Investigating the contribution of socio-economic position to ethnic inequalities in severe COVID-19 outcomes: population-based mediation analyses of national linked Scottish data.

ABSTRACT: We quantified the extent to which socio-economic position (SEP) contributed to ethnic inequalities in severe COVID-19 outcomes (hospitalization or death) in Scotland. We used linked 2011 Scottish Census and health records to assess whether ethnic inequalities were mediated by different SEP measures: area deprivation, educational status, household composition, and multigenerational household. We considered disaggregated ethnicities 'White Scottish', 'White British or Irish', 'Other White', 'South Asian', 'African, Caribbean, or Black', and 'Other'. We applied marginal structural models to estimate causal pathways. Of the 3 297 205 individuals analysed, 38 213 (1.2%) had severe COVID-19 outcomes. South Asians had elevated risk of severe COVID-19 compared to White Scottish (hazard ratio: 1.7;

SUBMITTER: Amele S 

PROVIDER: S-EPMC12311338 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature