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A poorly understood disease? The impact of COVID-19 on the income gradient in mortality over the course of the pandemic.

ABSTRACT: Mortality inequalities remain substantial in many countries, and large shocks such as pandemics could amplify them further. The unequal distribution of COVID-19 confirmed cases suggests that this is the case. Yet, evidence on the causal effect of the epidemic on mortality inequalities remains scarce. In this paper, we exploit exhaustive municipality-level data in France, one of the most severely hit country in the world, to identify a negative relationship between income and excess mortality within urban areas, that persists over COVID-19 waves. Over the year 2020, the poorest municipalities experienced a 30% higher increase in excess mortality. Our analyses can rule out an independent contribution of lockdown policies to this heterogeneous impact. Finally, we find evidence that both labor-market exposure and housing conditions are major determinants of the epidemic-induced effects of COVID-19 on mortality inequalities, but that their respective role depends on the state of the epidemic.

SUBMITTER: Brandily P

PROVIDER: S-EPMC8492390 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

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A poorly understood disease? The impact of COVID-19 on the income gradient in mortality over the course of the pandemic.

Brandily Paul P Brébion Clément C Briole Simon S Khoury Laura L

European economic review 20211006

Mortality inequalities remain substantial in many countries, and large shocks such as pandemics could amplify them further. The unequal distribution of COVID-19 confirmed cases suggests that this is the case. Yet, evidence on the causal effect of the epidemic on mortality inequalities remains scarce. In this paper, we exploit exhaustive municipality-level data in France, one of the most severely hit country in the world, to identify a negative relationship between income and excess mortality wit ...[more]

PMID: 34629487

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A poorly understood disease? The impact of COVID-19 on the income gradient in mortality over the course of the pandemic.

Publications

A poorly understood disease? The impact of COVID-19 on the income gradient in mortality over the course of the pandemic.

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