2
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      The impact of socioeconomic vulnerability on the incidence of COVID-19 in school students

      abstract

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Inequalities have been observed in the spread of COVID-19 due to higher incidence rates in environments with greater socioeconomic deprivation. The objective of this study was to analyse the relationship between socioeconomic level and the incidence of COVID-19 in students of schools in the city of Barcelona, in different epidemic waves. Cross-sectional ecological study on compulsory education students (N = 176,390). Unit of analysis: the 780 schools in the city. Study period: second (autumn 2020), third (winter 2020-21) and sixth epidemic waves (winter 2021-22). Dependent variable: Cumulative Incidence (CI) of COVID-19 among school students. Independent variables: complexity and ownership of the school, indexes in quartiles (being Q4 the most disadvantaged) of vulnerable students of the school and the Available Family Income (AFI) of the neighbourhood of the school. Stratified by sex and educational stage (Primary/Secondary). A bivariate and multivariate analysis was performed using Poisson regression to calculate crude Relative Risks and adjusted (aRR). As an impact measure, the Population Attributable Risk was calculated. In the second wave, 41% of the CI in primary boys was attributed to the vulnerability of the school (Q4: aRR=1.96 [1.10-3.50]), and 36% to a lower AFI in the neighbourhood of the school in secondary boys (Q4: aRR=3.18 [1.25-8.13]). Instead, in the sixth wave, taking Q4 as a reference, 35% of the CI in primary girls was attributed to lower vulnerability indices of the school (Q1: aRR=1.82 [1.52-2.20]), and 38% higher AFI from the neighbourhood of the school in secondary girls (Q1: aRR=1.99 [1.33-2.98]). In the third wave, the results are mixed and less significant in the models. The results obtained show that there was an inversion of the impact of social inequalities in the CI of COVID-19 in the second wave compared to the sixth. This reflects the need to delve into the contextual factors that favour the spread of communicable diseases.

          Key messages

          • The socioeconomic vulnerability of school students has been associated with a higher Cumulative Incidence of COVID-19 in the second wave, but this pattern has been reversed in the sixth wave.

          • Between 18 and 41% - depending on gender, educational level and epidemic wave- of the Cumulative Incidence of COVID-19 in Barcelona schools can be attributed to factors of socioeconomic deprivation.

          Related collections

          Author and article information

          Contributors
          Journal
          Eur J Public Health
          Eur J Public Health
          eurpub
          The European Journal of Public Health
          Oxford University Press
          1101-1262
          1464-360X
          October 2023
          24 October 2023
          24 October 2023
          : 33
          : Suppl 2 , 16th European Public Health Conference 2023 Our Food, Our Health, Our Earth: A Sustainable Future for Humanity Dublin, Ireland 8–11 November 2023
          : ckad160.1239
          Affiliations
          VIGCOVID, Agència de Salut Pública de Barcelona , Barcelona, Spain
          MELIS, Universitat Pompeu Fabra , Barcelona, Spain
          VIGCOVID, Agència de Salut Pública de Barcelona , Barcelona, Spain
          MELIS, Universitat Pompeu Fabra , Barcelona, Spain
          Unitat de Sistemes d’Informació, Consocrci d'Educació de Barcelona , Barcelona, Spain
          Departament d'Empresa, Universitat Autònoma de Barcelona , Barcelona, Spain
          VIGCOVID, Agència de Salut Pública de Barcelona , Barcelona, Spain
          VIGCOVID, Agència de Salut Pública de Barcelona , Barcelona, Spain
          VIGCOVID, Agència de Salut Pública de Barcelona , Barcelona, Spain
          VIGCOVID, Agència de Salut Pública de Barcelona , Barcelona, Spain
          VIGCOVID, Agència de Salut Pública de Barcelona , Barcelona, Spain
          MELIS, Universitat Pompeu Fabra , Barcelona, Spain
          VIGCOVID, Agència de Salut Pública de Barcelona , Barcelona, Spain
          MELIS, Universitat Pompeu Fabra , Barcelona, Spain
          Author notes
          Article
          ckad160.1239
          10.1093/eurpub/ckad160.1239
          10597134
          6aebca41-9969-4ac9-8d95-dc04f4430109
          © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association.

          This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License ( https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com

          History
          Page count
          Pages: 1
          Categories
          Poster Displays
          DJ. Epidemiology
          AcademicSubjects/MED00860
          AcademicSubjects/SOC01210
          AcademicSubjects/SOC02610

          Public health
          Public health

          Comments

          Comment on this article