Evidence map›Paper›PMID 40044144›Full record

ArticleEuropean journal of public health2025

Are ethnic inequalities in COVID-19 outcomes mediated by occupation risk? Analyses of a 2-year record linked national cohort study in Scotland.

Eliud Kibuchi, Sarah Amele, Ronan McCabe, Evangelia Demou, Alastair H Leyland, Colin R Simpson, Ting Shi, Patricia Irizar, Laia Becares, Aziz Sheikh and 2 more

Abstract read
In one paragraph

Article in European journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Eliud KibuchiMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0002-5091-6450
Sarah AmeleMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
Ronan McCabeMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0001-8649-6913
Evangelia DemouMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0001-8616-525X
Alastair H LeylandMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0003-3741-7099
Colin R SimpsonUsher Institute, The University of Edinburgh, Edinburgh, United Kingdom.
Ting ShiUsher Institute, The University of Edinburgh, Edinburgh, United Kingdom.ORCID 0000-0002-4101-4535
Patricia IrizarDepartment of Sociology, School of Social Sciences, University of Manchester, Manchester, United Kingdom.ORCID 0000-0003-0078-1372
Laia BecaresDepartment of Global Health & Medicine, King's College London, London, United Kingdom.
Aziz SheikhUsher Institute, The University of Edinburgh, Edinburgh, United Kingdom.
Anna PearceMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0003-0085-5263
Srinivasa V KatikireddiMRC/CSO Social & Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.

Funding

ESRC ES/W000849/1Medical Research Council MC_UU_00022/2NRS Senior Clinical SCAF/15/02Scottish Government Chief Scientist Office SPHSU17Wellcome TrustWellcome Trust 205412/Z/16/Z
6 · The paper itself

Abstract

This study investigated the extent to which ethnic inequalities in severe COVID-19 (i.e. hospitalization or deaths) are mediated through occupational risk differences. We used a population-based cohort study linking the 2011 Scottish Census to health records. We included all individuals aged 30-64 years and living in Scotland on 1 March 2020. The study period was from 1 March 2020 to 17 April 2022. Self-reported ethnicity was taken from the Census. We derived occupational risk of SARS-COV-2 infection using the 3-digit Standard Occupational Classification (SOC2010). We estimated hazard ratios (HRs) of total effects and controlled direct effects of ethnicity on severe COVID-19 mediated by occupational risk using marginal structural Cox models and subsequent proportional change. For aggregated ethnic groups, Non-White groups experienced a higher risk of severe COVID-19 (HR 1.6; 95% CI 1.4-1.8) compared to White group (all White ethnic groups) which increased to (1.7; 1.4-2.1) after accounting for occupational risk, representing a 6.0% change. For disaggregated ethnic groups, risks for South Asian (2.0; 1.8-2.3), African, Caribbean, or Black (1.3; 0.9-1.7) and Other ethnic groups (1.1; 0.9-1.3) were higher compared to White Scottish. After accounting for occupational risk, estimated risk of severe COVID-19 remained elevated for South Asian (1.8; 1.2-2.3), African Caribbean or Black (1.4; 0.8-2.1) and Other ethnic group (1.7; 1.1-2.3) representing a reduction of 11.8% and increases of 16.4% and 59.0%, respectively. Our findings suggest that ethnic inequalities in severe COVID-19 were impacted by differences in occupational risk.

Indexed as

COVID-19EthnicityHealth Status DisparitiesOccupationsAdultAfrican PeopleCaribbean PeopleCohort StudiesEuropean PeopleFemaleHospitalizationHumansMaleMiddle AgedRisk FactorsSARS-CoV-2

Identifiers

PMID40044144
PMCPMC11967892

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.