King's Business School, King's College London, Bush House, 30 Aldwych, London, WC2B 4BG, United Kingdom; CEPR Centre for Economic Policy Research, 2nd Floor, 33 Great Sutton Street, London, EC1V 0DX, United Kingdom.
Soc Sci Med. 2022 Jul;305:115072. doi: 10.1016/j.socscimed.2022.115072. Epub 2022 May 25.
The Covid-19 pandemic has affected countries and regions to varying degrees. In this paper, I examine the socioeconomic determinants of Covid-19 mortality and study whether vaccinations have affected the relationship between those determinants and Covid-19 mortality rates across local areas in England. I use monthly data for 6791 Middle Layer Super Output Areas for the period from March 2020 to April 2021 and estimate a spatial correlations model with local authority and time fixed effects. To study whether vaccinations have affected the relationship between socioeconomic determinants and Covid-19 mortality, I extend the model to include interactions between socioeconomic variables and the lagged cumulative vaccination rate. I find that Covid-19 mortality is higher in areas that have an older population, a larger share of Asian population, higher population density, lower income, poorer pre-existing health and a larger share of employment in health and social care occupations. Vaccinations have weakened the links between mortality and these socioeconomic characteristics. These findings highlight the importance of making vaccines widely available and encouraging take-up, to reduce inequality in Covid-19 mortality across socioeconomic groups.
新冠疫情已经在不同程度上影响了各国和各地区。在本文中,我考察了新冠死亡率的社会经济决定因素,并研究了疫苗接种是否影响了英格兰各地区新冠死亡率与这些决定因素之间的关系。我使用了 2020 年 3 月至 2021 年 4 月期间的 6791 个中层超级输出区的月度数据,并估计了一个具有地方当局和时间固定效应的空间相关模型。为了研究疫苗接种是否影响了社会经济决定因素与新冠死亡率之间的关系,我将模型扩展到包括了社会经济变量与滞后累计疫苗接种率之间的交互作用。我发现,老年人口比例较高、亚洲人口比例较大、人口密度较高、收入较低、预先存在的健康状况较差以及在卫生和社会保健职业中就业比例较高的地区,新冠死亡率更高。疫苗接种削弱了死亡率与这些社会经济特征之间的联系。这些发现强调了广泛提供疫苗并鼓励接种的重要性,以减少新冠死亡率在社会经济群体之间的不平等。