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Socioeconomic status determines COVID-19 incidence and related mortality in Santiago, Chile

Mena, Gonzalo E ; Martinez, Pamela P ; Mahmud, Ayesha S ; Marquet, Pablo A ; Buckee, Caroline O ; Santillana, Mauricio

Science (American Association for the Advancement of Science), 2021-05, Vol.372 (6545) [Periódico revisado por pares]

United States: The American Association for the Advancement of Science

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Título:
Socioeconomic status determines COVID-19 incidence and related mortality in Santiago, Chile
Autor: Mena, Gonzalo E ; Martinez, Pamela P ; Mahmud, Ayesha S ; Marquet, Pablo A ; Buckee, Caroline O ; Santillana, Mauricio
Assuntos: Access to Health Care ; Adult ; Affluence ; Age ; Age Factors ; Aged ; Attrition (Research Studies) ; Bayesian analysis ; Chile - epidemiology ; Cities - epidemiology ; Coronaviruses ; COVID-19 ; COVID-19 - diagnosis ; COVID-19 - epidemiology ; COVID-19 - mortality ; COVID-19 - transmission ; COVID-19 Nucleic Acid Testing ; Delivery Systems ; Demographics ; Deprivation ; Disease Incidence ; Economic factors ; Economics ; Epidemics ; Epidemiology ; Fatalities ; Gaussian process ; Health care ; Health Services ; Humans ; Impact analysis ; Incidence ; Income ; Indicators ; Infections ; Literary Devices ; Maximum likelihood estimates ; Maximum Likelihood Statistics ; Middle Aged ; Mobility ; Mortality ; Municipalities ; Online ; Pandemics ; Physical Distancing ; Poverty ; Public health ; Respiratory diseases ; Risk analysis ; Risk factors ; Severe acute respiratory syndrome ; Severe acute respiratory syndrome coronavirus 2 ; Social Class ; Social factors ; Socioeconomic Factors ; Socioeconomic status ; Socioeconomics ; Spatial variations ; Strata ; Urban areas ; Urban environments ; Urban Health ; Viral diseases ; Young adults
É parte de: Science (American Association for the Advancement of Science), 2021-05, Vol.372 (6545)
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
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These authors contributed equally to this work.
Descrição: The COVID-19 pandemic has affected cities particularly hard. Here, we provide an in-depth characterization of disease incidence and mortality and their dependence on demographic and socioeconomic strata in Santiago, a highly segregated city and the capital of Chile. Our analyses show a strong association between socioeconomic status and both COVID-19 outcomes and public health capacity. People living in municipalities with low socioeconomic status did not reduce their mobility during lockdowns as much as those in more affluent municipalities. Testing volumes may have been insufficient early in the pandemic in those places, and both test positivity rates and testing delays were much higher. We find a strong association between socioeconomic status and mortality, measured by either COVID-19-attributed deaths or excess deaths. Finally, we show that infection fatality rates in young people are higher in low-income municipalities. Together, these results highlight the critical consequences of socioeconomic inequalities on health outcomes.
Editor: United States: The American Association for the Advancement of Science
Idioma: Inglês

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Socioeconomic status determines COVID-19 incidence and related mortality in Santiago, Chile

Mena, Gonzalo E ; Martinez, Pamela P ; Mahmud, Ayesha S ; Marquet, Pablo A ; Buckee, Caroline O ; Santillana, Mauricio

United States: The American Association for the Advancement of Science

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