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标题：The distributional impact of Covid-19: Geographic variation in mortality in England
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作者：Richard Breen ; John Ermisch
期刊名称：Demographic Research
印刷版ISSN：1435-9871
电子版ISSN：1435-9871
出版年度：2021
卷号：44
页码：397-414
DOI：10.4054/DemRes.2021.44.17
出版社：Max Planck Institute for Demographic Research
摘要：Background : By their nature, the impact of epidemics on mortality varies geographically, suggesting that the geographical impact of an epidemic implies a social impact. Objective : To examine the association between two measures of the social composition of a local area and age- and sex-standardised Covid-19 and other mortality in the period 1 March to 31 July 2020. The measures are how deprived an area is and what proportion of its population is non-white. Methods : Using spatial autoregressive regression we analyse geographical variation in age- and sex-standardised Covid-19 mortality among English local authorities between 1 March and 31 July 2020 in relation to measures of social composition, and we compare it with mortality from non-Covid sources in the same period, and with all-causes mortality in 2018. Results : Areas with higher social deprivation have a higher Covid-19 mortality rate, but the association is much weaker than between social deprivation and mortality rates more generally. An area’s proportion non-white has a strong positive association with Covid-19 mortality, in contrast to a negative association with 2020 non-Covid and with 2018 mortality. Conclusions : Covid-19 mortality is related to the social composition of areas in different ways than current non-Covid mortality or past mortality. Contribution : The paper provides the first demonstration of the distinct distributional impact of mortality in relation to the Covid-19 virus by the social composition of areas in England.
关键词：age and sex standardised mortality;COVID-19;distributional impact;geographic variation