Background Cape Town, a South African city with high levels of economic inequality, has gone through two COVID-19 waves. There is evidence globally that low-income communities experience higher levels of morbidity and mortality during the pandemic. Methods Age-standardized COVID-19 mortality in the eight sub-districts of Cape Town was compared by economic indicators taken from the most recent Census (unemployment rate, monthly income). Results The overall Standardized Death Rate (SDR) for COVID-19 in Cape Town was 1 640 per million, but there was wide variation across the different sub-districts. A linear relationship was seen between sub-districts with high poverty and high COVID-19 SDRs. Conclusions Low-income communities in Cape Town experienced higher levels of COVID-19 mortality. As we continue to contend with COVID-19, these communities need to be prioritized for access to quality health care.
【저자키워드】 COVID-19, Mortality, Low-income, 【초록키워드】 pandemic, Variation, Health, African, Community, morbidity and mortality, Care, Evidence, COVID-19 mortality, census, South, linear relationship, town, Cape, Result, Rate, eight, with COVID-19, 【제목키워드】 Community, COVID-19 mortality, city, town, Cape, ecological,