COVID-19 and deprivation amplification: An ecological study of geographical inequalities in mortality in England

Luke Munford, Sam Khavandi, Clare Bambra

Research output: Contribution to journalArticlepeer-review

Abstract

‘Deprivation amplification’ is used to understand the relationship between deprivation, scale and COVID-19 mortality rates. We found that more deprived Middle Super Output Areas (MSOAs) in the more deprived northern regions suffered greater COVID-19 mortality rates. Across England, the most deprived 20% of MSOAs had higher mortality than the least deprived (44.1% more COVID-19 deaths/10,000). However, the most deprived MSOAs in the north fared worse than equally deprived areas in the rest of England (14.5% more deaths/10,000, beta = 0.136, p < 0.01). There was also strong evidence of spatial clustering and spill-overs. We discuss these findings in relation to ‘deprivation amplification’, the ‘syndemic pandemic’, and the health and place literature.

Original languageEnglish
Article number102933
JournalHealth and Place
Volume78
DOIs
Publication statusPublished - 1 Nov 2022

Keywords

  • COVID-19
  • Deprivation
  • Health inequalities
  • Place
  • Syndemic

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