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Socioeconomic inequalities associated with mortality for COVID-19 in Colombia: a cohort nationwide study.
Cifuentes, Myriam Patricia; Rodriguez-Villamizar, Laura Andrea; Rojas-Botero, Maylen Liseth; Alvarez-Moreno, Carlos Arturo; Fernández-Niño, Julián Alfredo.
  • Cifuentes MP; Direction of Epidemiology and Demography, Government of Colombia Ministry of Health and Social Protection, Bogota, Colombia.
  • Rodriguez-Villamizar LA; Department of Public Health, School of Medicine, Universidad Industrial de Santander, Bucaramanga, Santander, Colombia laurovi@uis.edu.co.
  • Rojas-Botero ML; Direction of Epidemiology and Demography, Government of Colombia Ministry of Health and Social Protection, Bogota, Colombia.
  • Alvarez-Moreno CA; Faculty of Medicine, Universidad Nacional de Colombia, Bogota, Colombia.
  • Fernández-Niño JA; Clínica Universitaria, Clínica Colsanitas, Bogotá, Colombia.
J Epidemiol Community Health ; 2021 Mar 04.
Article in English | MEDLINE | ID: covidwho-1122217
Preprint
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ABSTRACT

BACKGROUND:

After 8 months of the COVID-19 pandemic, Latin American countries have some of the highest rates in COVID-19 mortality. Despite being one of the most unequal regions of the world, there is a scarce report of the effect of socioeconomic conditions on COVID-19 mortality in their countries. We aimed to identify the effect of some socioeconomic inequality-related factors on COVID-19 mortality in Colombia.

METHODS:

We conducted a survival analysis in a nation-wide retrospective cohort study of confirmed cases of COVID-19 in Colombia from 2 March 2020 to 26 October 2020. We calculated the time to death or recovery for each confirmed case in the cohort. We used an extended multivariable time-dependent Cox regression model to estimate the HR by age groups, sex, ethnicity, type of health insurance, area of residence and socioeconomic strata.

RESULTS:

There were 1 033 218 confirmed cases and 30 565 deaths for COVID-19 in Colombia between 2 March and 26 October. The risk of dying for COVID-19 among confirmed cases was higher in males (HR 1.68 95% CI 1.64 to 1.72), in people older than 60 years (HR 296.58 95% CI 199.22 to 441.51), in indigenous people (HR 1.20 95% CI 1.08 to 1.33), in people with subsidised health insurance regime (HR 1.89 95% CI 1.83 to 1.96) and in people living in the very low socioeconomic strata (HR 1.44 95% CI 1.24 to 1.68).

CONCLUSION:

Our study provides evidence of socioeconomic inequalities in COVID-19 mortality in terms of age groups, sex, ethnicity, type of health insurance regimen and socioeconomic status.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Country/Region as subject: South America / Colombia Language: English Year: 2021 Document Type: Article Affiliation country: Jech-2020-216275

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Country/Region as subject: South America / Colombia Language: English Year: 2021 Document Type: Article Affiliation country: Jech-2020-216275