{"doi":"10.12688/gatesopenres.13288.1","title":"Higher COVID-19 mortality in low-income communities in the City of Cape Town – a descriptive ecological study","abstract":"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.","journal":"Gates Open Research","year":2021,"id":170924,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":27,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7228,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":110184,"name":"Nesbert Zinyakatira","orcid":"0000-0001-6795-2450","position":1,"is_corresponding":false},{"id":110160,"name":"Erna Morden","orcid":"0000-0003-0148-5065","position":2,"is_corresponding":false},{"id":110159,"name":"Muzzammil Ismail","orcid":null,"position":3,"is_corresponding":false},{"id":110164,"name":"Masudah Paleker","orcid":null,"position":4,"is_corresponding":false},{"id":110172,"name":"Jamy‐Lee Bam","orcid":null,"position":5,"is_corresponding":false},{"id":704625,"name":"Leslie London","orcid":"0000-0003-1297-2758","position":6,"is_corresponding":false},{"id":110156,"name":"Andrew Boulle","orcid":"0000-0002-7713-8062","position":7,"is_corresponding":false},{"id":110157,"name":"Mary‐Ann Davies","orcid":"0000-0001-8496-6475","position":8,"is_corresponding":false},{"id":110158,"name":"Hannah Hussey","orcid":"0000-0002-6199-0904","position":0,"is_corresponding":true}],"reference_count":18,"raw_metadata":null,"created_at":"2026-07-18T23:46:28.747384Z","pmid":"34286217","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}