Your browser doesn't support javascript.
Health Insurance Scheme: Main Contributor to Inequalities in COVID-19 Mortality in Colombia.
Garzón-Orjuela, Nathaly; Eslava-Schmalbach, Javier; Gil, Fabian; Guarnizo-Herreño, Carol C.
  • Garzón-Orjuela N; Nathaly Garzón-Orjuela is with the Health Equity Research Group, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia. Javier Eslava-Schmalbach is with the Health Equity Research Group, School of Medicine, Universidad Nacional de Colombia, and Hospital Universitario Nacional de Col
  • Eslava-Schmalbach J; Nathaly Garzón-Orjuela is with the Health Equity Research Group, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia. Javier Eslava-Schmalbach is with the Health Equity Research Group, School of Medicine, Universidad Nacional de Colombia, and Hospital Universitario Nacional de Col
  • Gil F; Nathaly Garzón-Orjuela is with the Health Equity Research Group, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia. Javier Eslava-Schmalbach is with the Health Equity Research Group, School of Medicine, Universidad Nacional de Colombia, and Hospital Universitario Nacional de Col
  • Guarnizo-Herreño CC; Nathaly Garzón-Orjuela is with the Health Equity Research Group, School of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia. Javier Eslava-Schmalbach is with the Health Equity Research Group, School of Medicine, Universidad Nacional de Colombia, and Hospital Universitario Nacional de Col
Am J Public Health ; 112(S6): S586-S590, 2022 08.
Article in English | MEDLINE | ID: covidwho-1993610
ABSTRACT
Objectives. To quantify socioeconomic inequalities in COVID-19 mortality in Colombia and to assess the extent to which type of health insurance, comorbidity burden, area of residence, and ethnicity account for such inequalities. Methods. We analyzed data from a retrospective cohort of COVID-19 cases. We estimated the relative and slope indices of inequality (RII and SII) using survival models for all participants and stratified them by age and gender. We calculated the percentage reduction in RII and SII after adjustment for potentially relevant factors. Results. We identified significant inequalities for the whole cohort and by subgroups (age and gender). Inequalities were higher among younger adults and gradually decreased with age, going from RII of 5.65 (95% confidence interval [CI] = 3.25, 9.82) in participants younger than 25 years to RII of 1.49 (95% CI = 1.41, 1.58) in those aged 65 years and older. Type of health insurance was the most important factor, accounting for 20% and 59% of the relative and absolute inequalities, respectively. Conclusions. Significant socioeconomic inequalities exist in COVID-19 mortality in Colombia. Health insurance appears to be the main contributor to those inequalities, posing challenges for the design of public health strategies. (Am J Public Health. 2022;112(S6)S586-S590. https//doi.org/10.2105/AJPH.2021.306637).
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Humans Country/Region as subject: South America / Colombia Language: English Journal: Am J Public Health Year: 2022 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Humans Country/Region as subject: South America / Colombia Language: English Journal: Am J Public Health Year: 2022 Document Type: Article