Cargando…
Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort
BACKGROUND: Evidence on the relationship between socioeconomic position (SEP) and infections with SARS-CoV-2 is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921578/ https://www.ncbi.nlm.nih.gov/pubmed/34583961 http://dx.doi.org/10.1136/jech-2021-217653 |
_version_ | 1784669353316188160 |
---|---|
author | Hoebel, Jens Grabka, Markus M Schröder, Carsten Haller, Sebastian Neuhauser, Hannelore Wachtler, Benjamin Schaade, Lars Liebig, Stefan Hövener, Claudia Zinn, Sabine |
author_facet | Hoebel, Jens Grabka, Markus M Schröder, Carsten Haller, Sebastian Neuhauser, Hannelore Wachtler, Benjamin Schaade, Lars Liebig, Stefan Hövener, Claudia Zinn, Sabine |
author_sort | Hoebel, Jens |
collection | PubMed |
description | BACKGROUND: Evidence on the relationship between socioeconomic position (SEP) and infections with SARS-CoV-2 is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to SEP at the individual level. METHODS: The ‘CORONA-MONITORING bundesweit’ (RKI-SOEP) study is a seroepidemiological survey among a dynamic cohort of the German adult population (n=15 122; October 2020–February 2021). Dried blood samples were tested for SARS-CoV-2 antibodies and oral-nasal swabs for viral RNA. SEP was measured by education and income. Robust logistic regression was used to examine adjusted associations of SARS-CoV-2 infections with SEP. RESULTS: 288 participants were seropositive, PCR positive or self-reported a previous laboratory-confirmed SARS-CoV-2 infection. The adjusted odds of SARS-CoV-2 infection were 1.87-fold (95% CI 1.06 to 3.29) higher among low-educated than highly educated adults. Evidence was weaker for income differences in infections (OR=1.65; 95% CI 0.89 to 3.05). Highly educated adults had lower odds of undetected infection. CONCLUSION: The results indicate an increased risk of SARS-CoV-2 infection in low-educated groups. To promote health equity in the pandemic and beyond, social determinants should be addressed more in infection protection and pandemic planning. |
format | Online Article Text |
id | pubmed-8921578 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-89215782022-03-25 Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort Hoebel, Jens Grabka, Markus M Schröder, Carsten Haller, Sebastian Neuhauser, Hannelore Wachtler, Benjamin Schaade, Lars Liebig, Stefan Hövener, Claudia Zinn, Sabine J Epidemiol Community Health Short Report BACKGROUND: Evidence on the relationship between socioeconomic position (SEP) and infections with SARS-CoV-2 is still limited as most of the available studies are ecological in nature. This is the first German nationwide study to examine differences in the risk of SARS-CoV-2 infections according to SEP at the individual level. METHODS: The ‘CORONA-MONITORING bundesweit’ (RKI-SOEP) study is a seroepidemiological survey among a dynamic cohort of the German adult population (n=15 122; October 2020–February 2021). Dried blood samples were tested for SARS-CoV-2 antibodies and oral-nasal swabs for viral RNA. SEP was measured by education and income. Robust logistic regression was used to examine adjusted associations of SARS-CoV-2 infections with SEP. RESULTS: 288 participants were seropositive, PCR positive or self-reported a previous laboratory-confirmed SARS-CoV-2 infection. The adjusted odds of SARS-CoV-2 infection were 1.87-fold (95% CI 1.06 to 3.29) higher among low-educated than highly educated adults. Evidence was weaker for income differences in infections (OR=1.65; 95% CI 0.89 to 3.05). Highly educated adults had lower odds of undetected infection. CONCLUSION: The results indicate an increased risk of SARS-CoV-2 infection in low-educated groups. To promote health equity in the pandemic and beyond, social determinants should be addressed more in infection protection and pandemic planning. BMJ Publishing Group 2022-04 2021-09-28 /pmc/articles/PMC8921578/ /pubmed/34583961 http://dx.doi.org/10.1136/jech-2021-217653 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Short Report Hoebel, Jens Grabka, Markus M Schröder, Carsten Haller, Sebastian Neuhauser, Hannelore Wachtler, Benjamin Schaade, Lars Liebig, Stefan Hövener, Claudia Zinn, Sabine Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort |
title | Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort |
title_full | Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort |
title_fullStr | Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort |
title_full_unstemmed | Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort |
title_short | Socioeconomic position and SARS-CoV-2 infections: seroepidemiological findings from a German nationwide dynamic cohort |
title_sort | socioeconomic position and sars-cov-2 infections: seroepidemiological findings from a german nationwide dynamic cohort |
topic | Short Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8921578/ https://www.ncbi.nlm.nih.gov/pubmed/34583961 http://dx.doi.org/10.1136/jech-2021-217653 |
work_keys_str_mv | AT hoebeljens socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT grabkamarkusm socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT schrodercarsten socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT hallersebastian socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT neuhauserhannelore socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT wachtlerbenjamin socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT schaadelars socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT liebigstefan socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT hovenerclaudia socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort AT zinnsabine socioeconomicpositionandsarscov2infectionsseroepidemiologicalfindingsfromagermannationwidedynamiccohort |