{"id":112559,"date":"2022-06-14T14:33:31","date_gmt":"2022-06-14T12:33:31","guid":{"rendered":"https:\/\/www.re-actio.com\/wordpress\/?p=112559"},"modified":"2022-06-14T14:40:51","modified_gmt":"2022-06-14T12:40:51","slug":"lancet-studie-zur-infektionshaeufigkeit-und-mortalitaet-bei-covid-19-unterprivilegierte-gruppen-sind-ueberproportional-betroffen","status":"publish","type":"post","link":"https:\/\/www.re-actio.com\/wordpress\/lancet-studie-zur-infektionshaeufigkeit-und-mortalitaet-bei-covid-19-unterprivilegierte-gruppen-sind-ueberproportional-betroffen\/","title":{"rendered":"<span style=\"font-size:85%\">Lancet Studie <br \/>zur Infektionsh\u00e4ufigkeit und Mortalit\u00e4t bei COVID 19: <br \/>Unterprivilegierte Gruppen sind \u00fcberproportional betroffen.<\/span>"},"content":{"rendered":"<div class=\"__iawmlf-post-loop-links\" style=\"display:none;\" data-iawmlf-post-links=\"[{&quot;id&quot;:1474,&quot;href&quot;:&quot;https:\\\/\\\/www.thelancet.com\\\/journals\\\/eclinm\\\/article\\\/PIIS2589-5370(22)00215-2\\\/fulltext&quot;,&quot;archived_href&quot;:&quot;http:\\\/\\\/web-wp.archive.org\\\/web\\\/20220624235343\\\/https:\\\/\\\/www.thelancet.com\\\/journals\\\/eclinm\\\/article\\\/PIIS2589-5370(22)00215-2\\\/fulltext&quot;,&quot;redirect_href&quot;:&quot;&quot;,&quot;checks&quot;:[{&quot;date&quot;:&quot;2025-11-03 05:48:50&quot;,&quot;http_code&quot;:403},{&quot;date&quot;:&quot;2026-01-13 03:23:34&quot;,&quot;http_code&quot;:403},{&quot;date&quot;:&quot;2026-02-16 10:56:02&quot;,&quot;http_code&quot;:403},{&quot;date&quot;:&quot;2026-04-08 20:59:46&quot;,&quot;http_code&quot;:403},{&quot;date&quot;:&quot;2026-04-19 08:02:48&quot;,&quot;http_code&quot;:403}],&quot;broken&quot;:true,&quot;last_checked&quot;:{&quot;date&quot;:&quot;2026-04-19 08:02:48&quot;,&quot;http_code&quot;:403},&quot;process&quot;:&quot;done&quot;}]\"><\/div>\n<div style=\"background-color: #E8E4DB\">\n<p style=\"text-align: justify; margin-left:50px; margin-right:50px\"><span style=\"font-size:110%\"><br>Die hier bespro\u00adche\u00adne Retro\u00adspek\u00adtiv-Stu\u00addie dient dazu zu erken\u00adnen, ob und wenn ja wel\u00adche Ma\u00df\u00adnah\u00admen zur Ein\u00add\u00e4m\u00admung und Aus\u00admer\u00adzung einer Bedro\u00adhung in Form einer Pan\u00adde\u00admie hilf\u00adreich waren und wel\u00adche Leh\u00adren dar\u00adaus f\u00fcr zuk\u00fcnf\u00adti\u00adge Ereig\u00adnis\u00adse diser Art gewon\u00adnen wer\u00adden konnten.<br>\nMei\u00adne Inter\u00adpre\u00adta\u00adti\u00adon lau\u00adtet: Die Poli\u00adtik hat eine Gene\u00adral\u00adma\u00df\u00adnah\u00adme ein\u00adge\u00adlei\u00adtet ohne zu wis\u00adsen, ob das tat\u00ads\u00e4ch\u00adlich hel\u00adfen wird! Wie sich im Ergeb\u00adnis der vor\u00adlie\u00adgen\u00adden Unter\u00adsu\u00adchung her\u00adaus\u00adstell\u00adte wur\u00adden mehr Per\u00adso\u00adnen\u00adkrei\u00adse aus mitt\u00adle\u00adren und h\u00f6he\u00adren Sozi\u00adal\u00adschich\u00adten dem Zwang unter\u00adwor\u00adfen als n\u00f6tig, w\u00e4h\u00adrend die meist\u00adbe\u00adtrof\u00adfe\u00adnen unte\u00adren Sozi\u00adal\u00adschich\u00adten und Zuge\u00adrei\u00adste ein erh\u00f6h\u00adtes Risi\u00adko hat\u00adten und weitertrugen.