eliud McCabe, Ronan Pearce, Anna Henery, Paul Hainey, Kirsten Fagbamigbe, Adeniyi Francis Kurdi, Amanj McCowan, Colin Simpson, Colin R Dibben, Chris Buchanan, Duncan Demou, Evangelia Almaghrabi, Fatima Anghelescu, Gina Taylor, Harry Tibble, Holly Rudan, Igor Nazroo, James Bécares, Laia Daines, Luke Irizar, Patricia Jayacodi, Sandra Pattaro, Serena Sheikh, Aziz Katikireddi, Srinivasa VittalLangue
enEditor
BMJ Publishing Group
Category
BMJ Open Access
Year
2023
listing date
12/13/2023
Keywords
pakistani gypsy/traveller minority death risk deaths study scotland following tests inequalities hospitalisations hospitalisation ethnic white positive sars-cov-2 covid-19Abstract
BACKGROUND: This study aims to estimate ethnic inequalities in risk for positive SARS-CoV-2 tests, COVID-19 hospitalisations and deaths over time in Scotland.
METHODS: We conducted a population-based cohort study where the 2011 Scottish Census was linked to health records.
We included all individuals [Formula: see text] 16 years living in Scotland on 1 March 2020.
The study period was from 1 March 2020 to 17 April 2022.
Self-reported ethnic group was taken from the census and Cox proportional hazard models estimated HRs for positive SARS-CoV-2 tests, hospitalisations and deaths, adjusted for age, sex and health board.
We also conducted separate analyses for each of the four waves of COVID-19 to assess changes in risk over time.
FINDINGS: Of the 4 358 339 individuals analysed, 1 093 234 positive SARS-CoV-2 tests, 37 437 hospitalisations and 14 158 deaths occurred.
The risk of COVID-19 hospitalisation or death among ethnic minority groups was often higher for White Gypsy/Traveller (HR 2.21, 95% CI (1.61 to 3.06)) and Pakistani 2.09 (1.90 to 2.29) groups compared with the white Scottish group.
The risk of COVID-19 hospitalisation or death following confirmed positive SARS-CoV-2 test was particularly higher for White Gypsy/Traveller 2.55 (1.81–3.58), Pakistani 1.75 (1.59–1.73) and African 1.61 (1.28–2.03) individuals relative to white Scottish individuals.
However, the risk of COVID-19-related death following hospitalisation did not differ.
The risk of COVID-19 outcomes for ethnic minority groups was higher in the first three waves compared with the fourth wave.
INTERPRETATION: Most ethnic minority groups were at increased risk of adverse COVID-19 outcomes in Scotland, especially White Gypsy/Traveller and Pakistani groups.
Ethnic inequalities persisted following community infection but not following hospitalisation, suggesting differences in hospital treatment did not substantially contribute to ethnic inequalities.
Amele, Sarah,Kibuchi, Eliud,McCabe, Ronan,Pearce, Anna,Henery, Paul,Hainey, Kirsten,Fagbamigbe, Adeniyi Francis,Kurdi, Amanj,McCowan, Colin,Simpson, Colin R,Dibben, Chris,Buchanan, Duncan,Demou, Evangelia,Almaghrabi, Fatima,Anghelescu, Gina,Taylor, Harry,Tibble, Holly,Rudan, Igor,Nazroo, James,Bécares, Laia,Daines, Luke,Irizar, Patricia,Jayacodi, Sandra,Pattaro, Serena,Sheikh, Aziz,Katikireddi, Srinivasa Vittal, 2023, Ethnic inequalities in positive SARS-CoV-2 tests, infection prognosis, COVID-19 hospitalisations and deaths: analysis of 2 years of a record linked national cohort study in Scotland, BMJ Publishing Group
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