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Spatial patterns of COVID-19 and non-COVID-19 mortality across waves of infection in England, Wales, and Scotland
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dc.contributor.author | Mikolai, Júlia | |
dc.contributor.author | Dorey, Peter | |
dc.contributor.author | Keenan, Katherine | |
dc.contributor.author | Kulu, Hill | |
dc.date.accessioned | 2023-11-02T12:30:02Z | |
dc.date.available | 2023-11-02T12:30:02Z | |
dc.date.issued | 2023-12 | |
dc.identifier | 294615829 | |
dc.identifier | b1de1ef1-5d0e-420a-8c2f-7acc124e4959 | |
dc.identifier | 85175022288 | |
dc.identifier.citation | Mikolai , J , Dorey , P , Keenan , K & Kulu , H 2023 , ' Spatial patterns of COVID-19 and non-COVID-19 mortality across waves of infection in England, Wales, and Scotland ' , Social Science and Medicine , vol. 338 , 116330 . https://doi.org/10.1016/j.socscimed.2023.116330 | en |
dc.identifier.issn | 0277-9536 | |
dc.identifier.other | RIS: urn:F8376CCC45DFE27D01C8149E7CF5985C | |
dc.identifier.other | ORCID: /0000-0002-7733-6659/work/145030835 | |
dc.identifier.other | ORCID: /0000-0001-8808-0719/work/145030891 | |
dc.identifier.other | ORCID: /0000-0002-5213-644X/work/145030893 | |
dc.identifier.other | ORCID: /0000-0002-9670-1607/work/145031101 | |
dc.identifier.uri | https://hdl.handle.net/10023/28615 | |
dc.description | Funding: UK Economic and Social Research Council (ES/K007394/1, ES/W002116/1); European Research Council (834103). | en |
dc.description.abstract | Recent studies have established the key individual-level risk factors of COVID-19 mortality such as age, gender, ethnicity, and socio-economic status. However, the spread of infectious diseases is a spatial and temporal process implying that COVID-19 mortality and its determinants may vary sub-nationally and over time. We investigate the spatial patterns of age-standardised death rates due to COVID-19 and their correlates across local authority districts in England, Wales, and Scotland across three waves of infection. Using a Spatial Durbin model, we explore within- and between-country variation and account for spatial dependency. Areas with a higher share of ethnic minorities and higher levels of deprivation had higher rates of COVID-19 mortality. However, the share of ethnic minorities and population density in an area were more important predictors of COVID-19 mortality in earlier waves of the pandemic than in later waves, whereas area-level deprivation has become a more important predictor over time. Second, during the first wave of the pandemic, population density had a significant spillover effect on COVID-19 mortality, indicating that the pandemic spread from big cities to neighbouring areas. Third, after accounting for differences in ethnic composition, deprivation, and population density, initial cross-country differences in COVID-19 mortality almost disappeared. COVID-19 mortality remained higher in Scotland than in England and Wales in the third wave when COVID-19 mortality was relatively low in all three countries. Interpreting these results in the context of higher overall (long-term) non-COVID-19 mortality in Scotland suggests that Scotland may have performed better than expected during the first two waves. Our study highlights that accounting for both spatial and temporal factors is essential for understanding social and demographic risk factors of mortality during pandemics. | |
dc.format.extent | 3852232 | |
dc.language.iso | eng | |
dc.relation.ispartof | Social Science and Medicine | en |
dc.subject | COVID-19 | en |
dc.subject | Mortality | en |
dc.subject | United Kingdom | en |
dc.subject | Spatial Durbin model | en |
dc.subject | Sub-national variation | en |
dc.subject | Health inequalities | en |
dc.subject | GF Human ecology. Anthropogeography | en |
dc.subject | RA0421 Public health. Hygiene. Preventive Medicine | en |
dc.subject | 3rd-DAS | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject.lcc | GF | en |
dc.subject.lcc | RA0421 | en |
dc.title | Spatial patterns of COVID-19 and non-COVID-19 mortality across waves of infection in England, Wales, and Scotland | en |
dc.type | Journal article | en |
dc.contributor.sponsor | Economic & Social Research Council | en |
dc.contributor.sponsor | European Research Council | en |
dc.contributor.institution | University of St Andrews. Geographies of Sustainability, Society, Inequalities and Possibilities | en |
dc.contributor.institution | University of St Andrews. Population and Health Research | en |
dc.contributor.institution | University of St Andrews. School of Geography & Sustainable Development | en |
dc.contributor.institution | University of St Andrews. Sir James Mackenzie Institute for Early Diagnosis | en |
dc.identifier.doi | 10.1016/j.socscimed.2023.116330 | |
dc.description.status | Peer reviewed | en |
dc.identifier.grantnumber | ES/K007394/1 | en |
dc.identifier.grantnumber | 834103 | en |
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