<br>\nEin Bei\u00adspiel f\u00fcr unsin\u00adni\u00adgen Aktio\u00adnis\u00admus und unn\u00f6\u00adti\u00adge Ein\u00adschr\u00e4n\u00adkun\u00adgen gegen\u00ad\u00fcber der Mas\u00adse der Bev\u00f6l\u00adke\u00adrung. Mein per\u00ads\u00f6n\u00adli\u00adches Fazit&nbsp;dazu:<br>\n<strong>Ich habe alle Zwangs\u00adma\u00df\u00adnah\u00admen ohne Wider\u00adspruch ertra\u00adgen und nicht rebel\u00adliert - weil zu einer sol\u00adchen Pan\u00adde\u00admie kei\u00adne Erfah\u00adrun\u00adgen vor\u00adla\u00adgen und Vor\u00adsicht bes\u00adser ist als krank zu wer\u00adden und zu sterben.<br>\nBei einer noch\u00adma\u00adli\u00adgen Zwangs\u00adsi\u00adtua\u00adti\u00adon wer\u00adde ich aller\u00addings die\u00adsen Hokus\u00adpo\u00adkus nicht mehr mit\u00adma\u00adchen und mich dage\u00adgen (pas\u00adsiv!) zur Wehr set\u00adzen. Drei\u00admal imp\u00adfen mu\u00df nun genug sein, auch wenn es zum Jah\u00adres\u00aden\u00adde wie\u00adder h\u00f6he\u00adre Infek\u00adti\u00adons\u00adzah\u00adlen geben soll\u00adte. Ich z\u00e4h\u00adle mich zu jenen drei Vier\u00adteln der Bev\u00f6l\u00adke\u00adrung mit gering\u00adstem und gerin\u00adgem Risiko.<\/strong><br>\n<\/span><\/p>\n<\/div>\n<p> &nbsp; <\/p>\n<p>[Stu\u00addie <a href=\"https:\/\/www.thelancet.com\/journals\/eclinm\/article\/PIIS2589-5370(22)00215-2\/fulltext\" rel=\"noopener\" target=\"_blank\">\"Area-level socioe\u00adco\u00adno\u00admic depri\u00adva\u00adti\u00adon, non-natio\u00adnal resi\u00adden\u00adcy, and Covid-19 inci\u00addence: A lon\u00adgi\u00adtu\u00addi\u00adnal spa\u00adtio\u00adtem\u00adpo\u00adral ana\u00adly\u00adsis in Ger\u00adma\u00adny\"<\/a>:<br>\n\u00dcber\u00adset\u00adzung des Tex\u00adtes \"Intro\u00adduc\u00adtion\" (Zusam\u00admen\u00adfas\u00adsung)]<\/p>\n<p><u>Ein\u00adf\u00fch\u00adrung<\/u><br>\nSozio\u00ad\u00f6ko\u00adno\u00admi\u00adsche Ungleich\u00adhei\u00adten bei Mor\u00adbi\u00addi\u00adt\u00e4t und Mor\u00adta\u00adli\u00adt\u00e4t in Covid-19 zei\u00adgen, dass weni\u00adger pri\u00advi\u00adle\u00adgier\u00adte Grup\u00adpen ein h\u00f6he\u00adres Infek\u00adti\u00adons\u00adri\u00adsi\u00adko haben, schwe\u00adrer Krank\u00adheits\u00adver\u00adlauf, Kran\u00adken\u00adhaus\u00adauf\u00adent\u00adhalt, und&nbsp;Tod.<br>\nSol\u00adche Ungleich\u00adhei\u00adten wur\u00adden auch auf der Fl\u00e4\u00adche gezeigt, wobei sozio\u00ad\u00f6ko\u00adno\u00admisch nied\u00adri\u00adge Gebie\u00adte ein h\u00f6he\u00adres Risi\u00adko f\u00fcr Covid-19-Infek\u00adtio\u00adnen haben, und Pati\u00aden\u00adten, die in den mei\u00adsten benach\u00adtei\u00adlig\u00adten Gebie\u00adten leben, die h\u00f6he\u00adre Kran\u00adken\u00adhaus\u00adauf\u00adent\u00adhalts\u00adra\u00adten, Zulas\u00adsun\u00adgen in Inten\u00adsiv\u00adsta\u00adtio\u00adnen und Mor\u00adta\u00adli\u00adt\u00e4t zeigen.