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Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale

OBJECTIVE: Local characteristics of populations have been associated with coronavirus disease 2019 (COVID-19) outcomes. We analyze the municipality-level factors associated with a high COVID-19 mortality rate (MR) of in Mexico. METHODS: We retrieved information from cumulative confirmed symptomatic...

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Autores principales: Contreras-Manzano, Alejandra, Guerrero-López, Carlos M., Aguerrebere, Mercedes, Sedas, Ana Cristina, Lamadrid-Figueroa, Héctor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985638/
https://www.ncbi.nlm.nih.gov/pubmed/33731243
http://dx.doi.org/10.1017/dmp.2020.485
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author Contreras-Manzano, Alejandra
Guerrero-López, Carlos M.
Aguerrebere, Mercedes
Sedas, Ana Cristina
Lamadrid-Figueroa, Héctor
author_facet Contreras-Manzano, Alejandra
Guerrero-López, Carlos M.
Aguerrebere, Mercedes
Sedas, Ana Cristina
Lamadrid-Figueroa, Héctor
author_sort Contreras-Manzano, Alejandra
collection PubMed
description OBJECTIVE: Local characteristics of populations have been associated with coronavirus disease 2019 (COVID-19) outcomes. We analyze the municipality-level factors associated with a high COVID-19 mortality rate (MR) of in Mexico. METHODS: We retrieved information from cumulative confirmed symptomatic cases and deaths from COVID-19 as of June 20, 2020, and data from most recent census and surveys of Mexico. A negative binomial regression model was adjusted, the dependent variable was the number of COVID-19 deaths, and the independent variables were the quintiles of the distribution of sociodemographic and health characteristics among the 2457 municipalities of Mexico. RESULTS: Factors associated with high MRs from COVID-19, relative to quintile 1, were diabetes and obesity prevalence, diabetes mortality rate, indigenous population, economically active population, density of economic units that operate essential activities, and population density. Among factors inversely associated with lower MRs from COVID-19 were high hypertension prevalence and houses without sewage drainage. We identified 1351 municipalities without confirmed COVID-19 deaths, of which, 202 had high and 82 very high expected COVID-19 mortality (mean = 8 and 13.8 deaths per 100,000, respectively). CONCLUSION: This study identified municipalities of Mexico that could lead to a high mortality scenario later in the epidemic and warns against premature easing of mobility restrictions and to reinforce strategies of prevention and control of outbreaks in communities vulnerable to COVID-19.
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spelling pubmed-79856382021-03-25 Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale Contreras-Manzano, Alejandra Guerrero-López, Carlos M. Aguerrebere, Mercedes Sedas, Ana Cristina Lamadrid-Figueroa, Héctor Disaster Med Public Health Prep Original Research OBJECTIVE: Local characteristics of populations have been associated with coronavirus disease 2019 (COVID-19) outcomes. We analyze the municipality-level factors associated with a high COVID-19 mortality rate (MR) of in Mexico. METHODS: We retrieved information from cumulative confirmed symptomatic cases and deaths from COVID-19 as of June 20, 2020, and data from most recent census and surveys of Mexico. A negative binomial regression model was adjusted, the dependent variable was the number of COVID-19 deaths, and the independent variables were the quintiles of the distribution of sociodemographic and health characteristics among the 2457 municipalities of Mexico. RESULTS: Factors associated with high MRs from COVID-19, relative to quintile 1, were diabetes and obesity prevalence, diabetes mortality rate, indigenous population, economically active population, density of economic units that operate essential activities, and population density. Among factors inversely associated with lower MRs from COVID-19 were high hypertension prevalence and houses without sewage drainage. We identified 1351 municipalities without confirmed COVID-19 deaths, of which, 202 had high and 82 very high expected COVID-19 mortality (mean = 8 and 13.8 deaths per 100,000, respectively). CONCLUSION: This study identified municipalities of Mexico that could lead to a high mortality scenario later in the epidemic and warns against premature easing of mobility restrictions and to reinforce strategies of prevention and control of outbreaks in communities vulnerable to COVID-19. Cambridge University Press 2020-12-22 /pmc/articles/PMC7985638/ /pubmed/33731243 http://dx.doi.org/10.1017/dmp.2020.485 Text en © Society for Disaster Medicine and Public Health, Inc. 2020 http://creativecommons.org/licenses/by/4.0/ This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Contreras-Manzano, Alejandra
Guerrero-López, Carlos M.
Aguerrebere, Mercedes
Sedas, Ana Cristina
Lamadrid-Figueroa, Héctor
Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale
title Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale
title_full Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale
title_fullStr Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale
title_full_unstemmed Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale
title_short Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale
title_sort municipality-level predictors of covid-19 mortality in mexico: a cautionary tale
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985638/
https://www.ncbi.nlm.nih.gov/pubmed/33731243
http://dx.doi.org/10.1017/dmp.2020.485
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