Foreign-born people and covid-19 in Sweden - the effect of co-morbidity

Abstract   Foreign-born people who live in Sweden, especially those who were born in low- and middle-income countries, were at higher risk of developing severe covid-19. It has previously been found that morbidity and mortality in covid-19 were associated with country of birth, level of education, income and type of housing. The aim of this study was to map differences between foreign and Swedish-born (18 years and older) with severe covid-19 regarding co-morbidity. This was a register -base study. Register data were gathered from the Patient Register, the Swedish Intensive Care Register, the Cause of Death Register and information on socio-economic variables from Statistics Sweden. Results shows that co-morbidity with severe covid-19 was generally higher for Swedish-born than foreign-born. On the other hand, co-morbidity with diabe-tes and obesity was slightly higher for foreign-born than for Swedish-born. The results also indicate that a higher risk of developing severe covid-19 remains despite the fact that we have controlled a number of factors that affect the relationships such as residential region, demography and socioeconomics. The conclusion of this study is that there is a need for strengthening public health surveillance systems for information such as diagnoses from primary care, the stage at which a person who has become infected has sought care, how the possible differences were in care seekers between foreign and Swedish-born and what the care chain looked like from the time the patient received first symptoms until she/he ended up in inpatient or intensive care. Key messages • Co-morbidity with severe covid-19 was generally higher for Swedish-born than foreign-born. • There is a need for strengthening public health surveillance systems in primary health care for explaining the reasons of higher risk of developing severe covid-19 among foreign-born people in Sweden.


-19 in Swede
-the effect of co-morbidity Sharareh Akhavavn
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Trend toward more focus on 'diversity' and less focus on 'culture, and the inclusion of social determinants of health and awareness of stereotypes and bias in training of health professionals.Diversity competence training should use reflective exercises and activities as teaching methods in online training.

Background:

Internationally, an increasing body of scholarship has focused on the experiences of transgender individuals when accessing gender-af

Background:
Internationally, an increasing body of scholarship has focused on the experiences of transgender individuals when accessing gender-affirming healthcare.However, the experiences of transgender individuals who belong to the foreign background population in Finland have rarely been studied.This study aims to fill the gap in research and contribute to the understanding of the experiences of acquiring gender-affirming healthcare among those, who fall into the intersections of transness and also identify of foreign origin in Finland.

rming hea
thcare.However, the experiences of transgender individuals who belong to the foreign background population in Finland have rarely been studied.This study aims to fill the gap in research and contribute to the understanding of the experiences of acquiring gender-affirming healthcare among those, who fall into the intersections of transnes

and also
dentify of foreign origin in Finland.


Methods:

Fourteen semi-structured qualitative interviews were conducted and analyzed with reflexive thematic analysis (RTA), through the framework of intersectionality.The interviews were part of a broader sample of qualitative data, collected about the experiences of sexual and gender minorities among the foreign origin populations in Finlan

Methods:
Fourteen semi-structured qualitative interviews were conducted and analyzed with reflexive thematic analysis (RTA), through the framework of intersectionality.The interviews were part of a broader sample of qualitative data, collected about the experiences of sexual and gender minorities among the foreign origin populations in Finland.

Results:
The analysis showed two main interconnected themes.Firstly, perceived barriers when accessing gender-affirming care.In this theme, the intersections of transgender identity, foreign background, class, and age affected the experiences of the individuals.Secondly, the necessity of ''performing identities:'' the intersections of class, transgender identity, and race affected those.
he analysis showed two main interconnected themes.Firstly, perceived barriers when accessing gender-affirming care.In this theme, the intersections of transgender identity, foreign background, class, and age affected the experiences of the individuals.Secondly, the necessity of ''performing identities:'' the intersections of class, transgender identity, and race affecte

Conclusions:
sions:

The findings of the current study suggest that the intersectional aspects of individual identities create structural inequalities in the Finnish gender-affirmation healthcare system.To tackle these inequalities, further research is needed on the healthcare The findings of the current study suggest that the intersectional aspects of individual identities create structural inequalities in the Finnish gender-affirmation healthcare system.To tackle these inequalities, further research is needed on the healthcare experiences of gender minorities in Finland both within and outside the scope of transgender-specific healthcare.

xperiences of gender minorities in Finland both within and outside the scope of transg
nder-specific healthcare.


Key messages:

Intersectional aspects of individual identities create structural inequalities in accessing gender-affirming healthcare.Further research is needed on the healthcare experiences of gender minorities that examines health and wellbeing using an intersectional lens.



listed by the World Health Organization as one of the top ten threats to global health.In developing countries, the leading reasons for under-vaccination appear to be the lack of access, low education and socio-economic status.In developed countries psychological, social, and contextual factors are defined as main drivers of vaccine hesitancy.With the COVID-19 pandemic the threat of vaccine hesitancy has become more evident and is now in the focus of strategies and efforts to improve and strengthen the interventions to combat vaccine hesitancy and increase vaccination coverage.Despite the availability of multiple effective vaccines against COVID-19, only 40% of population of Wester

Key messages:
Intersectional aspects of individual identities create structural inequalities in accessing gender-affirming healthcare.Further research is needed on the healthcare experiences of gender minorities that examines health and wellbeing using an intersectional lens.
listed by the World Health Organization as one of the top ten threats to global health.In developing countries, the leading reasons for under-vaccination appear to be the lack of access, low education and socio-economic status.In developed countries psychological, social, and contextual factors are defined as main drivers of vaccine hesitancy.With the COVID-19 pandemic the threat of vaccine hesitancy has become more evident and is now in the focus of strategies and efforts to improve and strengthen the interventions to combat vaccine hesitancy and increase vaccination coverage.Despite the availability of multiple effective vaccines against COVID-19, only 40% of population of Wester Balkans in average has been completely vaccinated (with a complete initial protocol), Organised by: EURO HEALTH GROUP (Denmark), School of Public Health & Health Management (Serbia) Chair persons: Michele Gross (Denmark), Ulrich Laaser (Germany) Contact: ulrich.laaser@uni-bielefeld.deVaccinehesitancy has been identified as one of the crucial contributors to the global decline in vaccination coverage for several well-established vaccines in previous decades and is