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Understanding How Socioeconomic Inequalities Drive Inequalities in COVID-19 Infections

فهم كيف تؤدي عدم المساواة الاجتماعية والاقتصادية إلى عدم المساواة في عدوى كوفيد-19
Authors: Rachid Laajaj; Duncan Webb; Danilo Aristizábal; Eduardo Behrentz; Raquel Bernal; Giancarlo Buitrago; Zulma M. Cucunubá; +8 Authors

Understanding How Socioeconomic Inequalities Drive Inequalities in COVID-19 Infections

Abstract

AbstractAcross the world, the COVID-19 pandemic has disproportionately affected economically disadvantaged groups. This differential impact has numerous possible explanations, each with significantly different policy implications. We examine, for the first time in a low- or middle-income country, which mechanisms best explain the disproportionate impact of the virus on the poor. Combining an epidemiological model with rich data from Bogotá, Colombia, we show that total infections and inequalities in infections are largely driven by inequalities in the ability to work remotely and in within-home secondary attack rates. Inequalities in isolation behavior are less important but non-negligible, while access to testing and contract-tracing plays practically no role because it is too slow to contain the virus. Interventions that mitigate transmission are often more effective when targeted on socioeconomically disadvantaged groups.

Keywords

Economics, Social Sciences, Infectious disease (medical specialty), FOS: Health sciences, Social psychology, Social Distancing, Demographic economics, Sociology, Psychological intervention, Pathology, Psychology, Disease, Disadvantaged, Psychiatry, Modeling the Dynamics of COVID-19 Pandemic, Q, R, FOS: Sociology, FOS: Psychology, Clinical Psychology, Economics, Econometrics and Finance, Policy, Infectious Diseases, Environmental health, Counterfactual thinking, Health, Modeling and Simulation, Physical Sciences, Socioeconomic status, Income, Medicine, Coronavirus Infections, Economics and Econometrics, Science, Population, Coronavirus Disease 2019 Research, Mathematical analysis, Article, Betacoronavirus, Impacts of COVID-19 on Global Economy and Markets, Virology, Health Sciences, FOS: Mathematics, Humans, Pandemics, Economic growth, Demography, Pandemic, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), COVID-19, Outbreak, Coronavirus disease 2019 (COVID-19), Socioeconomic Factors, Inequality, Impact of COVID-19 on Mental Health, Factors Affecting Vaccine Hesitancy and Acceptance, 2019-20 coronavirus outbreak, Mathematics

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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
30
Top 10%
Top 10%
Top 10%
Green
hybrid