Spatial Variation in Excess Mortality Across Europe: A Cross-Sectional Study of 561 Regions in 21 Countries
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20 février 2024
- ISIDORE Id: 10670/1.c0668c...
- hal: hal-04582044
- doi: 10.1007/s44197-024-00200-0
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info:eu-repo/semantics/altIdentifier/doi/10.1007/s44197-024-00200-0
http://creativecommons.org/licenses/by/ , info:eu-repo/semantics/OpenAccess
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Patients--Mortality Mortality, Law ofCiter ce document
Florian Bonnet et al., « Spatial Variation in Excess Mortality Across Europe: A Cross-Sectional Study of 561 Regions in 21 Countries », HAL SHS (Sciences de l’Homme et de la Société), ID : 10.1007/s44197-024-00200-0
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Résumé
ObjectiveTo measure the burden of the COVID-19 pandemic in 2020 at the subnational level by estimating excess mortality, defined as the increase in all-cause mortality relative to an expected baseline mortality level.MethodsStatistical and demographic analyses of regional all-cause mortality data provided by the vital statistics systems of 21 European countries for 561 regions in Central and Western Europe. Life expectancy losses at ages 0 and 60 for males and females were estimated.ResultsWe found evidence of a loss in life expectancy in 391 regions, whilst only three regions exhibit notable gains in life expectancy in 2020. For 12 regions, losses of life expectancy amounted to more than 2 years and three regions showed losses greater than 3 years. We highlight geographical clusters of high mortality in Northern Italy, Spain and Poland, whilst clusters of low mortality were found in Western France, Germany/Denmark and Norway/Sweden.ConclusionsRegional differences of loss of life expectancy are impressive, ranging from a loss of more than 4 years to a gain of 8 months. These findings provide a strong rationale for regional analysis, as national estimates hide significant regional disparities.
