dc.contributor.author | BRANDÉN, Maria | |
dc.contributor.author | ARADHYA, Siddartha | |
dc.contributor.author | KOLK, Martin | |
dc.contributor.author | HARKONEN, Juho | |
dc.contributor.author | DREFAHL, Sven | |
dc.contributor.author | MALMBERG, Bo | |
dc.contributor.author | ROSTILA, Mikael | |
dc.contributor.author | CEDERSTRÖM, Agneta | |
dc.contributor.author | ANDERSSON, Gunnar | |
dc.contributor.author | MUSSINO, Eleonora | |
dc.date.accessioned | 2020-07-13T12:23:30Z | |
dc.date.available | 2020-07-13T12:23:30Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 2002-617X | |
dc.identifier.uri | https://hdl.handle.net/1814/67690 | |
dc.description | Published on 6 July 2020 | en |
dc.description.abstract | Background: Housing characteristics and neighbourhood context are considered risk factors for COVID-19 mortality among the elderly. This study is the first to examine how individuallevel housing and neighbourhood characteristics are associated with old-age COVID-19 mortality. Methods: We perform Cox proportional hazards regression for the risk of dying from COVID-19 (N=1,299) and from all other causes (N=2,302) in all individuals aged 70 and above living in the Stockholm region (N=274,542). Findings: In fully adjusted models, household and neighbourhood characteristics are independently associated with COVID-19 mortality among the elderly. Compared to living in only-old households, living with someone of working age is associated with elevated COVID-19 mortality (HR = 1.6; 95% CI = 1.3-2.0). Living in a care home is associated with a 4-fold (HR = 4.1; 95% CI = 3.5-4.9) risk of COVID-19 mortality compared to living in independent housing. Living in neighbourhoods with the highest population density was associated with higher COVID-19 mortality (HR = 1.6; 95% CI = 1.1-2.4) compared to living in the least densely populated neighbourhoods. Interpretation: The close exposure to working-age individuals -- be it in the form of care workers, household members, or neighbours -- can have detrimental effects on elderly people’s ability to survive the COVID-19 pandemic. These factors should be taken into account when developing strategies to protect this group. Funding: The Swedish Research Council for Health, Working Life and Welfare (FORTE), grant 2016-07115. The Swedish Foundation for Humanities and Social Sciences (Riksbankens Jubileumsfond), grant M18-0214:1. | en |
dc.format.mimetype | application/pdf | |
dc.language.iso | en | en |
dc.publisher | Stockholm University | en |
dc.relation.ispartofseries | Stockholm Research Reports in Demography | en |
dc.relation.ispartofseries | 2020/31 | en |
dc.relation.ispartofseries | [SPS] | en |
dc.rights | info:eu-repo/semantics/openAccess | en |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Covid-19 | en |
dc.subject | COVID-19 | en |
dc.subject | Coronavirus | en |
dc.subject | Register data | en |
dc.subject | Multigenerational households | en |
dc.subject | Neighbourhood | en |
dc.title | Residential context and COVID-19 mortality among the elderly in Stockholm : a population-based, observational study | en |
dc.type | Technical Report | en |
dc.identifier.doi | 10.17045/sthlmuni.12612947.v1 | |
dc.rights.license | Attribution 4.0 International | * |