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Differences in the Prevalence of SARS-CoV-2 Infection and Access to Care between Italians and Non-Italians in a Social-Housing Neighbourhood of Milan, Italy

The northern Italian region of Lombardy has been severely affected by the COVID-19 pandemic since its arrival in Europe. However, there are only a few published studies of the possible influence of social and cultural factors on its prevalence in the general population. This cross-sectional study of...

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Autores principales: Pagani, Gabriele, Conti, Federico, Giacomelli, Andrea, Oreni, Letizia, Beltrami, Martina, Pezzati, Laura, Casalini, Giacomo, Rondanin, Rossana, Prina, Andrea, Zagari, Antonino, Rusconi, Stefano, Galli, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535198/
https://www.ncbi.nlm.nih.gov/pubmed/34682369
http://dx.doi.org/10.3390/ijerph182010621
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author Pagani, Gabriele
Conti, Federico
Giacomelli, Andrea
Oreni, Letizia
Beltrami, Martina
Pezzati, Laura
Casalini, Giacomo
Rondanin, Rossana
Prina, Andrea
Zagari, Antonino
Rusconi, Stefano
Galli, Massimo
author_facet Pagani, Gabriele
Conti, Federico
Giacomelli, Andrea
Oreni, Letizia
Beltrami, Martina
Pezzati, Laura
Casalini, Giacomo
Rondanin, Rossana
Prina, Andrea
Zagari, Antonino
Rusconi, Stefano
Galli, Massimo
author_sort Pagani, Gabriele
collection PubMed
description The northern Italian region of Lombardy has been severely affected by the COVID-19 pandemic since its arrival in Europe. However, there are only a few published studies of the possible influence of social and cultural factors on its prevalence in the general population. This cross-sectional study of the San Siro social-housing neighbourhood of Milan, which was carried about between 23 December 2020 and 19 February 2021, found that the prevalence of anti-SARS-CoV-2 nucleocapsid antibodies in the population as a whole was 12.4% (253/2044 inhabitants), but there was a more than two-fold difference between non-Italians and Italians (23.3% vs. 9.1%). Multivariable analyses showed that being more than 50 years old, living in crowded accommodation, being a non-Italian, and having a low educational level were associated with higher odds of a positive SARS-CoV-2 test, whereas a higher level of education, retirement, and being a former or current cigarette smoker were inversely associated with SARS-CoV-2 infection. Our findings are in line with previous observations indicating that a lower socio-economic status may be a risk factor for COVID-19 and show that non-Italians are disproportionately affected by SARS-CoV-2 infection. This suggests that public health policies should focus more on disadvantaged populations.
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spelling pubmed-85351982021-10-23 Differences in the Prevalence of SARS-CoV-2 Infection and Access to Care between Italians and Non-Italians in a Social-Housing Neighbourhood of Milan, Italy Pagani, Gabriele Conti, Federico Giacomelli, Andrea Oreni, Letizia Beltrami, Martina Pezzati, Laura Casalini, Giacomo Rondanin, Rossana Prina, Andrea Zagari, Antonino Rusconi, Stefano Galli, Massimo Int J Environ Res Public Health Article The northern Italian region of Lombardy has been severely affected by the COVID-19 pandemic since its arrival in Europe. However, there are only a few published studies of the possible influence of social and cultural factors on its prevalence in the general population. This cross-sectional study of the San Siro social-housing neighbourhood of Milan, which was carried about between 23 December 2020 and 19 February 2021, found that the prevalence of anti-SARS-CoV-2 nucleocapsid antibodies in the population as a whole was 12.4% (253/2044 inhabitants), but there was a more than two-fold difference between non-Italians and Italians (23.3% vs. 9.1%). Multivariable analyses showed that being more than 50 years old, living in crowded accommodation, being a non-Italian, and having a low educational level were associated with higher odds of a positive SARS-CoV-2 test, whereas a higher level of education, retirement, and being a former or current cigarette smoker were inversely associated with SARS-CoV-2 infection. Our findings are in line with previous observations indicating that a lower socio-economic status may be a risk factor for COVID-19 and show that non-Italians are disproportionately affected by SARS-CoV-2 infection. This suggests that public health policies should focus more on disadvantaged populations. MDPI 2021-10-11 /pmc/articles/PMC8535198/ /pubmed/34682369 http://dx.doi.org/10.3390/ijerph182010621 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pagani, Gabriele
Conti, Federico
Giacomelli, Andrea
Oreni, Letizia
Beltrami, Martina
Pezzati, Laura
Casalini, Giacomo
Rondanin, Rossana
Prina, Andrea
Zagari, Antonino
Rusconi, Stefano
Galli, Massimo
Differences in the Prevalence of SARS-CoV-2 Infection and Access to Care between Italians and Non-Italians in a Social-Housing Neighbourhood of Milan, Italy
title Differences in the Prevalence of SARS-CoV-2 Infection and Access to Care between Italians and Non-Italians in a Social-Housing Neighbourhood of Milan, Italy
title_full Differences in the Prevalence of SARS-CoV-2 Infection and Access to Care between Italians and Non-Italians in a Social-Housing Neighbourhood of Milan, Italy
title_fullStr Differences in the Prevalence of SARS-CoV-2 Infection and Access to Care between Italians and Non-Italians in a Social-Housing Neighbourhood of Milan, Italy
title_full_unstemmed Differences in the Prevalence of SARS-CoV-2 Infection and Access to Care between Italians and Non-Italians in a Social-Housing Neighbourhood of Milan, Italy
title_short Differences in the Prevalence of SARS-CoV-2 Infection and Access to Care between Italians and Non-Italians in a Social-Housing Neighbourhood of Milan, Italy
title_sort differences in the prevalence of sars-cov-2 infection and access to care between italians and non-italians in a social-housing neighbourhood of milan, italy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8535198/
https://www.ncbi.nlm.nih.gov/pubmed/34682369
http://dx.doi.org/10.3390/ijerph182010621
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