COVID-19 fatality in Mexico's indigenous populations.
Public Health
; 193: 69-75, 2021 Apr.
Article
in English
| MEDLINE | ID: covidwho-1078140
ABSTRACT
OBJECTIVE:
The aim of the study was to explore the factors that could explain the differences in fatality rates among indigenous groups with COVID-19 diagnosis compared with the rest of the population in Mexico. STUDYDESIGN:
We analyzed the public data of COVID-19 surveillance, of the Mexican Ministry of Health, to estimate COVID-19 fatality rates by ethnicity.METHODS:
We explored associated factors using Cox proportional hazards models stratified by outpatient and hospital management at diagnosis; analysis was conducted in three scenarios national level, states with 89% of the indigenous population, and South Pacific region.RESULTS:
A total of 412,017 COVID-19 cases were included, with 1.1% of the indigenous population. The crude fatality rate per 1000 person-weeks was 64.8% higher among indigenous than among non-indigenous people (29.97 vs. 18.18, respectively), and it increased more than twice within outpatients (5.99 vs. 2.64, respectively). Cox analysis revealed that indigenous people who received outpatient management had higher fatality rate than non-indigenous outpatients, at the national level (hazard ratio [HR] = 1.63; 95% confidence interval [CI] = 1.34-1.98), within the subgroup of 13 states (HR = 1.66; 95% CI = 1.33-2.07), and in the South Pacific region (HR = 2.35; 95% CI = 1.49-3.69). Factors associated with higher fatality rates among non-indigenous and indigenous outpatients were age, sex, and comorbidities.CONCLUSIONS:
COVID-19 fatality is higher among indigenous populations, particularly within cases managed as outpatients.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Health Status Disparities
/
Indigenous Peoples
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Mexico
Language:
English
Journal:
Public Health
Year:
2021
Document Type:
Article
Affiliation country:
J.puhe.2021.01.023
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