Stockholm university

Research project Explaining COVID-19 mortality among immigrants in Sweden

Explaining COVID-19 mortality among immigrants in Sweden: A social determinants of health perspective

The main contribution of this project lies in its thorough empirical evaluation of how social conditions shape group risks in the context of a pandemic giving rise to native-immigrant inequalities in COVID-19 mortality. Furthermore, we will offer a comprehensive understanding of native-immigrant inequalities across the COVID-19 disease pathway (i.e., positive test, hospitalization, intensive care unit admission and death).

Covid-19 mortality
Photo: Sasirin Pamai/Mostphotos

Project description

Immigrants from low - to high-income countries have experienced excess COVID-19 mortality in Sweden to an extent that contrasts sharply with the immigrant mortality advantage observed for other causes before and during the pandemic. This finding is a major concern given its vast implications for increasing inequalities in a post-pandemic society.

The purpose of this project is to study the extent to which disproportionate COVID-19 mortality among immigrants in Sw eden is explained by social determinants of health operating through differential exposure to the virus (e.g., by being more likely to w ork in high-exposure occupations) and differential effects of infection arising from socially-patterned, pre-existing health conditions or discrepancies in individual healthcare seeking and structural provision of healthcare. Individual-level longitudinal information comprised of national social, migration, and health registers will be analyzed using a variety of advanced statistical modelling techniques.

The main contribution of this project lies in its thorough empirical evaluation of how social conditions shape group risks in the context of a pandemic giving rise to native-immigrant inequalities in COVID-19 mortality. Furthermore, we will offer a comprehensive understanding of native-immigrant inequalities across the COVID-19 disease pathway (i.e., positive test, hospitalization, intensive care unit admission and death).

The identification of the social determinants leading to health inequalities between immigrants and natives (as w ell as across immigrant groups) is crucial to planning interventions that may help mitigate the unequal impacts of future pandemics on health and mortality.

Project members

Project managers

Sol Juarez

Senior Lecturer, Associate Professor

Department of Public Health Sciences
SOL JUAREZ

Members

Anders Ledberg

Researcher

Department of Public Health Sciences
anders_bild

Yan Ma

Postdoktor

Department of Public Health Sciences

Siddartha Aradhya

Researcher, Docent

Department of Sociology
Siddartha Aradhya. Photo: Stockholm University

Enrico Debiasi

Guest Researcher

Department of Public Health Sciences

Srinivasa Vittal Katikireddi

Professor, MRC/CSO Social and Public Health Sciences Unit, University of Glasgow

University of Glasgow

Eleonora Mussino

Researcher, Docent

Department of Sociology
Eleonora Mussino. Photo: Leila Zoubir/Stockholm University

Mikael Rostila

Professor

Department of Public Health Sciences
MR

Publications