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Unequal impact of COVID-19 on excess deaths, life expectancy, and premature mortality in Spanish regions (2020-2021)

Desigual impacto de la COVID-19 en el exceso de muertes, la esperanza de vida y la mortalidad prematura en las regiones de España (2020-2021)

Nazrul Islama, Fernando J. García Lópezb,c,

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fjgarcial@isciii.es

Corresponding author.

, Dimitri A. Jdanovd,e, Miguel Ángel Royo-Bordonadaf, Kamlesh Khuntig, Sarah Lewingtonh,i, Ben Laceyh, Martin Whitej, Eva J.A. Morrish,k, María Victoria Zunzuneguil

a School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom

b National Epidemiology Centre, Health Institute Carlos III, Madrid, Spain

c Centre for Networked Biomedical Research on Neurodegenerative Diseases (CIBERNED), Spain

d Max Planck Institute for Demographic Research, Rostock, Germany

e International Laboratory for Population and Health, National Research University Higher School of Economics, Moscow, Russian Federation

f National School of Public Health, Health Institute Carlos III, Madrid, Spain

g Diabetes Research Center, University of Leicester, NIHR Applied Research Collaboration–East Midlands, Leicester General Hospital, Leicester, United Kingdom

h Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom

i Health Data Research UK Oxford, University of Oxford, Oxford, United Kingdom

j MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom

k Big Data Institute, University of Oxford, Oxford, United Kingdom

l École de Santé Publique, Université de Montréal, Montréal, Québec, Canada

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