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Publication . Article . Preprint . 2021

A Poorly Understood Disease? The Impact of COVID-19 on the Income Gradient in Mortality over the Course of the Pandemic

The Impact of COVID-19 on the Income Gradient in Mortality over the Course of the Pandemic
Paul Brandily; Clément Brébion; Simon Briole; Laura Khoury;
Open Access
Published: 01 Feb 2021
Publisher: HAL CCSD
Country: France

Mortality inequalities remain substantial in many countries, and large shocks such as pandemics could amplify them further. The unequal distribution of COVID-19 confirmed cases suggests that this is the case. Yet, evidence on the causal effect of the epidemic on mortality inequalities remains scarce. In this paper, we exploit exhaustive municipality-level data in France, one of the most severely hit country in the world, to identify a negative relationship between income and excess mortality within urban areas, that persists over COVID-19 waves. Over the year 2020, the poorest municipalities experienced a 30% higher increase in excess mortality. Our analyses can rule out an independent contribution of lockdown policies to this heterogeneous impact. Finally, we find evidence that both labour-market exposure and housing conditions are major determinants of the epidemic-induced effects of COVID-19 on mortality inequalities, but that their respective role depends on the state of the epidemic.

Subjects by Vocabulary

Microsoft Academic Graph classification: Coronavirus disease 2019 (COVID-19) Distribution (economics) business.industry business Poverty Pandemic Disease Causal effect Negative relationship Demographic economics Economics Inequality media_common.quotation_subject media_common


housing conditions I14, mortality inequality, housing conditions, COVID-19, poverty, inequality, mortality, labor market, I18, R00 COVID-19, JEL: I - Health, Education, and Welfare/I.I1 - Health/I.I1.I14 - Health and Inequality, JEL: I - Health, Education, and Welfare/I.I1 - Health/I.I1.I18 - Government Policy • Regulation • Public Health, JEL: R - Urban, Rural, Regional, Real Estate, and Transportation Economics/R.R0 - General/R.R0.R00 - General, [SHS.ECO]Humanities and Social Sciences/Economics and Finance, Economics and Econometrics, Finance, Article

Funded by
Ecole d'Economie de Paris
  • Funder: French National Research Agency (ANR) (ANR)
  • Project Code: ANR-17-EURE-0001
Related to Research communities
Social Science and Humanities
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