ArticleEuropean journal of epidemiology2021
Gender specific excess mortality in Italy during the COVID-19 pandemic accounting for age.
Article in European journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Excess all-cause deaths stratified by sex and age in Peru: a time series analysis during the COVID-19 pandemic.BMJ open · 2022Pooled it
- Excess life-years and productive life-years lost in Poland through the COVID-19 pandemic and post-pandemic years.Archives of public health = Archives belges de sante publique · 2026Article
- Micro-elimination initiative for hepatitis C screening: insight into gender gaps and undiagnosed individuals.Scientific reports · 2025Article
- Spatial Variation in Excess Mortality Across Europe: A Cross-Sectional Study of 561 Regions in 21 Countries.Journal of epidemiology and global health · 2024Article
- Spatial disparities in the mortality burden of the covid-19 pandemic across 569 European regions (2020-2021).Nature communications · 2024Article
- Estimating subnational excess mortality in times of pandemic. An application to French départements in 2020.PloS one · 2024Article
- Regional and sex inequalities of avoidable mortality in Italy: A time trend analysis.Public health in practice (Oxford, England) · 2023Article
- Excess death estimates from multiverse analysis in 2009-2021.European journal of epidemiology · 2023Article
- Flaws and uncertainties in pandemic global excess death calculations.European journal of clinical investigation · 2023Review
- Assessment of Excess Mortality in Italy in 2020-2021 as a Function of Selected Macro-Factors.International journal of environmental research and public health · 2023Article
- Excess mortality during the SARS-CoV-2 pandemic in the City of Frankfurt/Main, Germany, in 2020 and 2021, adjusted for age trends and pandemic phases.GMS hygiene and infection control · 2023Article
- Assessing COVID-19-Related Excess Mortality Using Multiple Approaches-Italy, 2020-2021.International journal of environmental research and public health · 2022Article
- Global Excess Mortality during COVID-19 Pandemic: A Systematic Review and Meta-Analysis.Vaccines · 2022Review
- Comparison of pandemic excess mortality in 2020-2021 across different empirical calculations.Environmental research · 2022Article
- Estimation of Excess All-Cause Mortality Due to COVID-19 in Thailand.Tropical medicine and infectious disease · 2022Article
- Impact of the COVID-19 Pandemic on Total and Cause-Specific Mortality in Pavia, Northern Italy.International journal of environmental research and public health · 2022Article
- Excess total mortality during the Covid-19 pandemic in Italy: updated estimates indicate persistent excess in recent months.La Medicina del lavoro · 2022Article
- Deaths related to pulmonary embolism and cardiovascular events before and during the 2020 COVID-19 pandemic: An epidemiological analysis of data from an Italian high-risk area.Thrombosis research · 2022Article
- [Explaining the age-adjusted excess mortality with COVID-19-attributed deaths from January 2020 to July 2021].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- Variation in Cause-Specific Mortality Rates in Italy during the First Wave of the COVID-19 Pandemic: A Study Based on Nationwide Data.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Since the beginning of the COVID-19 pandemic, data have been accumulated to examine excess mortality in the first half of 2020. Mortality in the preceding year or years is used to calculate the expected number of deaths, which is then compared with the actual number of deaths in 2020. We calculated weekly age- and sex-specific mortality rates for 93.1% of the Italian municipalities for the years 2015-2019 and for the first 26 weeks in 2020. We assumed the mortality experience during 2015-2019 as the reference period to calculate standardised mortality ratios. Furthermore, in order to compare the mortality experience of males and females, we calculated sex- and age- specific weekly direct standardised mortality rates and differences between the observed and expected number of deaths. We observed considerable changes in the demographics in the Italian population between the years 2015 and 2020, particularly among people 60 years and older and among males. The population is aging and the proportion of elderly males has increased, which was not reflected adequately in previous estimates of excess mortality. Standardized excess mortality results show that in Italy between the 8th and 26th weeks in 2020, there were 33,035 excess deaths, which is only 643 fewer deaths than the official COVID-19 death toll for this time period. A comparative increase in the mortality rates was observed in March among both sexes, but particularly for males. Comparisons with recently published data show considerably higher excess deaths, but these data were either not covering the complete country or did not account for age and sex. Neglecting the demographic changes in a region, even over a short time span, can result in biased estimates.
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