[Geographic variability, health inequities and lethality due to COVID-19 in Bariloche, Río Negro, 2020-2021].

Pub Date : 2024-01-01

Fernando Tortosa, Fernando Perre, Gabriela Carrasco, Gonzalo De Lusarreta, Natalia Artola, Dana Prandi, Rodrigo Bustamante, German Guaresti, Ariel Izcovich

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引用次数: 0

Abstract

Introduction: The objective of this study was to analyze the geographic variability and the relationship between social determinants of health and COVID-19 lethality in Bariloche.

Methods: A database from the National Epidemiological Surveillance System was used to analyze COVID-19 positive cases from January 2020 to December 2021. The data were geocoded and incorporated into a geographic information system (GIS). A three-step analytical framework was applied to measure health inequity, using socioeconomic indicators and access to services. A multivariate analysis was conducted to predict fatality.

Results: A total of 25 020 COVID-19 cases were diagnosed in Bariloche during the study period. The fatality rate was 2.1%. Significant variability in socioeconomic indicators was observed among different territorial delegations of the city.

Discussion: The results showed health inequities and an association between social determinants and COVID-19 lethality in Bariloche. Individuals living in areas with higher socioeconomic vulnerability had a higher risk of mortality. These findings highlight the importance of addressing health inequities in a pandemic response.

[2020-2021年巴里洛切、里奥内格罗的COVID-19造成的地理变异、健康不平等和致死率]。

引言本研究的目的是分析巴里洛切的地理变异性以及健康的社会决定因素与 COVID-19 致死率之间的关系：方法：使用国家流行病监测系统的数据库分析 2020 年 1 月至 2021 年 12 月的 COVID-19 阳性病例。对数据进行了地理编码，并将其纳入地理信息系统（GIS）。采用三步分析框架，利用社会经济指标和获得服务的机会来衡量健康不公平现象。采用多变量分析预测死亡率：研究期间，巴里洛切共确诊 25 020 例 COVID-19 病例。死亡率为 2.1%。该市不同地区的社会经济指标存在显著差异：讨论：研究结果表明，巴里洛切市存在健康不平等现象，社会决定因素与COVID-19致死率之间存在关联。生活在社会经济脆弱性较高地区的人死亡风险较高。这些发现强调了在应对大流行病时解决健康不平等问题的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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