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dc.contributor.authorMikolai, Julia
dc.contributor.authorKeenan, Katherine
dc.contributor.authorKulu, Hill
dc.identifier.citationMikolai , J , Keenan , K & Kulu , H 2020 , ' Intersecting household-level health and socio-economic vulnerabilities and the COVID-19 crisis : an analysis from the UK ' , SSM - Population Health , vol. 12 , 100628 .
dc.identifier.otherORCID: /0000-0001-8808-0719/work/76778711
dc.identifier.otherORCID: /0000-0002-7733-6659/work/76779054
dc.identifier.otherORCID: /0000-0002-9670-1607/work/76779190
dc.descriptionThis research was supported by Economic and Social Research Council grant ES/K007394/1 and carried out in the ESRC Centre for Population Change (CPC).en
dc.description.abstractThe effects of COVID-19 are likely to be social stratified. Disease control measures introduced during the COVID-19 pandemic mean that people spend much more time in their immediate households, due to lockdowns, the need to self-isolate, and school and workplace closures. This has elevated the importance of certain household–level characteristics for individuals’ current and future wellbeing. The multi-dimensional poverty and health inequalities literature suggests that poor health and socio-economic conditions cluster in the general population, which may exacerbate societal inequalities over time. This study investigates how COVID-19-related health- and socio-economic vulnerabilities occur at the household level, and how they are distributed across household types and geographical areas in the United Kingdom. Using a nationally representative cross-sectional study of UK households and applying principal components analysis, we derived summary measures representing different dimensions of household vulnerabilities critical during the COVID-19 epidemic: health, employment, housing, financial and digital. Our analysis highlights four key findings. First, although COVID-19-related health risks are concentrated in retirement-age households, a substantial proportion of working age households also face these risks. Second, different types of households exhibit different vulnerabilities, with working-age households more likely to face financial and housing precarities, and retirement-age households health and digital vulnerabilities. Third, there are area-level differences in the distribution of household-level -vulnerabilities across England and the constituent countries of the United Kingdom. Fourth, in many households, different dimensions of vulnerabilities intersect; this is especially prevalent among working-age households. The findings imply that the short- and long-term consequences of the COVID-19 crisis are likely to significantly vary by household type. Policy measures that aim to mitigate the health and socio-economic consequences of the COVID-19 pandemic should consider how vulnerabilities cluster and interact with one another across different household types, and how these may exacerbate already existing inequalities.
dc.relation.ispartofSSM - Population Healthen
dc.subjectHousehold dynamicsen
dc.subjectUnited Kingdomen
dc.subjectPrincipal components analysisen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.subjectH Social Sciences (General)en
dc.subjectSDG 3 - Good Health and Well-beingen
dc.titleIntersecting household-level health and socio-economic vulnerabilities and the COVID-19 crisis : an analysis from the UKen
dc.typeJournal articleen
dc.contributor.sponsorEconomic & Social Research Councilen
dc.contributor.institutionUniversity of St Andrews. School of Geography & Sustainable Developmenten
dc.contributor.institutionUniversity of St Andrews. Sir James Mackenzie Institute for Early Diagnosisen
dc.description.statusPeer revieweden

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