Cargando…
Plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por COVID-19 en Colombia*
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...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Organización Panamericana de la Salud
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9384892/ https://www.ncbi.nlm.nih.gov/pubmed/35990530 http://dx.doi.org/10.26633/RPSP.2022.78 |
_version_ | 1784769486489911296 |
---|---|
author | