ArticleSocial science & medicine (1982)2022
Explaining the deprivation gap in COVID-19 mortality rates: A decomposition analysis of geographical inequalities in England.
Article in Social science & medicine (1982), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Unequal goodbyes: disparities in end-of-life care before and after the outbreak of the COVID-19 pandemic across 28 countries.BMC palliative care · 2026Article
- The role of vaccination, underlying health conditions, and working in healthcare in the socioeconomic disparities in COVID-19 hospitalization: a mediation analysis using interventional effect models.BMC infectious diseases · 2026Article
- A Moderated Mediation Analysis of Timely EMS Activation and Bystander CPR in the Association Between Regional Deprivation and Outcomes Following Out-of-Hospital Cardiac Arrest.Healthcare (Basel, Switzerland) · 2026Article
- Post-COVID-19 condition and disparities in daily functional activities in England: a retrospective analysis of data from the Virus Watch community cohort.The Lancet. Primary care · 2026Article
- Socioeconomic inequalities and the COVID-19 pandemic in France: Territorial analyzes based on epidemic wave and metropolitan area.PloS one · 2026Article
- Factors associated with self-isolating and completing a contact follow-up program: a retrospective analysis of Ontario, Canada's COVID-19 contact tracing initiative.BMC public health · 2025Article
- Age and outcomes in people with type 2 diabetes admitted to hospital with COVID-19: A cohort study.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- Article
- Socioeconomic and Demographic Factors Associated With Mortality Before and During the COVID-19 Pandemic: An Analysis of 28 European Countries.International journal of public health · 2025Article
- Unravelling demographic and socioeconomic patterns of COVID-19 death and other causes of death: results of an individual-level analysis of exhaustive cause of death data in Belgium, 2020.Archives of public health = Archives belges de sante publique · 2024Article
- Social determinants of spatial inequalities in COVID-19 outcomes across England: A multiscale geographically weighted regression analysis.SSM - population health · 2024Article
- Associations between COVID-19 risk, multiple environmental exposures, and housing conditions: A study using individual-level GPS-based real-time sensing data.Applied geography (Sevenoaks, England) · 2023Article
- Work-related experiences of consultant psychiatrists during the COVID-19 response: qualitative analysis.BJPsych open · 2023Article
- The impact of the COVID-19 pandemic on life expectancy by the level of area deprivation in South Korea.Frontiers in public health · 2023Article
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5 authors.
Funding
Abstract
One of the most consistent and worrying features of the COVID-19 pandemic globally has been the disproportionate burden of the epidemic in the most deprived areas. Most of the literature so far though has focused on estimating the extent of these inequalities. There has been much less attention paid to exploring the main pathways underpinning them. In this study, we employ the syndemic pandemic theoretical framework and apply novel decomposition methods to investigate the proportion of the COVID-19 mortality gap by area-level deprivation in England during the first wave of the pandemic (January to July 2020) was accounted for by pre-existing inequalities in the compositional and contextual characteristics of place. We use a decomposition approach to explicitly quantify the independent contribution of four inequalities pathways (vulnerability, susceptibility, exposure and transmission) in explaining the more severe COVID-19 outcomes in the most deprived local authorities compared to the rest. We find that inequalities in transmission (73%) and in vulnerability (49%) factors explained the highest proportion of mortality by deprivation. Our results suggest that public health agencies need to develop short- and long-term strategies to alleviate these underlying inequalities in order to alleviate the more severe impacts on the most vulnerable communities.
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