| 1. |
- Lundberg, Christina, et al.
(författare)
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Age and sex differences in cause-specific excess mortality and years of life lost associated with COVID-19 infection in the Swedish population
- 2023
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Ingår i: European Journal of Public Health. - : OXFORD UNIV PRESS. - 1101-1262 .- 1464-360X. ; 33:5, s. 916-22
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Tidskriftsartikel (refereegranskat)abstract
- Background Estimating excess mortality and years of life lost (YLL) attributed to coronavirus disease 19 (COVID-19) infection provides a comprehensive picture of the mortality burden on society. We aimed to estimate the impact of the COVID-19 pandemic on age- and sex-specific excess mortality and YLL in Sweden during the first 17 months of the pandemic. Methods In this population-based observational study, we calculated age- and sex-specific excess all-cause mortality and excess YLL during 2020 and the first 5 months of 2021 and cause-specific death [deaths from cardiovascular disease (CVD), cancer, other causes and deaths excluding COVID-19] in 2020 compared with an average baseline for 2017-19 in the whole Swedish population. Results COVID-19 deaths contributed 9.9% of total deaths (98 441 deaths, 960 305 YLL) in 2020, accounting for 75 151 YLL (7.7 YLL/death). There were 2672 (5.7%) and 1408 (3.0%) excess deaths, and 19 141 (3.8%) and 3596 (0.8%) excess YLL in men and women, respectively. Men aged 65-110 years and women aged 75-110 years were the greatest contributors. Fewer deaths and YLL from CVD, cancer and other causes were observed in 2020 compared with the baseline adjusted to the population size in 2020. Conclusions Compared with the baseline, excess mortality and YLL from all causes were experienced in Sweden during 2020, with a higher excess observed in men than in women, indicating that more men died at a younger age while more women died at older ages than expected. A notable reduction in deaths and YLL due to CVD suggests a displacement effect from CVD to COVID-19.
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| 2. |
- Rosengren, Annika, 1951, et al.
(författare)
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COVID-19 in people aged 18–64 in Sweden in the first year of the pandemic: Key factors for severe disease and death
- 2022
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Ingår i: Global Epidemiology. - : Elsevier BV. - 2590-1133. ; 4
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Tidskriftsartikel (refereegranskat)abstract
- Background: Studies on risk factors for severe COVID-19 in people of working age have generally not included non-working persons or established population attributable fractions (PAFs) for occupational and other factors. Objectives: We describe the effect of job-related, sociodemographic, and other exposures on the incidence, relative risks and PAFs of severe COVID-19 in individuals aged 18–64. Methods: We conducted a registry-based study in Swedish citizens aged 18–64 from 1 January 2020 to 1 February 2021 with respect to COVID-19-related hospitalizations and death. Results: Of 6,205,459 persons, 272,043 (7.5%) were registered as infected, 3399 (0.05%) needed intensive care, and 620 (0.01%) died, with an estimated case fatality rate of 0.06% over the last 4-month period when testing was adequate. Non-Nordic origin was associated with a RR for need of intensive care of 3·13, 95%CI 2·91–3·36, and a PAF of 32·2% after adjustment for age, sex, work, region and comorbidities. In a second model with occupation as main exposure, and adjusted for age, sex, region, comorbidities and origin, essential workers had an RR of 1·51, 95%CI, 1·35–1·6, blue-collar workers 1·18, 95%CI 1·06–1·31, school staff 1·21, 95%CI 1·01–1·46, and health and social care workers 1·89, 95%CI 1·67–2·135) compared with people able to work from home, with altogether about 13% of the PAF associated with these occupations. Essential workers and blue-collar workers, but no other job categories had higher risk of death, adjusted RRs of 1·79, 95%CI 1·34–2·38 and 1·37, 95%CI 1·04–1·81, with adjusted PAFs of altogether 9%. Conclusion: Among people of working age in Sweden, overall mortality and case fatality were low. Occupations that require physical presence at work were associated with elevated risk of needing intensive care for COVID-19, with 14% cases attributable to this factor, and 9% of deaths.
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| 3. |
- Rosengren, Annika, 1951, et al.
