The Covid-19 pandemic has had a major impact on migrants and ethnic minorities (MEMs). Socio-economic factors and legal, administrative and language barriers are among the reasons for this increased susceptibility. The aim of the study is to investigate the impact of Covid-19 on MEMs compared to the general population in terms of serious outcomes. We conducted a systematic review collecting studies on the impact of Covid-19 on MEMs compared to the general population in the WHO European Region regarding hospitalisation, intensive care unit (ICU) admission and mortality, published between 01/01/2020 and 19/03/2021. Nine researchers were involved in selection, study quality assessment and data extraction. Of the 82 studies included, 15 of the 16 regarding hospitalisation for Covid-19 reported an increased risk for MEMs compared to the white and/or native population and 22 out of the 28 studies focusing on the ICU admission rates found an increased risk for MEMs. Among the 65 studies on mortality, 43 report a higher risk for MEMs. An increased risk of adverse outcomes was reported for MEMs. Social determinants of health are among the main factors involved in the genesis of health inequalities: a disadvantaged socio-economic status, a framework of structural racism and asymmetric access to healthcare are linked to increased susceptibility to the consequences of Covid-19. These findings underline the need for policymakers to consider the socio-economic barriers when designing prevention plans.

Risk of Covid-19 severe outcomes and mortality in migrants and ethnic minorities compared to the general population in the european WHO region. A systematic review / Mazzalai, Elena; Giannini, Dara; Tosti, Maria Elena; D'Angelo, Franca; Declich, Silvia; Jaljaa, Anissa; Caminada, Susanna; Turatto, Federica; De Marchi, Chiara; Gatta, Angela; Angelozzi, Aurora; Marchetti, Giulia; Pizzarelli, Scilla; Marceca, Maurizio. - In: JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION. - ISSN 1488-3473. - (2023). [10.1007/s12134-023-01007-x]

Risk of Covid-19 severe outcomes and mortality in migrants and ethnic minorities compared to the general population in the european WHO region. A systematic review

Mazzalai, Elena
;
Giannini, Dara;Tosti, Maria Elena;Jaljaa, Anissa;Caminada, Susanna;Turatto, Federica;De Marchi, Chiara;Gatta, Angela;Angelozzi, Aurora;Marceca, Maurizio
2023

Abstract

The Covid-19 pandemic has had a major impact on migrants and ethnic minorities (MEMs). Socio-economic factors and legal, administrative and language barriers are among the reasons for this increased susceptibility. The aim of the study is to investigate the impact of Covid-19 on MEMs compared to the general population in terms of serious outcomes. We conducted a systematic review collecting studies on the impact of Covid-19 on MEMs compared to the general population in the WHO European Region regarding hospitalisation, intensive care unit (ICU) admission and mortality, published between 01/01/2020 and 19/03/2021. Nine researchers were involved in selection, study quality assessment and data extraction. Of the 82 studies included, 15 of the 16 regarding hospitalisation for Covid-19 reported an increased risk for MEMs compared to the white and/or native population and 22 out of the 28 studies focusing on the ICU admission rates found an increased risk for MEMs. Among the 65 studies on mortality, 43 report a higher risk for MEMs. An increased risk of adverse outcomes was reported for MEMs. Social determinants of health are among the main factors involved in the genesis of health inequalities: a disadvantaged socio-economic status, a framework of structural racism and asymmetric access to healthcare are linked to increased susceptibility to the consequences of Covid-19. These findings underline the need for policymakers to consider the socio-economic barriers when designing prevention plans.
2023
covid-19; ethnic minorities; europe; health inequalities; migrants; severe outcomes
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Risk of Covid-19 severe outcomes and mortality in migrants and ethnic minorities compared to the general population in the european WHO region. A systematic review / Mazzalai, Elena; Giannini, Dara; Tosti, Maria Elena; D'Angelo, Franca; Declich, Silvia; Jaljaa, Anissa; Caminada, Susanna; Turatto, Federica; De Marchi, Chiara; Gatta, Angela; Angelozzi, Aurora; Marchetti, Giulia; Pizzarelli, Scilla; Marceca, Maurizio. - In: JOURNAL OF INTERNATIONAL MIGRATION AND INTEGRATION. - ISSN 1488-3473. - (2023). [10.1007/s12134-023-01007-x]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1667907
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