<\/p>\n<p>In Deutsch\u00adland war die Inzi\u00addenz von Covid-19&nbsp;in sozio\u00ad\u00f6ko\u00adno\u00admisch bes\u00adse\u00adren Gebie\u00adten w\u00e4h\u00adrend der ersten Infek\u00adti\u00adons\u00adwel\u00adle h\u00f6her, w\u00e4h\u00adrend sich das Muster w\u00e4h\u00adrend der zwei\u00adten Infek\u00adti\u00adons\u00adwel\u00adle in Rich\u00adtung h\u00f6he\u00adrer Inzi\u00addenz in Gebie\u00adten mit h\u00f6ch\u00adster sozio\u00ad\u00f6ko\u00adno\u00admi\u00adscher Ent\u00adbeh\u00adrung \u00e4nderte.<\/p>\n<p>Die Bezie\u00adhung zwi\u00adschen CoVID-19-Inzi\u00addenz und sozio\u00ad\u00f6ko\u00adno\u00admi\u00adschen Fak\u00adto\u00adren kann jedoch mit demo\u00adgra\u00adfi\u00adschen (Alter und Geschlechts\u00adzu\u00adsam\u00admen\u00adset\u00adzung der Bev\u00f6l\u00adke\u00adrung) und geo\u00adgra\u00adfi\u00adschen Merk\u00adma\u00adlen inter\u00adagie\u00adren, die die Pen\u00addel\u00admu\u00adster oder die Bev\u00f6l\u00adke\u00adrungs\u00addich\u00adte (z. B. die Sied\u00adlungs\u00adstruk\u00adtur, der Grad der Ver\u00adst\u00e4d\u00adte\u00adrung), 2, bestimmen.<br>\nZus\u00e4tz\u00adlich zu r\u00e4um\u00adli\u00adchen und zeit\u00adli\u00adchen Varia\u00adtio\u00adnen, die die Dyna\u00admik der Pan\u00adde\u00admie beeinflussen.<br>\nWich\u00adtig ist, dass Migra\u00adti\u00adon und Wohn\u00adsied\u00adlung auf Gebiets\u00adebe\u00adne mit sozio\u00ad\u00f6ko\u00adno\u00admi\u00adschen Fak\u00adto\u00adren \u00fcber\u00adschnei\u00adden, und Ein\u00adwan\u00adde\u00adrer k\u00f6n\u00adnen sich in Nach\u00adbar\u00adschaf\u00adten mit nied\u00adri\u00adge\u00adrem sozio\u00ad\u00f6ko\u00adno\u00admi\u00adschem Sta\u00adtus (<span class=\"caps\">SES<\/span>).<\/p>\n<p>Aber auf der Ebe\u00adne der Gebiets\u00adebe\u00adne in st\u00e4d\u00adti\u00adschen Sied\u00adlungs\u00adstruk\u00adtu\u00adren mit bes\u00adse\u00adren wirt\u00adschaft\u00adli\u00adchen M\u00f6glichkeiten.14<br>\nRas\u00adsen- und eth\u00adni\u00adsche Ungleich\u00adhei\u00adten bei der Mor\u00adbi\u00addi\u00adt\u00e4t und Mor\u00adta\u00adli\u00adt\u00e4t von Covid-19 wur\u00adden weit ver\u00adbrei\u00adtet und ver\u00adwei\u00adsen auf struk\u00adtu\u00adrel\u00adle Ungleich\u00adhei\u00adten und Ras\u00adsis\u00admus als zugrun\u00adde lie\u00adgen\u00adde Ursachen.<br>\nStu\u00addi\u00aden, die die Rol\u00adle von Migra\u00adti\u00adon und Covid-19 ber\u00fcck\u00adsich\u00adti\u00adgen, sind immer noch knapp und zei\u00adgen, dass Migran\u00adten ein h\u00f6he\u00adres Risi\u00adko f\u00fcr Infek\u00adtio\u00adnen und Tod haben, w\u00e4h\u00adrend gemisch\u00adte Bewei\u00adse f\u00fcr die Kran\u00adken\u00adhaus\u00adein\u00adwei\u00adsung vor\u00adhan\u00adden&nbsp;sind.<\/p>\n<p>Die\u00adse Muster in Migran\u00adten\u00adgrup\u00adpen k\u00f6n\u00adnen mit Sprach\u00adbar\u00adrie\u00adren, Rei\u00adse\u00adri\u00adsi\u00adken und inter\u00adna\u00adtio\u00adna\u00adlen Bin\u00addun\u00adgen, begrenz\u00adtem Zugang zu den von Beh\u00f6r\u00adden bereit\u00adge\u00adstell\u00adten Infor\u00adma\u00adtio\u00adnen im \u00f6ffent\u00adli\u00adchen Gesund\u00adheits\u00adwe\u00adsen, einem schlech\u00adten Zugang zum Gesund\u00adheits\u00adsy\u00adstem oder \u00fcber\u00adf\u00fcll\u00adten Unter\u00adk\u00fcnf\u00adten und h\u00f6he\u00adren beruf\u00adli\u00adchen Risi\u00adken zusammenh\u00e4ngen.