(författare)
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Severe COVID-19 in people 55 and older during the first year of the pandemic in Sweden
- 2022
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Ingår i: Journal of Internal Medicine. - : Wiley. - 0954-6820 .- 1365-2796 .- 0955-7873. ; 292:4, s. 641-653
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Tidskriftsartikel (refereegranskat)abstract
- Background Exposure to many contacts is the main risk factor for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, while risk of serious disease and death is chiefly determined by old age and comorbidities. Relative and population-attributable fractions (PAFs) of multiple medical and social exposures for COVID-19 outcomes have not been evaluated among older adults. Objectives We describe the effect of multiple exposures on the odds of testing positive for the virus and of severe disease (hospital care or death) and PAFs in Swedish citizens aged 55 years and above. Methods We used national registers to follow all citizens aged 55 years and above with respect to (1) testing positive, (2) hospitalization, and (3) death between 31 January 2020 and 1 February 2021. Results Of 3,410,241 persons, 156,017 (4.6%, mean age 68.3 years) tested positive for SARS-CoV-2, while 35,999 (1.1%, mean age 76.7 years) were hospitalized or died (12,384 deaths, 0.4%, mean age 84.0 years). Among the total cohort, the proportion living without home care or long-term care was 98.8% among persons aged 55-64 and 22.1% of those aged 95 and above. After multiple adjustment, home care and long-term care were associated with odds ratios of 7.9 (95% confidence interval [CI] 6.8-9.1) and 22.5 (95% CI 19.6-25.7) for mortality, with PAFs of 21.9% (95% CI 20.9-22.9) and 33.3% (95% CI 32.4-34.3), respectively. Conclusion Among Swedish residents aged 55 years and above, those with home care or long-term care had markedly increased risk for COVID-19 death during the first year of the pandemic, with over 50% of deaths attributable to these factors.
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| 4. |
- Aradhya, Siddartha, et al.
(författare)
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Intermarriage and COVID-19 mortality among immigrants. A population-based cohort study from Sweden
- 2021
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 11:9
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Tidskriftsartikel (refereegranskat)abstract
- Objectives To evaluate the role of language proficiency and institutional awareness in explaining excess COVID-19 mortality among immigrants. Design Cohort study with follow-up between 12 March 2020 and 23 February 2021. Setting Swedish register-based study on all residents in Sweden. Participants 3 963 356 Swedish residents in co-residential unions who were 30 years of age or older and alive on 12 March 2020 and living in Sweden in December 2019. Outcome measures Cox regression models were conducted to assess the association between different constellations of immigrant-native couples (proxy for language proficiency and institutional awareness) and COVID-19 mortality and all other causes of deaths (2019 and 2020). Models were adjusted for relevant confounders. Results Compared with Swedish-Swedish couples (1.18 deaths per thousand person-years), both immigrants partnered with another immigrant and a native showed excess mortality for COVID-19 (HR 1.43; 95% CI 1.29 to 1.58 and HR 1.24; 95% CI 1.10 to 1.40, respectively), which translates to 1.37 and 1.28 deaths per thousand person-years. Moreover, similar results are found for natives partnered with an immigrant (HR 1.15; 95% CI 1.02 to 1.29), which translates to 1.29 deaths per thousand person-years. Further analysis shows that immigrants from both high-income and low-income and middle-income countries (LMIC) experience excess mortality also when partnered with a Swede. However, having a Swedish-born partner is only partially protective against COVID-19 mortality among immigrants from LMIC origins. Conclusions Language barriers and/or poor institutional awareness are not major drivers for the excess mortality from COVID-19 among immigrants. Rather, our study provides suggestive evidence that excess mortality among immigrants is explained by differential exposure to the virus.
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| 5. |
- Billingsley, Sunnee, 1976-, et al.
(författare)
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COVID-19 mortality across occupations and secondary risks for elderly individuals in the household : A population register-based study
- 2022
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Ingår i: Scandinavian Journal of Work, Environment and Health. - : Scandinavian Journal of Work, Environment and Health. - 0355-3140 .- 1795-990X. ; 48:1, s. 52-60
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Tidskriftsartikel (refereegranskat)abstract
- Objectives This is the first population-level study to examine inequalities in COVID-19 mortality according to working-age individuals' occupations and the indirect occupational effects on COVID-19 mortality of older individuals who live with them.Methods We used early-release data for the entire population of Sweden of all recorded COVID-19 deaths from 12 March 2020 to 23 February 2021, which we linked to administrative registers and occupational measures. Cox proportional hazard models assessed relative risks of COVID-19 mortality for the working-aged population registered in an occupation in December 2018 and the older population who lived with them.Results Among working aged-adults, taxi/bus drivers had the highest relative risk of COVID-19 mortality: over four times that of skilled workers in IT, economics, or administration when adjusted only for basic demographic characteristics. After adjusting for socioeconomic factors (education, income and country of birth), there are no occupational groups with clearly elevated (statistically significant) COVID-19 mortality. Neither a measure of exposure within occupations nor the share that generally can work from home were related to working-aged adults' risk of COVID-19 mortality. Instead of occupational factors, traditional socioeconomic risk factors best explained variation in COVID-19 mortality. Elderly individuals, however, faced higher COVID-19 mortality risk both when living with a delivery or postal worker or worker(s) in occupations that generally work from home less, even when their socioeconomic factors are taken into account.Conclusions Inequalities in COVID-19 mortality of working-aged adults were mostly based on traditional risk factors and not on occupational divisions or characteristics in Sweden. However, older individuals living with those who likely cannot work from home or work in delivery or postal services were a vulnerable group.
