ISSN:
0143-005X
,
0143-005X
Language:
English
Pages:
1 Online-Ressource (4 Seiten)
Publ. der Quelle:
London : BMJ Publ. Group
Angaben zur Quelle:
76,4, Seiten 350-353
DDC:
610
Keywords:
infections
;
health inequalities
;
social class
;
COVID-19
;
communicable diseases
;
Medizin und Gesundheit
;
Sozialwissenschaften
Abstract:
Background: Evidence on the relationship between socioeconomic position (SEP) and infections with SARS-CoV-2 is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to SEP at the individual level.
Methods: The ‘CORONA-MONITORING bundesweit’ (RKI-SOEP) study is a seroepidemiological survey among a dynamic cohort of the German adult population (n=15 122; October 2020–February 2021). Dried blood samples were tested for SARS-CoV-2 antibodies and oral-nasal swabs for viral RNA. SEP was measured by education and income. Robust logistic regression was used to examine adjusted associations of SARS-CoV-2 infections with SEP.
Results: 288 participants were seropositive, PCR positive or self-reported a previous laboratory-confirmed SARS-CoV-2 infection. The adjusted odds of SARS-CoV-2 infection were 1.87-fold (95% CI 1.06 to 3.29) higher among low-educated than highly educated adults. Evidence was weaker for income differences in infections (OR=1.65; 95% CI 0.89 to 3.05). Highly educated adults had lower odds of undetected infection.
Conclusion: The results indicate an increased risk of SARS-CoV-2 infection in low-educated groups. To promote health equity in the pandemic and beyond, social determinants should be addressed more in infection protection and pandemic planning.
Abstract:
Peer Reviewed
DOI:
10.1136/jech-2021-217653
URN:
urn:nbn:de:kobv:11-110-18452/25428-8
URL:
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