Widening of inequalities in COVID-19 years of life lost from 2020 to 2021: a Scottish Burden of Disease Study

Wyper, G. M.A. , Fletcher, E., Grant, I., Harding, O., de Haro Moro, M. T., McCartney, G. and Stockton, D. L. (2022) Widening of inequalities in COVID-19 years of life lost from 2020 to 2021: a Scottish Burden of Disease Study. Journal of Epidemiology and Community Health, 76(8), pp. 746-749. (doi: 10.1136/jech-2022-219090) (PMID:35613856)

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Abstract

Background: Previous studies have highlighted the large extent of inequality in adverse COVID-19 health outcomes. Our aim was to monitor changes in overall, and inequalities in, COVID-19 years of life lost to premature mortality (YLL) in Scotland from 2020 and 2021. Methods: Cause-specific COVID-19 mortality counts were derived at age group and area deprivation level using Scottish death registrations for 2020 and 2021. YLL was estimated by multiplying mortality counts by age-conditional life expectancy from the Global Burden of Disease 2019 reference life table. Various measures of absolute and relative inequality were estimated for triangulation purposes. Results: There were marked inequalities in COVID-19 YLL by area deprivation in 2020, which were further exacerbated in 2021; confirmed across all measures of absolute and relative inequality. Half (51%) of COVID-19 YLL was attributable to inequalities in area deprivation in 2021, an increase from 41% in 2020. Conclusion: Despite a highly impactful vaccination programme in preventing mortality, COVID-19 continues to represent a substantial area of fatal population health loss for which inequalities have widened. Tackling systemic inequalities with effective interventions is required to mitigate further unjust health loss in the Scottish population from COVID-19 and other causes of ill-health and mortality.

Item Type:Articles
Keywords:COVID-19, health inequalities, public health, mortality.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McCartney, Professor Gerard and Wyper, Dr Grant
Authors: Wyper, G. M.A., Fletcher, E., Grant, I., Harding, O., de Haro Moro, M. T., McCartney, G., and Stockton, D. L.
College/School:College of Social Sciences > School of Social and Political Sciences
College of Social Sciences > School of Social and Political Sciences > Sociology Anthropology and Applied Social Sciences
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care
Journal Name:Journal of Epidemiology and Community Health
Publisher:BMJ Publishing Group
ISSN:0143-005X
ISSN (Online):1470-2738
Published Online:25 May 2022
Copyright Holders:Copyright © 2022 The Authors
First Published:First published in Journal of Epidemiology and Community Health 76(8): 746-749
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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