<\/p>\n<p>Nicht zu ber\u00fcck\u00adsich\u00adti\u00adgen, dass der Schnitt\u00adpunkt zwi\u00adschen sozio\u00ad\u00f6ko\u00adno\u00admi\u00adschen Fak\u00adto\u00adren und Migra\u00adti\u00adon zu einer \u00dcber\u00adsch\u00e4t\u00adzung der sozio\u00ad\u00f6ko\u00adno\u00admi\u00adschen Deter\u00admi\u00adnan\u00adten der Covid-19-Epi\u00adde\u00admio\u00adlo\u00adgie f\u00fch\u00adren und die migra\u00adti\u00adons\u00adbe\u00adding\u00adten Fak\u00adto\u00adren unter\u00adsch\u00e4tzt und umgekehrt.<br>\nIndex\u00admes\u00adsun\u00adgen auf Fl\u00e4\u00adchen\u00adebe\u00adne der sozio\u00ad\u00f6ko\u00adno\u00admi\u00adschen Ent\u00adbeh\u00adrung sind daher f\u00fcr For\u00adscher und poli\u00adti\u00adsche Ent\u00adschei\u00addungs\u00adtr\u00e4\u00adger betei\u00adligt, kann aber wich\u00adti\u00adge Muster und Wege von sozia\u00adlen Expo\u00adsi\u00adtio\u00adnen zu Covid-19-Ergeb\u00adnis\u00adsen verbergen.<br>\nBis\u00adher haben Stu\u00addi\u00aden zu sozio\u00ad\u00f6ko\u00adno\u00admi\u00adschen Ungleich\u00adhei\u00adten in <span class=\"caps\">COVID-19<\/span> die Schnitt\u00adpunk\u00adte sozio\u00ad\u00f6ko\u00adno\u00admi\u00adscher und migra\u00adti\u00adons\u00adbe\u00adding\u00adter Fak\u00adto\u00adren nicht ber\u00fcck\u00adsich\u00adtigt und auch nicht die ver\u00adschie\u00adde\u00adnen Wege ana\u00adly\u00adsiert, die der Bezie\u00adhung zwi\u00adschen sozio\u00ad\u00f6ko\u00adno\u00admi\u00adschem Sta\u00adtus und CoVID-19 zugrun\u00adde lie\u00adgen. Dar\u00ad\u00fcber hin\u00adaus basie\u00adren die \u00fcber\u00adwie\u00adgen\u00adde Mehr\u00adheit der Stu\u00addi\u00aden auf deskrip\u00adti\u00adven oder Quer\u00adschnitts\u00adde\u00adsigns, und r\u00e4um\u00adli\u00adche und zeit\u00adli\u00adche Abh\u00e4n\u00adgig\u00adkei\u00adten bei der Ver\u00adtei\u00adlung der Krank\u00adheit wur\u00adden sel\u00adten ber\u00fccksichtigt.<\/p>\n<p>Die Ver\u00adwen\u00addung von lan\u00addes\u00adwei\u00adten Daten auf Distrikt\u00adebe\u00adne in Deutsch\u00adland aus drei Infek\u00adti\u00adons\u00adwel\u00adlen woll\u00adten wir den Zusam\u00admen\u00adhang zwi\u00adschen sozio\u00ad\u00f6ko\u00adno\u00admi\u00adscher Ent\u00adbeh\u00adrung auf Fl\u00e4\u00adchen\u00adebe\u00adne, dem Anteil nicht natio\u00adna\u00adler Ein\u00adwoh\u00adner als Pro\u00adxy-Mes\u00adsung f\u00fcr Ein\u00adwan\u00adde\u00adrer und Covid-19-Inzi\u00addenz quan\u00adti\u00adfi\u00adzie\u00adren Ber\u00fcck\u00adsich\u00adti\u00adgung der demo\u00adgra\u00adfi\u00adschen Merk\u00adma\u00adle (Alter und Geschlecht), der Impf\u00adab\u00addeckung, der Sied\u00adlungs\u00adstruk\u00adtur sowie r\u00e4um\u00adli\u00adchen und zeit\u00adli\u00adchen Effek\u00adte. Wir unter\u00adsu\u00adchen fer\u00adner die poten\u00adzi\u00adel\u00adlen Wege vom Gebiets\u00adent\u00adzug bis zu Covid-199-Inzi\u00addenz, Dom\u00e4\u00adnen nied\u00adri\u00adger Stu\u00adfen (Ein\u00adkom\u00admen, Bil\u00addung, Beruf) sowie m\u00f6g\u00adli\u00adche Wech\u00adsel\u00adwir\u00adkun\u00adgen zwi\u00adschen sozio\u00ad\u00f6ko\u00adno\u00admi\u00adscher Ent\u00adbeh\u00adrung, dem Anteil von Nicht-Natio\u00adna\u00adli\u00adt\u00e4\u00adten und Geschlecht.