Distribución espacial de la mortalidad por COVID-19 y su asociación con condiciones sociodemográficas en Antioquia-Colombia

Abstract

Antioquia has shown wide subregional and municipal variations in the risk of mortality from COVID-19. However, relevant factors to explain the geographic pattern of mortality, in addition to individual conditions, are unknown. Objective: to explore the possible influence of municipal characteristics on the risk of COVID-19 mortality in Antioquia, adjusting for individual conditions. Methodology: a cross-sectional, secondary data analytical study was used, using data from all COVID-19 positive cases identified between March 9, 2020 and October 29, 2021 in Antioquia, Colombia. A multilevel logistic model was fitted to analyze the association between COVID-19 mortality and socioeconomic and demographic predictors of the municipalities, independent of age, sex and ethnicity. Results: After controlling for individual variables, 12 of the 16 municipal-level variables were shown to be independently associated with COVID-1 mortality. The results also suggest a negative gradient of COVID-19 mortality where municipalities with poor conditions showed higher risks. Conclusions: these results suggest the need to take into account not only the immediate environment, but also the broader environment to which people belong in order to prevent the spread of the virus and its serious consequences.

Keywords:

COVID-19

mortalidad

pandemia

análisis espacial

determinantes sociales de la salud

COVID-19

mortality

pandemic

spatial analysis

social determinants of health

COVID-19

mortalidade

pandemia

análise espacial

determinantes sociais da saúde

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