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A poorly understood disease? The impact of COVID-19 on the income gradient in mortality over the course of the pandemic

Paul Brandily, Clément Brébion, Simon Briole and Laura Khoury

European Economic Review, 2021, vol. 140, issue C

Abstract: Mortality inequalities remain substantial in many countries, and large shocks such as pandemics could amplify them further. The unequal distribution of COVID-19 confirmed cases suggests that this is the case. Yet, evidence on the causal effect of the epidemic on mortality inequalities remains scarce. In this paper, we exploit exhaustive municipality-level data in France, one of the most severely hit country in the world, to identify a negative relationship between income and excess mortality within urban areas, that persists over COVID-19 waves. Over the year 2020, the poorest municipalities experienced a 30% higher increase in excess mortality. Our analyses can rule out an independent contribution of lockdown policies to this heterogeneous impact. Finally, we find evidence that both labor-market exposure and housing conditions are major determinants of the epidemic-induced effects of COVID-19 on mortality inequalities, but that their respective role depends on the state of the epidemic.

Keywords: COVID-19; Poverty; Mortality inequality; Labor market; Housing conditions (search for similar items in EconPapers)
JEL-codes: I14 I18 R00 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (6)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:eecrev:v:140:y:2021:i:c:s0014292121002257

DOI: 10.1016/j.euroecorev.2021.103923

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