<\/p>\n<p><u>Ori\u00adgi\u00adnal\u00adtext\u00adaus\u00adzug<\/u><\/p>\n<p> \"Intro\u00adduc\u00adtion Socioe\u00adco\u00adno\u00admic ine\u00adqua\u00adli\u00adties in Covid-19 mor\u00adbi\u00addi\u00adty and mor\u00adta\u00adli\u00adty show that less pri\u00advi\u00adle\u00adged groups are at hig\u00adher risk for infec\u00adtion, seve\u00adre cour\u00adse of dise\u00ada\u00adse<sup>,1 , 2 , 3<\/sup> hos\u00adpi\u00adta\u00adli\u00adsa\u00adti\u00adon<sup>,2<\/sup> and death<sup>.4 ,5<\/sup> Such ine\u00adqua\u00adli\u00adties have also been shown at the area-level with high socioe\u00adco\u00adno\u00admic depri\u00adva\u00adti\u00adon are\u00adas being at hig\u00adher risk for Covid-19 infec\u00adtions<sup>,6 ,7<\/sup> and pati\u00adents living in most depri\u00adved are\u00adas show\u00ading hig\u00adher hos\u00adpi\u00adta\u00adlizati\u00adon rates, admis\u00adsi\u00adons to inten\u00adsi\u00adve care units, and mor\u00adta\u00adli\u00adty.<sup>8<\/sup> In Ger\u00adma\u00adny, Covid-19 inci\u00addence was hig\u00adher in socioe\u00adco\u00adno\u00admic\u00adal\u00adly bet\u00adter-off are\u00adas during the first wave of infec\u00adtion, while the pat\u00adtern chan\u00adged during the second infec\u00adtion wave towards hig\u00adher inci\u00addence in are\u00adas with hig\u00adhest socioe\u00adco\u00adno\u00admic depri\u00adva\u00adti\u00adon.<sup>9<\/sup> Howe\u00adver, the rela\u00adti\u00adon\u00adship bet\u00adween Covid-19 inci\u00addence and socioe\u00adco\u00adno\u00admic fac\u00adtors may inter\u00adact with demo\u00adgra\u00adphic (age and sex com\u00adpo\u00adsi\u00adti\u00adon of the popu\u00adla\u00adti\u00adon) and geo\u00adgra\u00adphi\u00adcal cha\u00adrac\u00adte\u00adri\u00adstics, which deter\u00admi\u00adne com\u00admu\u00adting pat\u00adterns or popu\u00adla\u00adti\u00adon den\u00adsi\u00adty (e.g., the sett\u00adle\u00adment struc\u00adtu\u00adre, the degree of urba\u00adnizati\u00adon)<sup>,2 ,3<\/sup> in addi\u00adti\u00adon to spa\u00adti\u00adal and tem\u00adpo\u00adral varia\u00adti\u00adons that affect the dyna\u00admics of the pan\u00adde\u00admic.<sup>10<\/sup> Important\u00adly, migra\u00adti\u00adon and resi\u00adden\u00adti\u00adal segre\u00adga\u00adti\u00adon may inter\u00adsect with socioe\u00adco\u00adno\u00admic fac\u00adtors at area-level, and immi\u00adgrants may clu\u00adster in neigh\u00adbour\u00adhoods with lower socioe\u00adco\u00adno\u00admic sta\u00adtus (<span class=\"caps\">SES<\/span>)<sup>,11 , 12 , 13<\/sup> but at the area-level in urban sett\u00adle\u00adment struc\u00adtures with bet\u00adter eco\u00adno\u00admic oppor\u00adtu\u00adni\u00adties.