Medicine and Health

Inequalities in COVID-19 severe morbidity and mortality by country of birth in Sweden

M. Rostila, A. Cederström, et al.

This comprehensive cohort study, involving over 7.8 million adults in Sweden, reveals important disparities in COVID-19 ICU admissions and mortality linked to country of birth. Notably, migrants from various global regions faced higher risks compared to Swedish-born individuals, despite a decrease in inequalities over time. The research, conducted by Mikael Rostila and colleagues, emphasizes the critical role of socioeconomic factors and the positive impact of vaccination campaigns in lessening these disparities.

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Abstract

This population-based cohort study (n = 7,870,441 adults in Sweden, March 1, 2020–June 1, 2022) examined inequalities in COVID-19 ICU admission and mortality by country of birth. Migrants from Africa, the Middle East, Asia, and non-EU28/EEA European countries had higher risks than Swedish-born individuals. High risks of ICU admission were also observed in South American migrants. Inequalities generally lessened over subsequent pandemic waves. Socioeconomic status and living conditions contributed to disparities, while vaccination campaigns significantly reduced inequalities once available.

Publisher

Nature Communications

Published On

Aug 15, 2023

Authors

Mikael Rostila, Agneta Cederström, Matthew Wallace, Siddartha Aradhya, Malin Ahrne, Sol P. Juárez

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