?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.title=Inequality+in+access+to+health+and+care+services+during+lockdown+%E2%80%93+Findings+from+the+COVID-19+survey+in+five+UK+national+longitudinal+studies&rft.creator=Topriceanu%2C+C-C&rft.creator=Wong%2C+A&rft.creator=Moon%2C+J&rft.creator=Hughes%2C+A&rft.creator=Bann%2C+D&rft.creator=Chaturvedi%2C+N&rft.creator=Patalay%2C+P&rft.creator=Conti%2C+G&rft.creator=Captur%2C+G&rft.description=Background%3A+Access+to+health+services+and+adequate+care+is+influenced+by+sex%2C+ethnicity%2C+socio-economic+position+(SEP)+and+burden+of+co-morbidities.+However%2C+it+is+unknown+whether+the+COVID-19+pandemic+further+deepened+these+already+existing+health+inequalities.+%2F%0D%0A%0D%0AMethods%3A+Participants+were+from+five+longitudinal+age-homogenous+British+cohorts+(born+in+2001%2C+1990%2C+1970%2C+1958+and+1946).+A+web+and+telephone-based+survey+provided+data+on+cancelled+surgical+or+medical+appointments%2C+and+the+number+of+care+hours+received+during+the+UK+COVID-19+national+lockdown.+Using+binary+or+ordered+logistic+regression%2C+we+evaluated+whether+these+outcomes+differed+by+sex%2C+ethnicity%2C+SEP+and+having+a+chronic+illness.+Adjustment+was+made+for+study-design%2C+non-response+weights%2C+psychological+distress%2C+presence+of+children+or+adolescents+in+the+household%2C+keyworker+status%2C+and+whether+participants+had+received+a+shielding+letter.+Meta-analyses+were+performed+across+the+cohorts+and+meta-regression+evaluated+the+effect+of+age+as+a+moderator.+%2F%0D%0A%0D%0AFindings%3A+14891+participants+were+included.+Females+(OR+1%C2%B740%2C+95%25+confidence+interval+%5B1%C2%B727%2C1%C2%B755%5D)+and+those+with+a+chronic+illness+(OR+1%C2%B784+%5B1%C2%B765-2%C2%B705%5D)+experienced+significantly+more+cancellations+during+lockdown+(all+p%3C0%C2%B70001).+Ethnic+minorities+and+those+with+a+chronic+illness+required+a+higher+number+of+care+hours+during+the+lockdown+(both+OR+%E2%89%882%C2%B700%2C+all+p%3C0%C2%B7002).+Age+was+not+independently+associated+with+either+outcome+in+meta-regression.+SEP+was+not+associated+with+cancellation+or+care+hours.+%2F%0D%0A%0D%0AInterpretation%3A+The+UK+government%E2%80%99s+lockdown+approach+during+the+COVID-19+pandemic+appears+to+have+deepened+existing+health+inequalities%2C+impacting+predominantly+females%2C+ethnic-minorities+and+those+with+chronic+illnesses.+Public+health+authorities+need+to+implement+urgent+policies+to+ensure+equitable+access+to+health+and+care+for+all+in+preparation+for+a+second+wave.&rft.publisher=MedRxiv&rft.date=2020-09-14&rft.type=Working+%2F+discussion+paper&rft.language=eng&rft.source=++++MedRxiv%3A+Cold+Spring+Harbor%2C+NY%2C+USA.+(2020)+++++&rft.format=text&rft.identifier=https%3A%2F%2Fdiscovery.ucl.ac.uk%2Fid%2Feprint%2F10117384%2F1%2FTopriceanu_etal_MedXRiv_2020_Inequality%2520in%2520access%2520to%2520health%2520and%2520care%2520services%2520during%2520lockdown.pdf&rft.identifier=https%3A%2F%2Fdiscovery.ucl.ac.uk%2Fid%2Feprint%2F10117384%2F&rft.rights=open