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Temporal trends in within-city inequities in COVID-19 incidence rate by area-level deprivation in Madrid,Spain
Affiliation:1. Universidad de Alcalá, Facultad de Medicina y Ciencias de La Salud, Departamento de Cirugía, Ciencias Médicas y Sociales, Grupo de Investigación en Epidemiología y Salud Pública, Alcalá de Henares, Madrid, Spain;2. Centre for Urban Research, RMIT University, Melbourne, Australia;3. Universidad de Alcalá, Facultad de Medicina y Ciencias de La Salud, Departamento de Enfermería y Fisioterapia, Alcalá de Henares, Madrid, Spain;4. Instituto de Lengua, Literatura y Antropología, Consejo Superior de Investigaciones Científicas, Madrid, Spain;5. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Md, 21205-2217, USA
Abstract:Patterns of exposure and policies aiming at reducing physical contact might have changed the social distribution of COVID-19 incidence over the course of the pandemic. Thus, we studied the temporal trends in the association between area-level deprivation and COVID-19 incidence rate by Basic Health Zone (minimum administration division for health service provision) in Madrid, Spain, from March 2020 to September 2021. We found an overall association between deprivation and COVID-19 incidence. This association varied over time; areas with higher deprivation showed higher COVID-19 incidence rates from July to November 2020 and August–September 2021, while, by contrast, higher deprivation areas showed lower COVID-19 incidence rates in December 2020 and July 2021.
Keywords:COVID-19  Inequities  Deprivation
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