Environmental and societal factors associated with COVID-19-related death in people with rheumatic disease: an observational study

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Fältnamn	Indikatorer	Metadata
000		06632naa a2201021 4500
001		oai:DiVA.org:umu-199261
003		SwePub
008		220909s2022 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1992612 URI
024	7	a https://doi.org/10.1016/s2665-9913(22)00192-82 DOI
040		a (SwePub)umu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Izadi, Zara4 aut
245	1 0	a Environmental and societal factors associated with COVID-19-related death in people with rheumatic disease :b an observational study
264	1	b Elsevier,c 2022
338		a print2 rdacarrier
520		a Background: Differences in the distribution of individual-level clinical risk factors across regions do not fully explain the observed global disparities in COVID-19 outcomes. We aimed to investigate the associations between environmental and societal factors and country-level variations in mortality attributed to COVID-19 among people with rheumatic disease globally.Methods: In this observational study, we derived individual-level data on adults (aged 18–99 years) with rheumatic disease and a confirmed status of their highest COVID-19 severity level from the COVID-19 Global Rheumatology Alliance (GRA) registry, collected between March 12, 2020, and Aug 27, 2021. Environmental and societal factors were obtained from publicly available sources. The primary endpoint was mortality attributed to COVID-19. We used a multivariable logistic regression to evaluate independent associations between environmental and societal factors and death, after controlling for individual-level risk factors. We used a series of nested mixed-effects models to establish whether environmental and societal factors sufficiently explained country-level variations in death.Findings: 14 044 patients from 23 countries were included in the analyses. 10 178 (72·5%) individuals were female and 3866 (27·5%) were male, with a mean age of 54·4 years (SD 15·6). Air pollution (odds ratio 1·10 per 10 μg/m3 [95% CI 1·01–1·17]; p=0·0105), proportion of the population aged 65 years or older (1·19 per 1% increase [1·10–1·30]; p<0·0001), and population mobility (1·03 per 1% increase in number of visits to grocery and pharmacy stores [1·02–1·05]; p<0·0001 and 1·02 per 1% increase in number of visits to workplaces [1·00–1·03]; p=0·032) were independently associated with higher odds of mortality. Number of hospital beds (0·94 per 1-unit increase per 1000 people [0·88–1·00]; p=0·046), human development index (0·65 per 0·1-unit increase [0·44–0·96]; p=0·032), government response stringency (0·83 per 10-unit increase in containment index [0·74–0·93]; p=0·0018), as well as follow-up time (0·78 per month [0·69–0·88]; p<0·0001) were independently associated with lower odds of mortality. These factors sufficiently explained country-level variations in death attributable to COVID-19 (intraclass correlation coefficient 1·2% [0·1–9·5]; p=0·14).Interpretation: Our findings highlight the importance of environmental and societal factors as potential explanations of the observed regional disparities in COVID-19 outcomes among people with rheumatic disease and lay foundation for a new research agenda to address these disparities.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Reumatologi och inflammation0 (SwePub)302102 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Rheumatology and Autoimmunity0 (SwePub)302102 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
700	1	a Gianfrancesco, Milena A.4 aut
700	1	a Schmajuk, Gabriela4 aut
700	1	a Jacobsohn, Lindsay4 aut
700	1	a Katz, Patricia4 aut
700	1	a Rush, Stephanie4 aut
700	1	a Ja, Clairissa4 aut
700	1	a Taylor, Tiffany4 aut
700	1	a Shidara, Kie4 aut
700	1	a Danila, Maria I.4 aut
700	1	a Wysham, Katherine D.4 aut
700	1	a Strangfeld, Anja4 aut
700	1	a Mateus, Elsa F.4 aut
700	1	a Hyrich, Kimme L.4 aut
700	1	a Gossec, Laure4 aut
700	1	a Carmona, Loreto4 aut
700	1	a Lawson-Tovey, Saskia4 aut
700	1	a Kearsley-Fleet, Lianne4 aut
700	1	a Schaefer, Martin4 aut
700	1	a Al-Emadi, Samar4 aut
700	1	a Sparks, Jeffrey A.4 aut
700	1	a Hsu, Tiffany Y-T4 aut
700	1	a Patel, Naomi J.4 aut
700	1	a Wise, Leanna4 aut
700	1	a Gilbert, Emily4 aut
700	1	a Duarte-García, Alí4 aut
700	1	a Valenzuela-Almada, Maria O.4 aut
700	1	a Ugarte-Gil, Manuel F.4 aut
700	1	a Ljung, Lotta,d 1964-u Umeå universitet,Reumatologi4 aut0 (Swepub:umu)ljlo0001
700	1	a Scirè, Carlo A.4 aut
700	1	a Carrara, Greta4 aut
700	1	a Hachulla, Eric4 aut
700	1	a Richez, Christophe4 aut
700	1	a Cacoub, Patrice4 aut
700	1	a Thomas, Thierry4 aut
700	1	a Santos, Maria J.4 aut
700	1	a Bernardes, Miguel4 aut
700	1	a Hasseli, Rebecca4 aut
700	1	a Regierer, Anne4 aut
700	1	a Schulze-Koops, Hendrik4 aut
700	1	a Müller-Ladner, Ulf4 aut
700	1	a Pons-Estel, Guillermo4 aut
700	1	a Tanten, Romina4 aut
700	1	a Nieto, Romina E.4 aut
700	1	a Pisoni, Cecilia N.4 aut
700	1	a Tissera, Yohana S.4 aut
700	1	a Xavier, Ricardo4 aut
700	1	a Lopes Marques, Claudia D.4 aut
700	1	a Pileggi, Gecilmara C. S.4 aut
700	1	a Robinson, Philip C.4 aut
700	1	a Machado, Pedro M.4 aut
700	1	a Sirotich, Emily4 aut
700	1	a Liew, Jen W.4 aut
700	1	a Hausmann, Jonathan S.4 aut
700	1	a Sufka, Paul4 aut
700	1	a Grainger, Rebecca4 aut
700	1	a Bhana, Suleman4 aut
700	1	a Gore-Massy, Monique4 aut
700	1	a Wallace, Zachary S.4 aut
700	1	a Yazdany, Jinoos4 aut
710	2	a Umeå universitetb Reumatologi4 org
773	0	t The Lancet Rheumatologyd : Elsevierg 4:9, s. e603-e613q 4:9<e603-e613x 2665-9913
856	4	u https://doi.org/10.1016/s2665-9913(22)00192-8y Fulltext
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-199261
856	4 8	u https://doi.org/10.1016/s2665-9913(22)00192-8

