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To estimate the proportion of ethnic inequalities explained by living in a multi-generational household. Causal mediation analysis. Retrospective data from the 2011 Census linked to Hospital Episode Statistics (2017-2019) and death registration data (up to 30 November 202. Adults aged 65 years or over living in private households in England from 2 March 2020 until 30 November 2020 (n=10,078,568). Hazard ratios were estimated for COVID-19 death for people living in a multi-generational household compared with people living with another
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