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In France, the first pandemic peak fell disproportionately on the most disadvantaged, as they were overrepresented in contaminations and in developing severe forms of the virus.
At that time, and especially during lockdown, the French healthcare system was severely disrupted and limited. The issue of social differences in the use of healthcare by people experiencing symptoms of Covid arose.
The aim of this study was to determine if the use of health care services was likely to contribute to widen Covid social inequalities. Use of health care services was classified in three categories: 1 no consultation, 2 out-of-hospital consultation s and 3 in-hospital consultation s.
We estimated odds ratio of utilization of health care using multinomial regressions, adjusted on social factors age, gender, class, ethno-racial status, social class, standard of living and education , contextual variables, health variables, and symptoms characteristics.
Altogether, Use of health care services was strongly associated with social position2: the most disadvantaged social groups and racially minoritized immigrants were more likely to use health care, particularly for in-hospital consultation s. The highest utilization of health care were found among older adults OR 9.