<sup>14<\/sup> Racial and eth\u00adnic ine\u00adqua\u00adli\u00adties in Covid-19 mor\u00adbi\u00addi\u00adty and mor\u00adta\u00adli\u00adty have been wide\u00adly repor\u00adted<sup>15 , 16 , 17<\/sup> and point to struc\u00adtu\u00adral ine\u00adqua\u00adli\u00adties and racism as under\u00adly\u00ading cau\u00adses.<sup>18<\/sup> Stu\u00addies con\u00adside\u00adring the role of migra\u00adti\u00adon and Covid-19 are still scar\u00adce, and indi\u00adca\u00adte that migrants are at hig\u00adher risk of infec\u00adtion and death, while mixed evi\u00addence exists for hos\u00adpi\u00adta\u00adli\u00adsa\u00adti\u00adon.<sup>19 ,20<\/sup> The\u00adse pat\u00adterns in migrant groups may be rela\u00adted to lan\u00adguage bar\u00adriers, tra\u00advel-rela\u00adted risks and inter\u00adna\u00adtio\u00adnal ties, limi\u00adt\u00aded access to public-health infor\u00adma\u00adti\u00adon pro\u00advi\u00added by aut\u00adho\u00adri\u00adties, poor access to the health system, or crow\u00added accom\u00admo\u00adda\u00adti\u00adons and hig\u00adher occu\u00adpa\u00adtio\u00adnal risks.<sup>19 , 20 , 21<\/sup> Not con\u00adside\u00adring the inter\u00adsec\u00adtion bet\u00adween socioe\u00adco\u00adno\u00admic fac\u00adtors and migra\u00adti\u00adon may lead to ove\u00adresti\u00adma\u00adti\u00adon of socioe\u00adco\u00adno\u00admic deter\u00admi\u00adnants of Covid-19 epi\u00adde\u00admio\u00adlo\u00adgy, and unde\u00adre\u00adsti\u00adma\u00adte the migra\u00adti\u00adon-rela\u00adted fac\u00adtors and vice versa.\/sup&gt;22 Area-level index mea\u00adsu\u00adres of socioe\u00adco\u00adno\u00admic depri\u00adva\u00adti\u00adon have hence beco\u00adme instru\u00admen\u00adtal for rese\u00adar\u00adchers and poli\u00adcy makers,<sup>23 ,24<\/sup> but may hide important pat\u00adterns and pathways from social expo\u00adsures to Covid-19 out\u00adco\u00admes. So far, stu\u00addies on socioe\u00adco\u00adno\u00admic ine\u00adqua\u00adli\u00adties in Covid-19 have not con\u00adside\u00adred the inter\u00adsec\u00adtions of socioe\u00adco\u00adno\u00admic and migra\u00adti\u00adon-rela\u00adted fac\u00adtors, and did also not ana\u00adly\u00adse the dif\u00adfe\u00adrent pathways under\u00adly\u00ading the rela\u00adti\u00adon bet\u00adween socioe\u00adco\u00adno\u00admic sta\u00adtus and Covid-19. Addi\u00adtio\u00adnal\u00adly, the vast majo\u00adri\u00adty of stu\u00addies are based on descrip\u00adti\u00adve or cross-sec\u00adtion\u00adal designs, and spa\u00adti\u00adal and tem\u00adpo\u00adral depen\u00adden\u00adci\u00ades in the dis\u00adtri\u00adbu\u00adti\u00adon of dise\u00ada\u00adse have rare\u00adly been con\u00adside\u00adred. Using nati\u00adon-wide data at the district level in Ger\u00adma\u00adny from three waves of infec\u00adtion, we aimed to quan\u00adti\u00adfy the asso\u00adcia\u00adti\u00adon bet\u00adween area-level socioe\u00adco\u00adno\u00admic depri\u00adva\u00adti\u00adon, the pro\u00adpor\u00adti\u00adon of non-natio\u00adnal inha\u00adbi\u00adtants as a pro\u00adxy mea\u00adsu\u00adre\u00adment