SARS-CoV-2 infections and hospitalisations among immigrants in Norway-significance of occupation, household crowding, education, household income and medical risk: a nationwide register study.

Autor:	Labberton AS; Division for Health Services, Norwegian Institute of Public Health, Norway., Godøy A; Division for Health Services, Norwegian Institute of Public Health, Norway., Elgersma IH; Division for Health Services, Norwegian Institute of Public Health, Norway., Strand BH; Division of Mental and Physical Health, Norwegian Institute of Public Health, Norway.; Norwegian National Advisory Unit on Ageing and Health, Vestfold County Hospital Trust, Norway.; Department of Geriatric Medicine, Oslo University Hospital, Norway., Telle K; Division for Health Services, Norwegian Institute of Public Health, Norway., Arnesen T; Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Norway., Nygård KM; Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Norway., Indseth T; Division for Health Services, Norwegian Institute of Public Health, Norway.
Jazyk:	angličtina
Zdroj:	Scandinavian journal of public health [Scand J Public Health] 2022 Aug; Vol. 50 (6), pp. 772-781. Date of Electronic Publication: 2022 Feb 14.
DOI:	10.1177/14034948221075029
Abstrakt:	Background: As in other countries, the COVID-19 pandemic has affected Norway's immigrant population disproportionately, with significantly higher infection rates and hospitalisations. The reasons for this are uncertain. Methods: Through the national emergency preparedness register, BeredtC19, we have studied laboratory-confirmed infections with SARS-CoV-2 and related hospitalisations in the entire Norwegian population, by birth-country background for the period 15 June 2020 to 31 March 2021, excluding the first wave due to limited test capacity and restrictive test criteria. Straightforward linkage of individual-level data allowed adjustment for demographics, socioeconomic factors (occupation, household crowding, education and household income), and underlying medical risk for severe COVID-19 in regression models. Results: The sample comprised 5.49 million persons, of which 0.91 million were born outside of Norway, there were 82,532 confirmed cases and 3088 hospitalisations. Confirmed infections in this period (per 100,000): foreign-born 3140, Norwegian-born with foreign-born parents 4799 and Norwegian-born with Norwegian-born parent(s) 1011. Hospitalisations (per 100,000): foreign-born 147, Norwegian-born with foreign-born parents 47 and Norwegian-born with Norwegian-born parent(s) 37. The addition of socioeconomic and medical factors to the base model (age, sex, municipality of residence) attenuated excess infection rates by 12.0% and hospitalisations by 3.8% among foreign-born, and 10.9% and 46.2%, respectively, among Norwegian-born with foreign parents, compared to Norwegian-born with Norwegian-born parent(s). Conclusions: There were large differences in infection rates and hospitalisations by country background, and these do not appear to be fully explained by socioeconomic and medical factors. Our results may have implications for health policy, including the targeting of mitigation strategies.
Databáze:	MEDLINE
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