Differential risk for COVID-19 in the first wave of the disease among Spaniards and migrants from different areas of the world living in Spain.
Rev Clin Esp (Barc)
; 221(5): 264-273, 2021 05.
Article
in English
| MEDLINE | ID: covidwho-1104234
ABSTRACT
INTRODUCTION AND OBJECTIVES:
Little is known regarding the relevance of racial/ethnic background to the risk for COVID-19 infection, particularly in Europe. We evaluated the risk of COVID-19 among migrants from different areas of the world within the context of universal free access to medical care. MATERIALS ANDMETHODS:
We conducted a population-based cohort analysis of the cumulative incidence of PCR-confirmed COVID-19 among adult residents of Alcorcon (Spain) in the first wave of the disease up to April 25, 2020.RESULTS:
The crude cumulative incidence among migrants (nâ¯=â¯20419) was higher than among Spaniards (nâ¯=â¯131599) 8.81 and 6.51 and per 1000 inhabitants, respectively (pâ¯<⯠.001), but differed by region of origin. As per a negative binomial regression adjusted for age and sex, relative risk (RR) for COVID-19 for individuals from Europe, Asia, or North Africa was not significantly different from Spaniards. In contrast, a markedly increased risk was found in people from Sub-Saharan Africa (RR 3.66, 95% confidence interval (CI) 1.42-9.41, pâ¯=⯠.007), the Caribbean (RR 6.35, 95% CI 3.83-10.55, pâ¯<⯠.001), and Latin America (RR 6.92, 95% CI 4.49-10.67, pâ¯<⯠.001).CONCLUSIONS:
Migrants from Sub-Saharan Africa, the Caribbean, and Latin America exhibited increased risk for COVID-19 as compared to Spaniards or migrants from Europe, North Africa, or Asia. Our data suggest ethnic background may play a role in risk for COVID-19. Migrants from some areas of the world may merit closer attention for both clinical and epidemiological reasons.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Transients and Migrants
/
Emigrants and Immigrants
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
English
Journal:
Rev Clin Esp (Barc)
Year:
2021
Document Type:
Article
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