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Disproportionate infection, hospitalisation and death from COVID-19 in ethnic minority groups and Indigenous Peoples: an application of the Priority Public Health Conditions analytical framework

Irizar, P, Pan, D, Taylor, H, Martin, CA, Katikireddi, SV, Kannangarage, NW, Gomez, S, La Parra Casado, D, Srinivas, PN, Diderichsen, F, Baggaley, RF, Nellums, LB, Koller, TS and Pareek, M (2024) Disproportionate infection, hospitalisation and death from COVID-19 in ethnic minority groups and Indigenous Peoples: an application of the Priority Public Health Conditions analytical framework. eClinicalMedicine, 68.

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Abstract

The COVID-19 pandemic has resulted in disproportionate consequences for ethnic minority groups and Indigenous Peoples. We present an application of the Priority Public Health Conditions (PPHC) framework from the World Health Organisation (WHO), to explicitly address COVID-19 and other respiratory viruses of pandemic potential. This application is supported by evidence that ethnic minority groups were more likely to be infected, implying differential exposure (PPHC level two), be more vulnerable to severe disease once infected (PPHC level three) and have poorer health outcomes following infection (PPHC level four). These inequities are driven by various interconnected dimensions of racism, that compounds with socioeconomic context and position (PPHC level one). We show that, for respiratory viruses, it is important to stratify levels of the PPHC framework by infection status and by societal, community, and individual factors to develop optimal interventions to reduce inequity from COVID-19 and future infectious diseases outbreaks.

Item Type: Article
Uncontrolled Keywords: COVID-19; Ethnicity; Health inequity; Indigenous; Race; SARS-CoV-2; 32 Biomedical and Clinical Sciences; 3202 Clinical Sciences; 42 Health Sciences; Emerging Infectious Diseases; Coronaviruses; Coronaviruses Disparities and At-Risk Populations; Prevention; Infectious Diseases; Social Determinants of Health; 2.2 Factors relating to the physical environment; Infection; 3 Good Health and Well Being; 3202 Clinical sciences; 4203 Health services and systems; 4206 Public health
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Psychology (from Sep 2019)
Publisher: Elsevier
SWORD Depositor: A Symplectic
Date Deposited: 18 Feb 2025 16:06
Last Modified: 18 Feb 2025 16:15
DOI or ID number: 10.1016/j.eclinm.2023.102360
URI: https://researchonline.ljmu.ac.uk/id/eprint/25660
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