Socioeconomic inequalities in the incidence of COVID-19 in Barcelona students
Objective: This study aimed to assess socioeconomic inequalities in schools regarding the COVID-19 incidence during different epidemic waves among Barcelona students, differentiating by sex and educational stage. Study design: Cross-sectional ecological study. Methods: We included in the study all s...
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Elsevier
2024-12-01
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| Series: | Public Health in Practice |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666535224000648 |
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| author | M. Olivella-Cirici G. Perez M. Rodriguez-Sanz Ll Forcadell-Díez P. Montemayor Cejas M.I. Pasarin |
| author_facet | M. Olivella-Cirici G. Perez M. Rodriguez-Sanz Ll Forcadell-Díez P. Montemayor Cejas M.I. Pasarin |
| author_sort | M. Olivella-Cirici |
| collection | DOAJ |
| description | Objective: This study aimed to assess socioeconomic inequalities in schools regarding the COVID-19 incidence during different epidemic waves among Barcelona students, differentiating by sex and educational stage. Study design: Cross-sectional ecological study. Methods: We included in the study all students from childhood to secondary education in Barcelona city. The unit of analysis was the schools. The study covered the epidemic waves coinciding with the 2020-21 and 2021-22 school courses. The cumulative incidence (CI) per school and wave was calculated. Bivariate and multivariate analyses using Poisson regression were conducted to estimate relative risks. The population attributable risk, by sex and educational stage, was calculated as a measure of impact. Results: In the second wave, higher CI in students was associated with greater school socioeconomic deprivation in all groups. In the younger girls, 24.5 % (5.2–41.4) of the CI was attributed to school socioeconomic vulnerability, increasing to 33.1 % (15.1–47.2) in older girls. During the sixth wave, the impact was lower in the most vulnerable schools in all strata. Conclusions: Socioeconomic factors significantly impacted the incidence of COVID-19 in schools, reflecting social inequalities in Barcelona. There was an inversion of the pattern of inequalities in the sixth wave compared to the previous ones. The results emphasize the need for urgent action and targeted resources to address health inequalities in education and understand the impact of epidemic dynamics on socioeconomic context. |
| format | Article |
| id | doaj-art-a6dd6385f3d646728e65e4d30806fa70 |
| institution | Kabale University |
| issn | 2666-5352 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Public Health in Practice |
| spelling | doaj-art-a6dd6385f3d646728e65e4d30806fa702024-12-12T05:23:24ZengElsevierPublic Health in Practice2666-53522024-12-018100527Socioeconomic inequalities in the incidence of COVID-19 in Barcelona studentsM. Olivella-Cirici0G. Perez1M. Rodriguez-Sanz2Ll Forcadell-Díez3P. Montemayor Cejas4M.I. Pasarin5Agència de Salut Pública de Barcelona, Barcelona, 08023, Spain; Medicine and Life Sciences Department (MELIS), Universitat Pompeu Fabra, Barcelona, 08003, Spain; Corresponding author. Agència de Salut Pública de Barcelona, Barcelona, 08023, Spain.Agència de Salut Pública de Barcelona, Barcelona, 08023, Spain; Medicine and Life Sciences Department (MELIS), Universitat Pompeu Fabra, Barcelona, 08003, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, 28029, Spain; Institut de Recerca Sant Pau (IR Sant Pau), Barcelona, 08041, SpainAgència de Salut Pública de Barcelona, Barcelona, 08023, Spain; Medicine and Life Sciences Department (MELIS), Universitat Pompeu Fabra, Barcelona, 08003, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, 28029, Spain; Institut de Recerca Sant Pau (IR Sant Pau), Barcelona, 08041, SpainAgència de Salut Pública de Barcelona, Barcelona, 08023, Spain; Medicine and Life Sciences Department (MELIS), Universitat Pompeu Fabra, Barcelona, 08003, SpainUnitat de Sistemes d’Informació i Disseny de Processos, Consorci d’Educació de Barcelona (CEB), Barcelona, 08010, Spain; Department of Applied Economics, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, 08193, SpainAgència de Salut Pública de Barcelona, Barcelona, 08023, Spain; Medicine and Life Sciences Department (MELIS), Universitat Pompeu Fabra, Barcelona, 08003, Spain; Centro de Investigación Biomédica en Red Epidemiología y Salud Pública (CIBERESP), Madrid, 28029, Spain; Institut de Recerca Sant Pau (IR Sant Pau), Barcelona, 08041, SpainObjective: This study aimed to assess socioeconomic inequalities in schools regarding the COVID-19 incidence during different epidemic waves among Barcelona students, differentiating by sex and educational stage. Study design: Cross-sectional ecological study. Methods: We included in the study all students from childhood to secondary education in Barcelona city. The unit of analysis was the schools. The study covered the epidemic waves coinciding with the 2020-21 and 2021-22 school courses. The cumulative incidence (CI) per school and wave was calculated. Bivariate and multivariate analyses using Poisson regression were conducted to estimate relative risks. The population attributable risk, by sex and educational stage, was calculated as a measure of impact. Results: In the second wave, higher CI in students was associated with greater school socioeconomic deprivation in all groups. In the younger girls, 24.5 % (5.2–41.4) of the CI was attributed to school socioeconomic vulnerability, increasing to 33.1 % (15.1–47.2) in older girls. During the sixth wave, the impact was lower in the most vulnerable schools in all strata. Conclusions: Socioeconomic factors significantly impacted the incidence of COVID-19 in schools, reflecting social inequalities in Barcelona. There was an inversion of the pattern of inequalities in the sixth wave compared to the previous ones. The results emphasize the need for urgent action and targeted resources to address health inequalities in education and understand the impact of epidemic dynamics on socioeconomic context.http://www.sciencedirect.com/science/article/pii/S2666535224000648COVID-19Socioeconomic factorsAdolescent healthSchoolsEpidemiologyCross-sectional |
| spellingShingle | M. Olivella-Cirici G. Perez M. Rodriguez-Sanz Ll Forcadell-Díez P. Montemayor Cejas M.I. Pasarin Socioeconomic inequalities in the incidence of COVID-19 in Barcelona students Public Health in Practice COVID-19 Socioeconomic factors Adolescent health Schools Epidemiology Cross-sectional |
| title | Socioeconomic inequalities in the incidence of COVID-19 in Barcelona students |
| title_full | Socioeconomic inequalities in the incidence of COVID-19 in Barcelona students |
| title_fullStr | Socioeconomic inequalities in the incidence of COVID-19 in Barcelona students |
| title_full_unstemmed | Socioeconomic inequalities in the incidence of COVID-19 in Barcelona students |
| title_short | Socioeconomic inequalities in the incidence of COVID-19 in Barcelona students |
| title_sort | socioeconomic inequalities in the incidence of covid 19 in barcelona students |
| topic | COVID-19 Socioeconomic factors Adolescent health Schools Epidemiology Cross-sectional |
| url | http://www.sciencedirect.com/science/article/pii/S2666535224000648 |
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