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Ethnic disparities in COVID-19 mortality and cardiovascular disease in England and Wales between 2020-2022
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Freya Allery ,
Hoda Abbasizanjani ,
David Powell,
Albert Prats-Uribe ,
Johan H. Thygesen ,
Angela Wood ,
Christopher Tomlinson ,
Amitava Banerjee ,
Ashley Akbari ,
Antonella Delmestri ,
Laura C. Coates ,
Spiros Denaxas,
Kamlesh Khunti,
Gary Collins ,
Daniel Prieto-Alhambra ,
Sara Khalid
Nature Communications, Volume: 16, Start page: 6059
Swansea University Authors:
Hoda Abbasizanjani , David Powell, Ashley Akbari
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DOI (Published version): 10.1038/s41467-025-59951-4
Abstract
An increased risk of COVID-19 mortality risk among certain ethnic groups is well-reported, however data on ethnic disparities in COVID-19-related cardiovascular disease (CVD) are lacking. We estimated age-standardised incidence rates and adjusted hazard ratios for 28-day mortality and 30-day CVD by...
| Published in: | Nature Communications |
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| ISSN: | 2041-1723 |
| Published: |
Springer Nature
2025
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa69881 |
| Abstract: |
An increased risk of COVID-19 mortality risk among certain ethnic groups is well-reported, however data on ethnic disparities in COVID-19-related cardiovascular disease (CVD) are lacking. We estimated age-standardised incidence rates and adjusted hazard ratios for 28-day mortality and 30-day CVD by sex for individual ethnicity groups from England and Wales, using linked health and administrative data. We studied 6-level census-based ethnicity group classification, 10-level classification (only for Wales), and 19-level classification as well as any ethnicity sub-groups comprising >1000 individuals each (only for England). COVID-19 28-day mortality and 30-day CVD risk was increased in most non-White ethnic groups in England, and Asian population in Wales, between 23rd January 2020 and 1st April 2022. English data show mortality decreased during the Omicron variant’s dominance, whilst CVD risk [95% confidence interval] remained elevated for certain ethnic groups when compared to White populations (January-April 2022): by 120% [28-280%] in White and Asian men and 58% [32-90%] in Pakistan men, as compared to White British men; and by 75% [13-172%] in Bangladeshi women, 55% [19-102%] in Caribbean women, and 82% [31-153%] in Any Other Ethnic Group women, as compared to White British women. Ethnically diverse populations in the UK remained disproportionately affected by CVD throughout and beyond the COVID-19 pandemic. |
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| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
British Heart Foundation Data Science Centre (grant No SP/19/3/34678, awarded to Health Data Research (HDR) UK); UK Research and Innovation (grant ref MC_PC_20058); The Alan Turing Institute via ‘Towards Turing 2.0’ EPSRC Grant Funding; National Institute for Health and Care Research (NIHR) Oxford Biomedical Research Centre (BRC); NIHR Senior Research Fellowship (Grant number SRF-2018-11-ST2-004); Medical Research Council (grant number: MR/V028367/1); Health Data Research UK, which receives its funding from HDR UK Ltd (HDR-9006) funded by the UK Medical Research Council, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Department of Health and Social Care (England), Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Health and Social Care Research and Development Division (Welsh Government), Public Health Agency (Northern Ireland), British Heart Foundation (BHF) and the Welcome Trust; ADR Wales is part of the Economic and Social Research Council (part of UK Research and Innovation) funded ADR UK (grant ES/S007393/1); Wales COVID-19 Evidence Centre, funded by Health and Care Research Wales. |
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