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Hospitalisation rates differed by city district and ethnicity during the first wave of COVID-19 in Amsterdam, The

Liza Coyer1,2, Elke Wynberg3, Marcel Buster4

  • 1Department of Infectious Diseases, Public Health Service of Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, The Netherlands. lcoyer@ggd.amsterdam.nl.

BMC Public Health
|September 23, 2021
PubMed

Insights

COVID-19 hospitalizations were higher in peripheral Amsterdam districts and among individuals with a non-Western migration background. These findings highlight disparities in the burden of coronavirus disease 2019 (COVID-19) during the initial pandemic wave.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Understanding COVID-19 burden at the city district level is crucial for targeted prevention.
  • Amsterdam, Netherlands, serves as the study area for examining COVID-19 hospitalizations.

Purpose of the Study:

  • To analyze COVID-19 hospitalizations by city district and migration background in Amsterdam.
  • To identify disparities in COVID-19 burden based on geographic location and demographic factors.

Main Methods:

  • Utilized surveillance data for PCR-confirmed SARS-CoV-2 hospitalizations until May 31, 2020.
  • Matched hospitalization data with municipal registration data on migration background.
  • Calculated standardized hospitalization rates, rate differences, and rate ratios, adjusting for age and sex using Poisson regression.

Main Results:

  • Peripheral city districts (South-East, New-West, North) with lower socioeconomic and health status showed higher hospitalization rates compared to central districts.
  • Individuals with a non-Western migration background experienced significantly higher hospitalization rates than ethnic-Dutch individuals.
  • Both city district and migration background were independently associated with COVID-19 hospitalization risk.

Conclusions:

  • City districts characterized by lower socioeconomic and health status, as well as those with a non-Western migration background, bore the highest burden of COVID-19 during the first wave.
  • Findings underscore the need for tailored public health interventions addressing geographic and demographic disparities in COVID-19 impact.
Abstract

Keywords:
COVID-19EthnicityGeographicalHospitalisationSARS-CoV-2Socio-economic status

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