for immi\u00adgrants and Covid-19 inci\u00addence, while con\u00adside\u00adring demo\u00adgra\u00adphic cha\u00adrac\u00adte\u00adri\u00adstics (age and sex), vac\u00adci\u00adna\u00adti\u00adon covera\u00adge, sett\u00adle\u00adment struc\u00adtu\u00adre, as well as spa\u00adti\u00adal and tem\u00adpo\u00adral effects. We fur\u00adther explo\u00adre the poten\u00adti\u00adal pathways from area depri\u00adva\u00adti\u00adon to Covid-19 inci\u00addence, depri\u00adva\u00adti\u00adon domains (inco\u00adme, edu\u00adca\u00adti\u00adon, occu\u00adpa\u00adti\u00adon), as well as poten\u00adti\u00adal inter\u00adac\u00adtions bet\u00adween socioe\u00adco\u00adno\u00admic depri\u00adva\u00adti\u00adon, the pro\u00adpor\u00adti\u00adon of non-natio\u00adnals and&nbsp;sex.\"<br>\nCoro\u00adna\u00advi\u00adrus-Erkran\u00adkung (<span class=\"caps\">COVID<\/span>\u201119)<\/p>\n<div class=\"img-zoom\"><center><img decoding=\"async\" src=\"https:\/\/www.vonsulecki.com\/Bilder_2018\/08_2018\/zwischen-0.png\" width=\"10%\" alt title><\/center><\/div>\n<div style=\"background-color: #E8E4DB\">\n<p style=\"text-align: justify; margin-left:50px; margin-right:50px\"><span style=\"font-size:110%\"><br>Die nach\u00adfol\u00adgen\u00adden \u00dcber\u00adle\u00adgun\u00adgen der For\u00adscher die\u00adnen dazu eine Per\u00adspek\u00adti\u00adve f\u00fcr das wei\u00adte\u00adre Vor\u00adge\u00adhen zu entwickeln.<br>\nIch hof\u00adfe sehr, es gibt unter den hie\u00adsi\u00adgen For\u00adschen\u00adden genug die das lesen und in die Ma\u00df\u00adnah\u00admen\u00addis\u00adkus\u00adsi\u00adon f\u00fcr den Herbst hier\u00adzu\u00adlan\u00adde ein\u00adflie\u00ad\u00dfen lassen!<br>\n<\/span><\/p>\n<\/div>\n<p> &nbsp; <\/p>\n<p>\n Impli\u00adca\u00adti\u00adons of all the available evidence<br>\nOur fin\u00addings sug\u00adgest that area-level socioe\u00adco\u00adno\u00admic depri\u00adva\u00adti\u00adon, and pro\u00adpor\u00adti\u00adon of non-natio\u00adnals are inde\u00adpendent\u00adly asso\u00adcia\u00adted with Covid-19 inci\u00addence, but the\u00adse are not fix in magnitu\u00adde and con\u00adsider\u00ada\u00adb\u00adly affec\u00adted by spa\u00adtio\u00adtem\u00adpo\u00adral dyna\u00admics. Pan\u00adde\u00admic con\u00adtrol stra\u00adte\u00adgies, inclu\u00adding natio\u00adnal and regio\u00adnal non-phar\u00admaceu\u00adti\u00adcal inter\u00adven\u00adti\u00adons and immu\u00adni\u00adsa\u00adti\u00adon stra\u00adte\u00adgies could bene\u00adfit from con\u00adside\u00adring the\u00adse pat\u00adterns in order to pro\u00advi\u00adde tail\u00ado\u00adred and low-thres\u00adhold ser\u00advices for dis\u00adad\u00advan\u00adta\u00adged or at-risks populations.