Inequality, public health, and COVID‐19: an analysis of the Spanish case by municipalities

The main objective of this work is to analyze whether inequality in income distribution has an effect on COVID-19 incidence and mortality rates during the first wave of the pandemic, and how the public health system mitigates these effects. To this end, the case of 819 Spanish municipalities is used...

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Main Authors: Amate Fortes, Ignacio, Guarnido Rueda, Almudena
Format: info:eu-repo/semantics/article
Language:English
Published: Springer 2023
Subjects:
Online Access:http://hdl.handle.net/10835/14921
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author Amate Fortes, Ignacio
Guarnido Rueda, Almudena
author_facet Amate Fortes, Ignacio
Guarnido Rueda, Almudena
author_sort Amate Fortes, Ignacio
collection DSpace
description The main objective of this work is to analyze whether inequality in income distribution has an effect on COVID-19 incidence and mortality rates during the first wave of the pandemic, and how the public health system mitigates these effects. To this end, the case of 819 Spanish municipalities is used, and a linear cross-sectional model is estimated. The results obtained allow us to conclude that a higher level of income inequality generates a higher rate of infections but not deaths, highlighting the importance of the Spanish National Health Service, which does not distinguish by income level. Likewise, early detection of infection measured by the number of primary care centers per 100,000 inhabitants, access to health care for the treatment of the most severe cases, unemployment as a proxy for job insecurity, climatic conditions, and population density are also important factors that determine how COVID-19 affects the population.
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spelling oai:repositorio.ual.es:10835-149212023-12-22T11:40:56Z Inequality, public health, and COVID‐19: an analysis of the Spanish case by municipalities Amate Fortes, Ignacio Guarnido Rueda, Almudena COVID-19 Income inequality Unemployment Health centers Population density The main objective of this work is to analyze whether inequality in income distribution has an effect on COVID-19 incidence and mortality rates during the first wave of the pandemic, and how the public health system mitigates these effects. To this end, the case of 819 Spanish municipalities is used, and a linear cross-sectional model is estimated. The results obtained allow us to conclude that a higher level of income inequality generates a higher rate of infections but not deaths, highlighting the importance of the Spanish National Health Service, which does not distinguish by income level. Likewise, early detection of infection measured by the number of primary care centers per 100,000 inhabitants, access to health care for the treatment of the most severe cases, unemployment as a proxy for job insecurity, climatic conditions, and population density are also important factors that determine how COVID-19 affects the population. 2023-12-22T11:40:56Z 2023-12-22T11:40:56Z 2022-03-09 info:eu-repo/semantics/article 1618-7598 http://hdl.handle.net/10835/14921 10.1007/s10198-022-01455-9 en https://link.springer.com/article/10.1007/s10198-022-01455-9 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess Springer
spellingShingle COVID-19
Income inequality
Unemployment
Health centers
Population density
Amate Fortes, Ignacio
Guarnido Rueda, Almudena
Inequality, public health, and COVID‐19: an analysis of the Spanish case by municipalities
title Inequality, public health, and COVID‐19: an analysis of the Spanish case by municipalities
title_full Inequality, public health, and COVID‐19: an analysis of the Spanish case by municipalities
title_fullStr Inequality, public health, and COVID‐19: an analysis of the Spanish case by municipalities
title_full_unstemmed Inequality, public health, and COVID‐19: an analysis of the Spanish case by municipalities
title_short Inequality, public health, and COVID‐19: an analysis of the Spanish case by municipalities
title_sort inequality, public health, and covid‐19: an analysis of the spanish case by municipalities
topic COVID-19
Income inequality
Unemployment
Health centers
Population density
url http://hdl.handle.net/10835/14921
work_keys_str_mv AT amatefortesignacio inequalitypublichealthandcovid19ananalysisofthespanishcasebymunicipalities
AT guarnidoruedaalmudena inequalitypublichealthandcovid19ananalysisofthespanishcasebymunicipalities