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| 6. |
- Brandén, Maria, 1982-
(författare)
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Boendesituationen och risken att avlida avcovid-19 för äldre individer i Stockholm
- 2020
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Ingår i: Svepet- Medlemstidning för Svensk Epidemiologisk Förening. - : Svensk Epidemiologisk förening. ; :4, s. 12-12
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Vi har undersökt hur äldre stockholmares risk att avlida av covid-19 mellan 12 mars och 7 maj 2020 var associerad med boendesituation och bostadsområde. Individer som bodde med någon iarbetsför ålder löpte högre risk att dö av covid-19 jämfört med äldre som endast bodde medandra äldre, och detsamma gällde individer som bodde på äldreboenden och individer boende itätt befolkade grannskap eller stadsdelar med utbredd smittspridning.
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| 7. |
- Brandén, Maria, 1982-, et al.
(författare)
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Does school segregation lead to poor educational outcomes? : evidence from fifteen cohorts of swedish ninth graders
- 2016
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- We examine the impact of ethnic school segregation on the educational outcomes of students, using Swedish population register data. Through a school fixed effects, family fixed effects, and a two-way school- and family fixed effects design, we adjust for selection effects related to variation in the student composition across schools. The analyses show that students’ grades are relatively unaffected by the proportion of immigrant schoolmates. However, it has a small negative effect on levels of eligibility for upper secondary school. Furthermore, immigrants’ educational outcomes are weakly positively affected by the proportion of peers with the same national background as themselves.
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| 8. |
- Brandén, Maria, 1982-, et al.
(författare)
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Escaping one’s disadvantage? Neighbourhoods, socioeconomic origin and children’s adult life outcomes
- 2022
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Ingår i: European Sociological Review. - : Oxford University Press (OUP). - 0266-7215 .- 1468-2672. ; 39:4, s. 601-614
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Tidskriftsartikel (refereegranskat)abstract
- This study investigates if neighbourhoods can alter the strong relationship between parental background and children’s adult outcomes. In particular, we examine if neighbourhood effects are heterogeneous in such a way that they are particularly important for children from disadvantaged backgrounds, and if school quality has a mediating effect in this equation. Using register data and individualized neighbourhoods, we follow five full birth cohorts of individuals born from 1983 to 1987. We examine the interaction between social background and neighbourhoods in shaping (i) the risk of children relying on social welfare when they are aged 30, and (ii) the probability of belonging to the highest income decile at age 30–34. Growing up in a resource-rich neighbourhood is associated with better life outcomes. Contrary to what several neighbourhood theories predict, we find that neighbourhood effects operate similarly regardless of social background. Differences in peer composition of schools does not explain these local neighbourhood effects, whereas own school results attenuate neighbourhood effects substantially. Our findings are in contrast to results from the United States studies but are in line with historical Swedish studies; and contribute to further disentangling the various mechanisms through which the neighbourhood operates.
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| 9. |
- Brandén, Maria, 1982-
(författare)
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Family Migration and Gender Differentials in Earnings : The Impact of Occupational Sex Segregation
- 2013
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Family migration is often associated with an increase in men’s income and a decrease in women’s income. Attempts have been made to explain this gender imbalance with gender differences in economic bargaining power and gender traditional ideology. This study addresses a far less studied underlying mechanism, namely the impact of occupational sex segregation. Female-dominated occupations have been suggested to have a secondary migration status, which may be why women do not gain as much as men from moving. I test this hypothesis using unique Swedish population register data, including all dual-earner couples aged 20 to 55 with at least one common child in any of the years 1998-2001, and follow how their annual earnings trajectories and changes in the women’s economic dependency in the household are associated with their migration status. Results reveal that it is not until after six years that men gain from moving. A substantial part of these gains stems from moving men working in occupations with high earnings potential. In the first few years after a move, women’s earnings trajectories suffer, to some extent because of additional children being born. Six years after a move, moving women’s earnings trajectories have recovered and are similar to those of staying women. Women’s gains, however, are still lower than men’s even after adjusting for occupational differences. Women and men gain more from moving if they are working in occupations that exist all over the country. Men also have steeper earnings trajectories if partnered with women in these types of occupations, regardless of whether the couple moves.
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| 10. |
- Brandén, Maria, 1982-
(författare)
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Förlust av familjemedlemmar i covid-19 : skillnader mellan sociodemografiska grupper och områden
- 2020
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Rapport (populärvet., debatt m.m.)abstract
- Sex gånger så många som har dött i covid-19 har förlorat en familjemedlem i sjukdomen, och i Stockholm är låginkomsttagare, lågutbildade och individer med invandrarbakgrund överrepresenterade i denna grupp. Stadsdelar med hög andel låginkomsttagare eller utrikesfödda är särskilt drabbade. Att förlora en familjemedlem kan innebära en förlust av socialt och ekonomiskt stöd och att förlora en familjemedlem i just covid-19 antas vara extra traumatiskt. Individer som drabbats av detta kan därför vara i behov av olika former av samhälleligt stöd.
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