<\/p>\n<div class=\"img-zoom\"><center><img decoding=\"async\" src=\"https:\/\/www.vonsulecki.com\/Bilder_2018\/08_2018\/zwischen-0.png\" width=\"10%\" alt title><\/center><\/div>\n<p>Impli\u00adka\u00adtio\u00adnen aller ver\u00adf\u00fcg\u00adba\u00adren Beweise<br>\nUnse\u00adre Ergeb\u00adnis\u00adse deu\u00adten dar\u00adauf hin, dass die sozio\u00ad\u00f6ko\u00adno\u00admi\u00adsche Benach\u00adtei\u00adli\u00adgung auf Gebiets\u00adebe\u00adne und der Anteil der Aus\u00adl\u00e4n\u00adder unab\u00adh\u00e4n\u00adgig mit der Covid-19-Inzi\u00addenz ver\u00adbun\u00adden sind, die\u00adse jedoch kei\u00adne feste Gr\u00f6\u00ad\u00dfe haben und erheb\u00adlich von raum\u00adzeit\u00adli\u00adchen Dyna\u00admi\u00adken beein\u00adflusst wer\u00adden. <strong>Stra\u00adte\u00adgien zur Bek\u00e4mp\u00adfung von Pan\u00adde\u00admien, ein\u00adschlie\u00df\u00adlich natio\u00adna\u00adler und regio\u00adna\u00adler nicht-phar\u00adma\u00adzeu\u00adti\u00adscher Inter\u00adven\u00adtio\u00adnen und Impf\u00adstra\u00adte\u00adgien, k\u00f6nn\u00adten von der Ber\u00fcck\u00adsich\u00adti\u00adgung die\u00adser Muster pro\u00adfi\u00adtie\u00adren, um ma\u00df\u00adge\u00adschnei\u00adder\u00adte und nied\u00adrig\u00adschwel\u00adli\u00adge Dien\u00adste f\u00fcr benach\u00adtei\u00adlig\u00adte oder gef\u00e4hr\u00adde\u00adte Bev\u00f6l\u00adke\u00adrungs\u00adgrup\u00adpen bereitzustellen.<\/strong><br>\n[Alle \u00dcber\u00adset\u00adzun\u00adgen von Goog\u00adle \/ mit gering\u00adf\u00fc\u00adgi\u00adgen Ver\u00adbes\u00adse\u00adrun\u00adgen \/ Her\u00advor\u00adhe\u00adbun\u00adgen von&nbsp;mir]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Die hier bespro\u00adche\u00adne Retro\u00adspek\u00adtiv-Stu\u00ad\u00addie dient dazu zu erken\u00adnen, ob und wenn ja wel\u00adche Ma\u00df\u00adnah\u00admen zur Ein\u00add\u00e4m\u00admung und Aus\u00admer\u00adzung einer Bedro\u00adhung in Form einer Pan\u00adde\u00admie hilf\u00adreich waren und wel\u00adche Leh\u00adren dar\u00adaus f\u00fcr zuk\u00fcnf\u00adti\u00adge Ereig\u00adnis\u00adse diser Art gewon\u00adnen wer\u00adden konn\u00adten. Mei\u00adne Inter\u00adpre\u00adta\u00adti\u00adon lau\u00adtet: Die Poli\u00adtik hat eine Gene\u00adral\u00adma\u00df\u00adnah\u00adme ein\u00adge\u00adlei\u00adtet ohne zu wis\u00adsen, ob das tat\u00ads\u00e4ch\u00adlich hel\u00adfen&nbsp;wird!&nbsp;[\u2026]<\/p>\n","protected":false},"author":561,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[5539,5567],"tags":[7172],"class_list":["post-112559","post","type-post","status-publish","format-standard","hentry","category-sine-ira-et-studio","category-offene-fragen","tag-pandemie-covid-19-ein-rueckblick-aufgrund-wissenschaftlicher-daten"],"_links":{"self":[{"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/posts\/112559","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/users\/561"}],"replies":[{"embeddable":true,"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/comments?post=112559"}],"version-history":[{"count":0,"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/posts\/112559\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/media?parent=112559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/categories?post=112559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.re-actio.com\/wordpress\/wp-json\/wp\/v2\/tags?post=112559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}