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About:
Black, Asian and Minority Ethnic groups in England are at increased risk of death from COVID-19: indirect standardisation of NHS mortality data
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wasabi.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Black, Asian and Minority Ethnic groups in England are at increased risk of death from COVID-19: indirect standardisation of NHS mortality data
Creator
Aldridge, Robert
Lewer, Dan
Thomas', St
Abubakar, Andrew
Burns, Ellen
Devakumar, Ibrahim
Fragaszy, Anne
Hayward,
Johnson, Delan
Katikireddi, Rohini
Mathur, Neha
Pathak, Rachel
Srinivasa, Vittal
Source
Medline; PMC
abstract
Background: International and UK data suggest that Black, Asian and Minority Ethnic (BAME) groups are at increased risk of infection and death from COVID-19. We aimed to explore the risk of death in minority ethnic groups in England using data reported by NHS England. Methods: We used NHS data on patients with a positive COVID-19 test who died in hospitals in England published on 28th April, with deaths by ethnicity available from 1st March 2020 up to 5pm on 21 April 2020. We undertook indirect standardisation of these data (using the whole population of England as the reference) to produce ethnic specific standardised mortality ratios (SMRs) adjusted for age and geographical region. Results: The largest total number of deaths in minority ethnic groups were Indian (492 deaths) and Black Caribbean (460 deaths) groups. Adjusting for region we found a lower risk of death for White Irish (SMR 0.52; 95%CIs 0.45-0.60) and White British ethnic groups (0.88; 95%CIs 0.86-0.0.89), but increased risk of death for Black African (3.24; 95%CIs 2.90-3.62), Black Caribbean (2.21; 95%CIs 2.02-2.41), Pakistani (3.29; 95%CIs 2.96-3.64), Bangladeshi (2.41; 95%CIs 1.98-2.91) and Indian (1.70; 95%CIs 1.56-1.85) minority ethnic groups. Conclusion: Our analysis adds to the evidence that BAME people are at increased risk of death from COVID-19 even after adjusting for geographical region. We believe there is an urgent need to take action to reduce the risk of death for BAME groups and better understand why some ethnic groups experience greater risk. Actions that are likely to reduce these inequities include ensuring adequate income protection (so that low paid and zero-hours contract workers can afford to follow social distancing recommendations), reducing occupational risks (such as ensuring adequate personal protective equipment), reducing barriers in accessing healthcare and providing culturally and linguistically appropriate public health communications.
has issue date
2020-05-06
(
xsd:dateTime
)
bibo:doi
10.12688/wellcomeopenres.15922.1
bibo:pmid
32613083
has license
cc-by
sha1sum (hex)
57b6c8723feab768efcd348cccc73a25f17d1305
schema:url
https://doi.org/10.12688/wellcomeopenres.15922.1
resource representing a document's title
Black, Asian and Minority Ethnic groups in England are at increased risk of death from COVID-19: indirect standardisation of NHS mortality data
has PubMed Central identifier
PMC7317462
has PubMed identifier
32613083
schema:publication
Wellcome Open Res
resource representing a document's body
covid:57b6c8723feab768efcd348cccc73a25f17d1305#body_text
is
schema:about
of
named entity 'data'
named entity 'reservations'
named entity 'Ethnic groups'
named entity 'COVID-19'
named entity 'peer review'
named entity 'RISK OF INFECTION'
named entity 'MINORITY'
named entity 'International'
named entity 'COVID-19'
named entity 'risk'
named entity 'minority'
named entity 'ethnic groups'
named entity 'Peer Review'
named entity 'minority ethnic groups'
named entity 'COVID-19'
named entity 'Open Peer Review'
named entity 'London'
named entity 'COVID-19'
named entity 'COVID-19'
named entity 'BAME'
named entity 'ethnic groups'
named entity 'COVID-19'
named entity 'BAME'
named entity 'NHS'
named entity 'UK Biobank'
named entity 'Asian'
named entity 'Minority Ethnic'
named entity 'White British'
named entity 'COVID-19'
named entity 'ethnic groups'
named entity 'BAME'
named entity 'leveller'
named entity 'NHS'
named entity 'perspex'
named entity 'BAME'
named entity 'NHS'
named entity 'personal protective equipment'
named entity 'COVID-19'
named entity 'Ethnicity'
named entity 'COVID-19'
named entity 'COVID-19'
named entity 'BAME'
named entity 'point estimate'
named entity 'ethnic groups'
named entity 'infection'
named entity 'ethnic groups'
named entity 'ethnicity'
named entity 'risk factors'
named entity 'Population Geography'
named entity 'ethnic groups'
named entity 'ethnic groups'
named entity 'diabetes'
named entity 'ethnic groups'
named entity 'BAME'
named entity 'London'
named entity 'England'
named entity 'COVID-19'
named entity 'death certificates'
named entity 'BAME'
named entity 'ethnicity'
named entity 'data set'
named entity 'Asian'
named entity 'Asian'
named entity 'Population Studies'
named entity 'BAME'
named entity 'England'
named entity 'Ethnicity'
named entity 'infection'
named entity 'Lancet'
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