Hospitalisation rates differed by city district and ethnicity during the first wave of COVID-19 in Amsterdam, The Netherlands

被引：17

作者：

Coyer, Liza ^{[1
,2
]}

Wynberg, Elke ^{[1
]}

Buster, Marcel ^{[3
]}

Wijffels, Camiel ^{[3
]}

Prins, Maria ^{[1
,2
]}

Schreijer, Anja ^{[1
]}

van Duijnhoven, Yvonne T. H. P. ^{[1
]}

van Dam, Alje P. ^{[1
]}

van der Lubben, Mariken ^{[1
]}

Leenstra, Tjalling ^{[1
]}

机构：

[1] Publ Hlth Serv Amsterdam, Dept Infect Dis, Nieuwe Achtergracht 100, NL-1018 WT Amsterdam, Netherlands

[2] Univ Amsterdam, Amsterdam Inst Infect & Immun, Dept Infect Dis, Amsterdam UMC, Amsterdam, Netherlands

[3] Publ Hlth Serv Amsterdam, Dept Epidemiol Hlth Promot & Care Innovat, Amsterdam, Netherlands

来源：

BMC PUBLIC HEALTH | 2021年 / 21卷 / 01期

关键词：

SARS-CoV-2; COVID-19; Hospitalisation; Ethnicity; Geographical; Socio-economic status;

D O I：

10.1186/s12889-021-11782-w

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background It is important to gain insight into the burden of COVID-19 at city district level to develop targeted prevention strategies. We examined COVID-19 related hospitalisations by city district and migration background in the municipality of Amsterdam, the Netherlands. Methods We used surveillance data on all PCR-confirmed SARS-CoV-2 hospitalisations in Amsterdam until 31 May 2020, matched to municipal registration data on migration background. We calculated directly standardised (age, sex) rates (DSR) of hospitalisations, as a proxy of COVID-19 burden, per 100,000 population by city district and migration background. We calculated standardised rate differences (RD) and rate ratios (RR) to compare hospitalisations between city districts of varying socio-economic and health status and between migration backgrounds. We evaluated the effects of city district and migration background on hospitalisation after adjusting for age and sex using Poisson regression. Results Between 29 February and 31 May 2020, 2326 cases (median age 57 years [IQR = 37-74]) were notified in Amsterdam, of which 596 (25.6%) hospitalisations and 287 (12.3%) deaths. 526/596 (88.2%) hospitalisations could be matched to the registration database. DSR were higher in individuals living in peripheral (South-East/New-West/North) city districts with lower economic and health status, compared to central districts (Centre/West/South/East) (RD = 36.87,95%CI = 25.79-47.96;RR = 1.82,95%CI = 1.65-1.99), and among individuals with a non-Western migration background compared to ethnic-Dutch individuals (RD = 57.05,95%CI = 43.34-70.75; RR = 2.36,95%CI = 2.17-2.54). City district and migration background were independently associated with hospitalisation. Conclusion City districts with lower economic and health status and those with a non-Western migration background had the highest burden of COVID-19 during the first wave of COVID-19 in Amsterdam.

引用

页数：9

共 25 条

[1]

Amsterdam, DISTR NEIGHB

[2]

Amsterdam, GEZ BEELD

[3]

Blau F., 2020, WHO ARE ESSENTIAL FR, DOI [10.3386/w27791, DOI 10.3386/W27791]

[4]

Centers for Disease Control and Prevention, 2020, SYMPT COVID 19

[5]