Social inequalities in mobility during and following the COVID-19 associated lockdown of the Madrid metropolitan area in Spain.

Social inequalities in mobility during and following the COVID-19 associated lockdown of the Madrid metropolitan area in Spain.
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DOI:
10.1016/j.healthplace.2021.102580
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发表时间:
2021-07
期刊:
影响因子:
4.8
通讯作者:
Bilal U
Bilal U
中科院分区:
医学2区
文献类型:
--
作者:
Glodeanu A;Gullón P;Bilal U

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西班牙是全球受COVID-19影响最严重的地区之一,而马德里是受影响最严重的城市。为应对此情况,西班牙政府于二零二零年三月下旬实施严格封锁,并逐步放宽至二零二零年六月。我们探讨了在COVID-19封锁之前、期间和之后,马德里功能区不同区域级别剥夺的流动性差异。我们使用了来自国家统计研究所(INE)的手机移动性指标(离开所在地区的人口百分比),以及西班牙流行病学协会(SEE)的剥夺综合指标。我们计算了流动性相对于大流行前水平的变化,并探讨了空间模式和与剥夺的关联。我们发现,在贫困程度较低的地区,COVID-19之前的流动性水平略高。经济冬眠期导致流动性大幅下降,在贫困程度较低的地区尤为严重。这些差异在重新开放期间减弱,一旦完全解除封锁,流动性水平就因剥夺而相似。鉴于COVID-19暴露存在重要的社会经济差异,确保这些干预措施不会扩大现有的社会不平等至关重要。
Spain has been one of the most affected regions by the COVID-19 worldwide, and Madrid its most affected city. In response to this, the Spanish government enacted a strict lockdown in late March 2020, that was gradually eased until June 2020. We explored differentials in mobility by area-level deprivation in the functional area of Madrid, before, during, and after the COVID-19 lockdown. We used cell phone-derived mobility indicators (% of the population leaving their area) from the National Institute of Statistics (INE), and a composite measure of deprivation from the Spanish Society of Epidemiology (SEE). We computed changes in mobility with respect to pre-pandemic levels, and explored spatial patterns and associations with deprivation. We found that levels of mobility before COVID-19 were slightly higher in areas with lower deprivation. The economic hibernation period resulted in very strong declines in mobility, most acutely in low deprivation areas. These differences weakened during the re-opening, and levels of mobility were similar by deprivation once the lockdown was completely lifted. Given the existence of important socioeconomic differentials in COVID-19 exposure, it is key to ensure that these interventions do not widen existing social inequalities.
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