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001-es BibID:	BIBFORM103338
035-os BibID:	(cikkazonosító)388 (Scopus)85126488206 (WOS)000774793000001
Első szerző:	Oroszi Beatrix (orvos, epidemiológus)
Cím:	Characteristics of the Third COVID-19 Pandemic Wave with Special Focus on Socioeconomic Inequalities in Morbidity, Mortality and the Uptake of COVID-19 Vaccination in Hungary / Beatrix Oroszi, Attila Juhász, Csilla Nagy, Judit Krisztina Horváth, Krisztina Eszter Komlós, Gergő Túri, Martin McKee, Róza Ádány
Dátum:	2022
ISSN:	2075-4426
Megjegyzések:	Governments are increasingly looking to vaccination to provide a path out of the COVID-19 pan-demic. Hungary offers an example to investigate whether social inequalities compromise what a successful vaccine program can achieve. COVID-19 morbidity, mortality, and vaccination cover-age were characterized by calculation of indirectly standardized ratios in the Hungarian population during the third pandemic wave at the level of municipalities, classified into deprivation quintiles. Then, their association with socioeconomic deprivation was assessed using ecological regression. Compared to the national average, people living in the most deprived municipalities had a 15?24% lower relative incidence of confirmed COVID-19 cases, but a 17?37% higher relative mortality and a 38% lower vaccination coverage. At an ecological level, COVID-19 mortality showed a strong positive association with deprivation and an inverse association with vaccination coverage (RRVaccination = 0.86 (0.75?0.98)), but the latter became non-significant after adjustment for deprivation (RRVaccination = 0.95 (0.84?1.09), RRDeprivation = 1.10 (1.07?1.14)). Even what is widely viewed as one of the more successful vaccine roll outs was unable to close the gap in COVID-19 mortality during the third pandemic wave in Hungary. This is likely to be due to the challenges of reaching those living in the most deprived municipalities who experienced the highest mortality rates during the third wave.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk COVID-19 morbidity mortality excess mortality vaccination coverage deprivation socioeconomic inequities Roma
Megjelenés:	Journal of Personalized Medicine. - 12 : 3 (2022), p. 1-15. -
További szerzők:	Juhász Attila (1970-) (epidemiológus) Nagy Csilla (1970-) (epidemiológus, népegészségügyi szakember) Horváth Judit Krisztina Komlós Krisztina Eszter Túri Gergő McKee, Martin Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Pályázati támogatás:	TK2016-78 OTKA 135784 OTKA
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM098768
035-os BibID:	(cikkazonosító)e006427 (WOS)000697845300004 (Scopus)85115198146
Első szerző:	Oroszi Beatrix (orvos, epidemiológus)
Cím:	Unequal burden of COVID-19 in Hungary : a geographical and socioeconomic analysis of the second wave of the pandemic / Oroszi Beatrix, Juhász Attila, Nagy Csilla, Horváth Judit Krisztina, McKee Martin, Ádány Róza
Dátum:	2021
ISSN:	2059-7908
Megjegyzések:	Introduction We describe COVID-19 morbidity, mortality, case fatality and excess death in a country-wide study of municipalities in Hungary, exploring the association with socioeconomic status. Methods The spatial distribution of morbidity, mortality and case fatality was mapped using hierarchical Bayesian smoothed indirectly standardised ratios. Indirectly standardised ratios were used to evaluate the association between deprivation and the outcome measures. We looked separately at morbidity and mortality in the 10 districts with the highest and 10 districts with the lowest share of Roma population. Results Compared with the national average, the relative incidence of cases was 30%?36%lower in the most deprived quintile but the relative mortality and case fatality were 27%?32%higher. Expressed as incidence ratios relative to the national average, the most deprived municipalities had a relative incidence ratio of 0.64 (CI: 0.62 to 0.65) and 0.70 (CI: 0.69 to 0.72) for males and females, respectively. The corresponding figures for mortality were 1.32 (CI: 1.20 to 1.44) for males and 1.27 (CI: 1.16 to 1.39) for females and for case fatality 1.27 (CI: 1.16 to 1.39) and 1.32 (CI: 1.20 to 1.44) for males and females, respectively. The excess death rate (per 100 000) increased with deprivation levels (least deprived: 114.12 (CI: 108.60 to 119.84) and most deprived: 158.07 (CI: 149.30 to 167.23)). The 10 districts where Roma formed the greatest share of the population had an excess mortality rate 17.46% higher than the average for the most deprived quintile. Conclusions Those living in more deprived municipalities had a lower risk of being identified as a confirmed COVID-19 case but had a higher risk of death. An inverse association between trends in morbidity and mortality by socioeconomic conditions should be a cause for concern and points to the need for responses, including those involving vaccination, to pay particular attention to inequalities and their causes
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk covid-19 hungary
Megjelenés:	BMJ Global Health. - 6 : 9 (2021), p. 1-9. -
További szerzők:	Juhász Attila (1970-) (epidemiológus) Nagy Csilla (1970-) (epidemiológus, népegészségügyi szakember) Horváth Judit Krisztina McKee, Martin Ádány Róza (1952-) (megelőző orvostan és népegészségtan szakorvos)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon: