French Institute for Demographic Studies (INED), Mortality, Health, Epidemiology Unit, Aubervilliers, France.
French Collaborative Institute on Migrations/CNRS, Aubervilliers, France.
Eur J Public Health. 2022 Aug 1;32(4):655-663. doi: 10.1093/eurpub/ckac046.
Immigrants and ethnic/racialized minorities have been identified as being at higher risk of coronavirus disease-19 (COVID-19) infection, but few studies report on their exposures and prevention behaviours. This study aims to examine the social distribution of COVID-19 exposure (overcrowding, working outside the home, use of public transport to go to work) and prevention behaviours (use of face masks, washing hands, respect for physical distance) in France during the first wave of the epidemic.
We used the EpiCov population-based survey from a random sample of individuals aged 15 years or more. We determined the distribution of the self-reported outcomes according to migratory status and sex, using χ2 tests. We modelled the probability of outcomes with logistic regression. Finally, we focused the analysis on the Greater Paris area and accounted for neighbourhood characteristics.
A total of 111 824 participants were included in the study. Overall, immigrant groups from non-European countries were more exposed to COVID-19-related factors and more respectful of prevention measures. The probability of overcrowding and the use of public transport was higher for immigrants from sub-Saharan Africa [adjusted odds ratio (aOR) = 3.71 (3.19; 4.32), aOR = 6.36 (4.86; 8.32)] than for the majority population. Immigrant groups were less likely to have a non-systematic use of face masks and to breach physical distancing than the majority population [for immigrants from sub-Saharan Africa, aOR = 0.32 (0.28; 0.37) and aOR = 0.71 (0.61; 0.81), respectively]. Living in a neighbourhood with a higher share of immigrants was associated with higher exposure and better prevention behaviours.
In France, immigrants had a higher exposure to COVID-19-related factors and more systematic prevention behaviours.
移民和族裔/种族少数群体被认为感染冠状病毒病 19（COVID-19）的风险更高，但很少有研究报告他们的接触和预防行为。本研究旨在检查法国在疫情第一波期间 COVID-19 接触（过度拥挤、外出工作、使用公共交通工具上班）和预防行为（使用口罩、洗手、遵守身体距离）的社会分布。
我们使用基于人群的 EpiCov 调查，从年龄在 15 岁或以上的个体中随机抽样。我们使用 χ2 检验根据移民身份和性别确定自我报告结果的分布。我们使用逻辑回归模型预测结果的概率。最后，我们将分析重点放在大巴黎地区，并考虑到邻里特征。
共有 111824 名参与者纳入研究。总体而言，来自非欧洲国家的移民群体更容易接触到与 COVID-19 相关的因素，也更遵守预防措施。来自撒哈拉以南非洲的移民过度拥挤和使用公共交通工具的可能性更高[调整后的优势比（aOR）=3.71（3.19；4.32），aOR=6.36（4.86；8.32）]，而不是大多数人口。移民群体不太可能不系统地使用口罩和违反身体距离，而不是大多数人口[对于来自撒哈拉以南非洲的移民，aOR=0.32（0.28；0.37）和 aOR=0.71（0.61；0.81）]。居住在移民比例较高的邻里与更高的接触和更好的预防行为有关。
在法国，移民接触 COVID-19 相关因素的风险更高，且预防行为更系统。
