Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies (preprint)

Catherine Lewis; Sheena Johnson; Angelique Hartwig; Janet Ubido; Anna Coleman; Nicola Gartland; Atiya Kamal; Amit Gaokar; C J Armitage; David Fishwick; Martie Van Tongeren; Helen Kreissl

doi:10.21203/rs.3.rs-2129271/v1

Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies (preprint)

Catherine Lewis, Sheena Johnson, Angelique Hartwig, Janet Ubido, Anna Coleman, Nicola Gartland, Atiya Kamal, Amit Gaokar, C J Armitage, David Fishwick, Martie Van Tongeren, Helen Kreissl

Research output: Preprint/Working paper › Preprint

Abstract

Background: UK local authorities that experience sustained high levels of COVID-19 are described as areas of enduring prevalence (1). This research was carried out to investigate reasons for sustained high prevalence, along with mitigation strategies employed by Directors of Public Health, who lead public health teams.

Methods: Interviews were conducted with Directors of Public Health in 19 local authority areas across England, between July and November 2021. This included nine areas identified as areas of enduring prevalence and ten ‘comparison’ areas.

Results: The research suggests that health inequalities influence the wider picture of prevalence rates of COVID-19. Structural factors including deprivation, employment, and housing, due to the disproportionate impact on specific groups, converged with demographic factors including ethnicity and age, and vaccination rates, and were identified as key drivers of enduring prevalence. There are key differences in these drivers both within local authorities, and to a lesser extent, between areas of enduring prevalence and their comparison areas.

Conclusions: The research suggests that existing health inequalities influenced the wider picture of prevalence rates of COVID-19. Participants advised that more research is needed on the effectiveness of mitigation strategies, and to better understand the factors that drive prevalence. This would include an assessment of how these factors to combine to predict transmission, how this varies between different areas, and the relative importance of each

factor.

Original language	English
Publisher	Research Square
DOIs	https://doi.org/10.21203/rs.3.rs-2129271/v1
Publication status	Published - 3 Nov 2022

Publication series

Name	Research Square
Publisher	Research Square

Keywords

Community engagement
COVID-19
Employment
Deprivation
health inequalities
partnership working

Research Beacons, Institutes and Platforms

Thomas Ashton Institute

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.21203/rs.3.rs-2129271/v1Licence: CC BY

(MCHP) : Manchester Centre for Health Psychology
Peters, S. (PI), Ulph, F. (PI), Arden Armitage, C. (Researcher), Borrelli, B. (Researcher), Bowen, A. (Researcher), Byrne-Davis, L. (Researcher), Edge, D. (Researcher), French, D. (Researcher), Hart, J. (Researcher), Todd, C. (Researcher), Skevington, S. (Researcher), Wearden, A. (Researcher), Cotterill, S. (Researcher), Brooks, J. (Researcher), Brown, L. (Researcher), Bull, E. (Researcher), Cordingley, L. (Researcher), Epton, T. (Researcher), Smith, D. (Researcher), Speer, S. (Researcher), Powell, R. (Researcher), Bartlett, K. (Researcher), Coupe, N. (Researcher), Shepherd, S. (Researcher), Dienes, K. (Researcher), Ghio, D. (Researcher), Hood, A. (Researcher), Lavallee, J. (Researcher), Rowland, C. (Researcher), Benton, J. (Researcher), Goldthorpe, J. (Researcher), McWilliams, L. (Researcher), Keyworth, C. (Researcher), Goulding, R. (Researcher), Loughran, M. (Researcher), Hawkes, R. (Researcher), Kapadi, A. (Researcher), Hurley, R. (Researcher), Leather, J. (Researcher), Musa, C. (Researcher), Angelakis, I. (Researcher), Reid, C. (Researcher), Reid, H. (PGR student), Hulme, L. (PGR student), Hindmarch, S. (PGR student), Plant, S. (Researcher), Peterson, J. (Researcher), Woof, V. (PGR student), Devereux-Fitzgerald, A. (Researcher), Sawyer, C. (Researcher), Wilkes, J. (Researcher), Birtwell, K. (Researcher), Stringer, G. (Researcher), Tang, M. Y. (Researcher), Coupe, N. (Researcher), Hamnett, C. (Support team), Lyons, S. (Researcher), Hulme, L. (PGR student) & Lee, R. (Researcher)
1/09/10 → …
Project: Research

