A nationwide analysis of population group differences in the COVID-19 epidemic in Israel, February 2020–February 2021
Summary: Background: Social inequalities affect the COVID-19 burden and vaccine uptake. The aim of this study was to explore inequalities in the incidence and mortality rate of SARS-CoV-2 infection and vaccine uptake in various sociodemographic and population group strata in Israel. Methods: We ana...
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doaj-ef5ddde56a8f4d2a9032e5548cc2722d2021-06-07T07:07:41ZengElsevierThe Lancet Regional Health. Europe2666-77622021-08-017100130A nationwide analysis of population group differences in the COVID-19 epidemic in Israel, February 2020–February 2021Khitam Muhsen0Wasef Na'aminh1Yelena Lapidot2Sophy Goren3Yonatan Amir4Saritte Perlman5Manfred S. Green6Gabriel Chodick7Dani Cohen8Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 6139001, Israel; Corresponding author at: Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Tel Aviv 6139001, Israel.Department of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 6139001, IsraelDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 6139001, IsraelDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 6139001, IsraelDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 6139001, IsraelDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 6139001, IsraelUniversity of Haifa, School of Public Health, Haifa, IsraelDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 6139001, Israel; Maccabi Institute for Research & Innovation, Maccabi Healthcare Services, Kaufman 4, Tel Aviv, IsraelDepartment of Epidemiology and Preventive Medicine, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 6139001, IsraelSummary: Background: Social inequalities affect the COVID-19 burden and vaccine uptake. The aim of this study was to explore inequalities in the incidence and mortality rate of SARS-CoV-2 infection and vaccine uptake in various sociodemographic and population group strata in Israel. Methods: We analysed nationwide publicly available, aggregated data on PCR-confirmed SARS-CoV-2 infections and COVID-19 deaths between March 2020 and February 2021, as well as the first three months of COVID-19 immunisation according to sociodemographics, including population group and residential socioeconomic status (SES). We computed incidence and mortality rates of COVID-19. Comparisons between towns with predominantly Arab, ultra-Orthodox Jewish (the minorities), general Jewish populations, and according to SES, were conducted using generalised linear models with negative binomial distribution. Findings: Overall, 774,030 individuals had SARS-CoV-2 infection (cumulative incidence 84•5 per 1,000 persons) and 5687 COVID-19 patients had died (mortality rate 62•8 per 100,000 persons). The highest mortality rate was found amongst the elderly. Most (>75%) individuals aged 60 years or above have been vaccinated with BNT162b2 vaccine. The risk of SARS-CoV-2 infection was higher in towns with predominantly Arab and ultra-Orthodox Jewish populations than in the general Jewish population, and in low SES communities. COVID-19 mortality rate was highest amongst Arabs. Conversely, vaccine uptake was lower amongst Arab and ultra-Orthodox Jewish populations and low SES communities. Interpretation: Ethnic and religious minorities and low SES communities experience substantial COVID-19 burden, and have lower vaccine uptake, even in a society with universal accessibility to healthcare. Quantifying these inequalities is fundamental towards reducing these gaps, which imposes a designated apportion of resources to adequately control the pandemic. Funding: No external funding was available for this study.http://www.sciencedirect.com/science/article/pii/S2666776221001071SARS-CoV-2IncidenceMortalityIsraelMinoritySocial determinants |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Khitam Muhsen Wasef Na'aminh Yelena Lapidot Sophy Goren Yonatan Amir Saritte Perlman Manfred S. Green Gabriel Chodick Dani Cohen |
spellingShingle |
Khitam Muhsen Wasef Na'aminh Yelena Lapidot Sophy Goren Yonatan Amir Saritte Perlman Manfred S. Green Gabriel Chodick Dani Cohen A nationwide analysis of population group differences in the COVID-19 epidemic in Israel, February 2020–February 2021 The Lancet Regional Health. Europe SARS-CoV-2 Incidence Mortality Israel Minority Social determinants |
author_facet |
Khitam Muhsen Wasef Na'aminh Yelena Lapidot Sophy Goren Yonatan Amir Saritte Perlman Manfred S. Green Gabriel Chodick Dani Cohen |
author_sort |
Khitam Muhsen |
title |
A nationwide analysis of population group differences in the COVID-19 epidemic in Israel, February 2020–February 2021 |
title_short |
A nationwide analysis of population group differences in the COVID-19 epidemic in Israel, February 2020–February 2021 |
title_full |
A nationwide analysis of population group differences in the COVID-19 epidemic in Israel, February 2020–February 2021 |
title_fullStr |
A nationwide analysis of population group differences in the COVID-19 epidemic in Israel, February 2020–February 2021 |
title_full_unstemmed |
A nationwide analysis of population group differences in the COVID-19 epidemic in Israel, February 2020–February 2021 |
title_sort |
nationwide analysis of population group differences in the covid-19 epidemic in israel, february 2020–february 2021 |
publisher |
Elsevier |
series |
The Lancet Regional Health. Europe |
issn |
2666-7762 |
publishDate |
2021-08-01 |
description |
Summary: Background: Social inequalities affect the COVID-19 burden and vaccine uptake. The aim of this study was to explore inequalities in the incidence and mortality rate of SARS-CoV-2 infection and vaccine uptake in various sociodemographic and population group strata in Israel. Methods: We analysed nationwide publicly available, aggregated data on PCR-confirmed SARS-CoV-2 infections and COVID-19 deaths between March 2020 and February 2021, as well as the first three months of COVID-19 immunisation according to sociodemographics, including population group and residential socioeconomic status (SES). We computed incidence and mortality rates of COVID-19. Comparisons between towns with predominantly Arab, ultra-Orthodox Jewish (the minorities), general Jewish populations, and according to SES, were conducted using generalised linear models with negative binomial distribution. Findings: Overall, 774,030 individuals had SARS-CoV-2 infection (cumulative incidence 84•5 per 1,000 persons) and 5687 COVID-19 patients had died (mortality rate 62•8 per 100,000 persons). The highest mortality rate was found amongst the elderly. Most (>75%) individuals aged 60 years or above have been vaccinated with BNT162b2 vaccine. The risk of SARS-CoV-2 infection was higher in towns with predominantly Arab and ultra-Orthodox Jewish populations than in the general Jewish population, and in low SES communities. COVID-19 mortality rate was highest amongst Arabs. Conversely, vaccine uptake was lower amongst Arab and ultra-Orthodox Jewish populations and low SES communities. Interpretation: Ethnic and religious minorities and low SES communities experience substantial COVID-19 burden, and have lower vaccine uptake, even in a society with universal accessibility to healthcare. Quantifying these inequalities is fundamental towards reducing these gaps, which imposes a designated apportion of resources to adequately control the pandemic. Funding: No external funding was available for this study. |
topic |
SARS-CoV-2 Incidence Mortality Israel Minority Social determinants |
url |
http://www.sciencedirect.com/science/article/pii/S2666776221001071 |
work_keys_str_mv |
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