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Av författaren/redakt...: Izadi, Zara; Gianfrancesco, M ...; Schmajuk, Gabrie ...; Jacobsohn, Linds ...; Katz, Patricia; Rush, Stephanie; visa fler...; Ja, Clairissa; Taylor, Tiffany; Shidara, Kie; Danila, Maria I.; Wysham, Katherin ...; Strangfeld, Anja; Mateus, Elsa F.; Hyrich, Kimme L.; Gossec, Laure; Carmona, Loreto; Lawson-Tovey, Sa ...; Kearsley-Fleet, ...; Schaefer, Martin; Al-Emadi, Samar; Sparks, Jeffrey ...; Hsu, Tiffany Y-T; Patel, Naomi J.; Wise, Leanna; Gilbert, Emily; Duarte-García, A ...; Valenzuela-Almad ...; Ugarte-Gil, Manu ...; Ljung, Lotta, 19 ...; Scirè, Carlo A.; Carrara, Greta; Hachulla, Eric; Richez, Christop ...; Cacoub, Patrice; Thomas, Thierry; Santos, Maria J.; Bernardes, Migue ...; Hasseli, Rebecca; Regierer, Anne; Schulze-Koops, H ...; Müller-Ladner, U ...; Pons-Estel, Guil ...; Tanten, Romina; Nieto, Romina E.; Pisoni, Cecilia ...; Tissera, Yohana ...; Xavier, Ricardo; Lopes Marques, C ...; Pileggi, Gecilma ...; Robinson, Philip ...; Machado, Pedro M ...; Sirotich, Emily; Liew, Jen W.; Hausmann, Jonath ...; Sufka, Paul; Grainger, Rebecc ...; Bhana, Suleman; Gore-Massy, Moni ...; Wallace, Zachary ...; Yazdany, Jinoos; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Reumatologi och ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

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