Higher COVID-19 mortality in low-income communities in the City of Cape Town – a descriptive ecological study

Background Cape Town, a South African city with high levels of economic inequality, has gone through two COVID-19 waves. There is evidence globally that low-income communities experience higher levels of morbidity and mortality during the pandemic. Methods Age-standardized COVID-19 mortality in the...

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Detalles Bibliográficos
Autores principales: Hussey, Hannah, Zinyakatira, Nesbert, Morden, Erna, Ismail, Muzzammil, Paleker, Masudah, Bam, Jamy-Lee, London, Leslie, Boulle, Andrew, Davies, Mary-Ann
Formato: Online Artículo Texto
Lenguaje:English
Publicado: F1000 Research Limited 2021
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264385/
https://www.ncbi.nlm.nih.gov/pubmed/34286217
http://dx.doi.org/10.12688/gatesopenres.13288.1
Descripción
Sumario:Background Cape Town, a South African city with high levels of economic inequality, has gone through two COVID-19 waves. There is evidence globally that low-income communities experience higher levels of morbidity and mortality during the pandemic. Methods Age-standardized COVID-19 mortality in the eight sub-districts of Cape Town was compared by economic indicators taken from the most recent Census (unemployment rate, monthly income). Results The overall Standardized Death Rate (SDR) for COVID-19 in Cape Town was 1 640 per million, but there was wide variation across the different sub-districts. A linear relationship was seen between sub-districts with high poverty and high COVID-19 SDRs. Conclusions Low-income communities in Cape Town experienced higher levels of COVID-19 mortality. As we continue to contend with COVID-19, these communities need to be prioritized for access to quality health care.

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