Cite this

@techreport{d019157576184f9f806f08ac7d0afc44,

title = "Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies (preprint)",

abstract = "Background: UK local authorities that experience sustained high levels of COVID-19 are described as areas of enduring prevalence (1). This research was carried out to investigate reasons for sustained high prevalence, along with mitigation strategies employed by Directors of Public Health, who lead public health teams.Methods: Interviews were conducted with Directors of Public Health in 19 local authority areas across England, between July and November 2021. This included nine areas identified as areas of enduring prevalence and ten {\textquoteleft}comparison{\textquoteright} areas.Results: The research suggests that health inequalities influence the wider picture of prevalence rates of COVID-19. Structural factors including deprivation, employment, and housing, due to the disproportionate impact on specific groups, converged with demographic factors including ethnicity and age, and vaccination rates, and were identified as key drivers of enduring prevalence. There are key differences in these drivers both within local authorities, and to a lesser extent, between areas of enduring prevalence and their comparison areas.Conclusions: The research suggests that existing health inequalities influenced the wider picture of prevalence rates of COVID-19. Participants advised that more research is needed on the effectiveness of mitigation strategies, and to better understand the factors that drive prevalence. This would include an assessment of how these factors to combine to predict transmission, how this varies between different areas, and the relative importance of eachfactor.",

keywords = "Community engagement, COVID-19, Employment, Deprivation, health inequalities, partnership working",

author = "Catherine Lewis and Sheena Johnson and Angelique Hartwig and Janet Ubido and Anna Coleman and Nicola Gartland and Atiya Kamal and Amit Gaokar and Armitage, {C J} and David Fishwick and {Van Tongeren}, Martie and Helen Kreissl",

year = "2022",

month = nov,

day = "3",

doi = "10.21203/rs.3.rs-2129271/v1",

language = "English",

series = "Research Square",

publisher = "Research Square",

address = "United States",

type = "WorkingPaper",

institution = "Research Square",

}

TY - UNPB

T1 - Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies (preprint)

AU - Lewis, Catherine

AU - Johnson, Sheena

AU - Hartwig, Angelique

AU - Ubido, Janet

AU - Coleman, Anna

AU - Gartland, Nicola

AU - Kamal, Atiya

AU - Gaokar, Amit

AU - Armitage, C J

AU - Fishwick, David

AU - Van Tongeren, Martie

AU - Kreissl, Helen

PY - 2022/11/3

Y1 - 2022/11/3

N2 - Background: UK local authorities that experience sustained high levels of COVID-19 are described as areas of enduring prevalence (1). This research was carried out to investigate reasons for sustained high prevalence, along with mitigation strategies employed by Directors of Public Health, who lead public health teams.Methods: Interviews were conducted with Directors of Public Health in 19 local authority areas across England, between July and November 2021. This included nine areas identified as areas of enduring prevalence and ten ‘comparison’ areas.Results: The research suggests that health inequalities influence the wider picture of prevalence rates of COVID-19. Structural factors including deprivation, employment, and housing, due to the disproportionate impact on specific groups, converged with demographic factors including ethnicity and age, and vaccination rates, and were identified as key drivers of enduring prevalence. There are key differences in these drivers both within local authorities, and to a lesser extent, between areas of enduring prevalence and their comparison areas.Conclusions: The research suggests that existing health inequalities influenced the wider picture of prevalence rates of COVID-19. Participants advised that more research is needed on the effectiveness of mitigation strategies, and to better understand the factors that drive prevalence. This would include an assessment of how these factors to combine to predict transmission, how this varies between different areas, and the relative importance of eachfactor.

AB - Background: UK local authorities that experience sustained high levels of COVID-19 are described as areas of enduring prevalence (1). This research was carried out to investigate reasons for sustained high prevalence, along with mitigation strategies employed by Directors of Public Health, who lead public health teams.Methods: Interviews were conducted with Directors of Public Health in 19 local authority areas across England, between July and November 2021. This included nine areas identified as areas of enduring prevalence and ten ‘comparison’ areas.Results: The research suggests that health inequalities influence the wider picture of prevalence rates of COVID-19. Structural factors including deprivation, employment, and housing, due to the disproportionate impact on specific groups, converged with demographic factors including ethnicity and age, and vaccination rates, and were identified as key drivers of enduring prevalence. There are key differences in these drivers both within local authorities, and to a lesser extent, between areas of enduring prevalence and their comparison areas.Conclusions: The research suggests that existing health inequalities influenced the wider picture of prevalence rates of COVID-19. Participants advised that more research is needed on the effectiveness of mitigation strategies, and to better understand the factors that drive prevalence. This would include an assessment of how these factors to combine to predict transmission, how this varies between different areas, and the relative importance of eachfactor.

KW - Community engagement

KW - COVID-19

KW - Employment

KW - Deprivation

KW - health inequalities

KW - partnership working

U2 - 10.21203/rs.3.rs-2129271/v1

DO - 10.21203/rs.3.rs-2129271/v1

M3 - Preprint

T3 - Research Square

BT - Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies (preprint)

PB - Research Square

ER -

Areas of enduring COVID-19 prevalence: drivers of prevalence and mitigating strategies (preprint)

Abstract

Publication series

Keywords

Research Beacons, Institutes and Platforms

UN SDGs

Access to Document

Fingerprint

Projects

(MCHP) : Manchester Centre for Health Psychology

Cite this