Excess mortality during 2020 in Spain: the most affected population, age, and educational group by the Covid-19 pandemic

Objective: The objective of this work was to study mortality increase in Spain during the first and second academic semesters of 2020, coinciding with the first 2 waves of the Covid-19 pandemic; by sex, age, and education. Methods: An observational study was carried out, using linked populations and...

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Detalhes bibliográficos
Autores: Pulido, José, Barrio, Gregorio, Donat, Marta, Politi, Julieta, Moreno Lostao, Almudena, Cea-Soriano, Lucía, Guerras, Juan M., Huertas, Lidia, Mateo-Urdiales, Alberto, Ronda, Elena, Martínez, David, Lostao Unzu, Lourdes, Belza, María José, Regidor Poyatos, Enrique
Formato: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2024
País:España
Recursos:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/52927
Acesso em linha:https://hdl.handle.net/2454/52927
Access Level:acceso abierto
Palavra-chave:Causes of death
COVID-19 pandemic
Educational level
Excess mortality
Spain
Descrição
Resumo:Objective: The objective of this work was to study mortality increase in Spain during the first and second academic semesters of 2020, coinciding with the first 2 waves of the Covid-19 pandemic; by sex, age, and education. Methods: An observational study was carried out, using linked populations and deaths' data from 2017 to 2020. The mortality rates from all causes and leading causes other than Covid-19 during each semester of 2020, compared to the 2017-2019 averages for the same semester, was also estimated. Mortality rate ratios (MRR) and differences were used for comparison. Results: All-cause mortality rates increased in 2020 compared to pre-covid, except among working-age, (25-64 years) highly-educated women. Such increases were larger in lower-educated people between the working age range, in both 2020 semesters, but not at other ages. In the elderly, the MMR in the first semester in women and men were respectively, 1.14, and 1.25 among lower-educated people, and 1.28 and 1.23 among highly-educated people. In the second semester, the MMR were 1.12 in both sexes among lower-educated people and 1.13 in women and 1.16 in men among highly-educated people. Conclusion: Lower-educated people within working age and highly-educated people at older ages showed the greatest increase in all-cause mortality in 2020, compared to the pre-pandemic period.