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Higher risk, higher protection: COVID-19 risk among immigrants in France-results from the population-based EpiCov survey.
Gosselin, Anne; Warszawski, Josiane; Bajos, Nathalie.
  • Gosselin A; French Institute for Demographic Studies (INED), Mortality, Health, Epidemiology Unit, Aubervilliers, France.
  • Warszawski J; French Collaborative Institute on Migrations/CNRS, Aubervilliers, France.
  • Bajos N; INSERM CESP U1018, Université Paris-Saclay, Le Kremlin-Bicêtre, France.
Eur J Public Health ; 32(4): 655-663, 2022 08 01.
Article in English | MEDLINE | ID: covidwho-1816073
ABSTRACT

BACKGROUND:

Immigrants and ethnic/racialized minorities have been identified as being at higher risk of coronavirus disease-19 (COVID-19) infection, but few studies report on their exposures and prevention behaviours. This study aims to examine the social distribution of COVID-19 exposure (overcrowding, working outside the home, use of public transport to go to work) and prevention behaviours (use of face masks, washing hands, respect for physical distance) in France during the first wave of the epidemic.

METHODS:

We used the EpiCov population-based survey from a random sample of individuals aged 15 years or more. We determined the distribution of the self-reported outcomes according to migratory status and sex, using χ2 tests. We modelled the probability of outcomes with logistic regression. Finally, we focused the analysis on the Greater Paris area and accounted for neighbourhood characteristics.

RESULTS:

A total of 111 824 participants were included in the study. Overall, immigrant groups from non-European countries were more exposed to COVID-19-related factors and more respectful of prevention measures. The probability of overcrowding and the use of public transport was higher for immigrants from sub-Saharan Africa [adjusted odds ratio (aOR) = 3.71 (3.19; 4.32), aOR = 6.36 (4.86; 8.32)] than for the majority population. Immigrant groups were less likely to have a non-systematic use of face masks and to breach physical distancing than the majority population [for immigrants from sub-Saharan Africa, aOR = 0.32 (0.28; 0.37) and aOR = 0.71 (0.61; 0.81), respectively]. Living in a neighbourhood with a higher share of immigrants was associated with higher exposure and better prevention behaviours.

CONCLUSIONS:

In France, immigrants had a higher exposure to COVID-19-related factors and more systematic prevention behaviours.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Emigrants and Immigrants / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Systematic review/Meta Analysis Limits: Humans Language: English Journal: Eur J Public Health Journal subject: Epidemiology / Public Health Year: 2022 Document Type: Article Affiliation country: Eurpub

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Emigrants and Immigrants / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials / Systematic review/Meta Analysis Limits: Humans Language: English Journal: Eur J Public Health Journal subject: Epidemiology / Public Health Year: 2022 Document Type: Article Affiliation country: Eurpub