Abstract：
OBJECTIVE: Belgium experienced multiple COVID-19 waves that hit various groups in the population, which changed the mortality pattern compared to periods before the pandemic. In this study, we investigated the geographical excess mortality trend in Belgium during the first year of the COVID-19 pandemic.
METHODS: We retrieved the number of deaths and population data in 2020 based on gender, age, and municipality of residence, and we made a comparison with the mortality data in 2017-2019 using a spatially discrete model.
RESULTS: Excess mortality was significantly associated with age, gender, and COVID-19 incidence, with larger effects in the second half of 2020. Most municipalities had higher risks of mortality with a number of exceptions in the northeastern part of Belgium. Some discrepancies in excess mortality were observed between the north and south regions.
CONCLUSIONS: This study offers useful insight into excess mortality and will aid local and regional authorities in monitoring mortality trends.
METHODS: We retrieved the number of deaths and population data in 2020 based on gender, age, and municipality of residence, and we made a comparison with the mortality data in 2017-2019 using a spatially discrete model.
RESULTS: Excess mortality was significantly associated with age, gender, and COVID-19 incidence, with larger effects in the second half of 2020. Most municipalities had higher risks of mortality with a number of exceptions in the northeastern part of Belgium. Some discrepancies in excess mortality were observed between the north and south regions.
CONCLUSIONS: This study offers useful insight into excess mortality and will aid local and regional authorities in monitoring mortality trends.
摘要：
目的：比利时经历了多次COVID-19波在人群中的不同群体，与大流行前相比，这改变了死亡率模式。在这项研究中,我们调查了比利时在COVID-19大流行第一年的地理超额死亡率趋势.
方法：我们根据性别检索了2020年的死亡人数和人口数据，年龄,和居住自治市，我们使用空间离散模型与2017-2019年的死亡率数据进行了比较。
结果：超额死亡率与年龄显著相关，性别,和COVID-19发病率，2020年下半年影响较大。大多数城市的死亡率较高，比利时东北部有一些例外。在北部和南部地区之间观察到超额死亡率的一些差异。
结论：这项研究提供了对超额死亡率的有用见解，并将帮助地方和地区当局监测死亡率趋势。
方法：我们根据性别检索了2020年的死亡人数和人口数据，年龄,和居住自治市，我们使用空间离散模型与2017-2019年的死亡率数据进行了比较。
结果：超额死亡率与年龄显著相关，性别,和COVID-19发病率，2020年下半年影响较大。大多数城市的死亡率较高，比利时东北部有一些例外。在北部和南部地区之间观察到超额死亡率的一些差异。
结论：这项研究提供了对超额死亡率的有用见解，并将帮助地方和地区当局监测死亡率趋势。
