Evidence map›Paper›PMID 34286217›Full record

ArticleGates open research2021

Higher COVID-19 mortality in low-income communities in the City of Cape Town - a descriptive ecological study.

Hannah Hussey, Nesbert Zinyakatira, Erna Morden, Muzzammil Ismail, Masudah Paleker, Jamy-Lee Bam, Leslie London, Andrew Boulle, Mary-Ann Davies

Abstract read
In one paragraph

Article in Gates open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hannah HusseyHealth Intelligence, Western Cape Government: Health, Cape Town, South Africa.ORCID https://orcid.org/0000-0002-6199-0904
Nesbert ZinyakatiraHealth Intelligence, Western Cape Government: Health, Cape Town, South Africa.
Erna MordenHealth Intelligence, Western Cape Government: Health, Cape Town, South Africa.
Muzzammil IsmailHealth Intelligence, Western Cape Government: Health, Cape Town, South Africa.
Masudah PalekerHealth Intelligence, Western Cape Government: Health, Cape Town, South Africa.
Jamy-Lee BamHealth Intelligence, Western Cape Government: Health, Cape Town, South Africa.
Leslie LondonSchool of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
Andrew BoulleHealth Intelligence, Western Cape Government: Health, Cape Town, South Africa.
Mary-Ann DaviesHealth Intelligence, Western Cape Government: Health, Cape Town, South Africa.

Funding

Observational Antiretroviral Studies In Southern Africa (OASIS) CollaborationU01AI069924 · NIAID · UNIVERSITAT BERN · PI Cleophas Chimbetete, Mary-Ann Davies · 2006 to 2026
$55.9M
B positive_A population based evaluation of expanded ART access in pregnancyR01HD080465 · NICHD · UNIVERSITY OF CAPE TOWN · PI KALK, EMMA KATE · 2014 to 2019
$4.3M
NIAID NIH HHS U01 AI069924NICHD NIH HHS R01 HD080465Wellcome Trust
6 · The paper itself

Abstract

Background Cape Town, a South African city with high levels of economic inequality, has gone through two COVID-19 waves. There is evidence globally that low-income communities experience higher levels of morbidity and mortality during the pandemic. Methods Age-standardized COVID-19 mortality in the eight sub-districts of Cape Town was compared by economic indicators taken from the most recent Census (unemployment rate, monthly income). Results The overall Standardized Death Rate (SDR) for COVID-19 in Cape Town was 1 640 per million, but there was wide variation across the different sub-districts. A linear relationship was seen between sub-districts with high poverty and high COVID-19 SDRs. Conclusions Low-income communities in Cape Town experienced higher levels of COVID-19 mortality. As we continue to contend with COVID-19, these communities need to be prioritized for access to quality health care.

Indexed as

COVID-19low-incomemortality

Identifiers

PMID34286217
PMCPMC8264385

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.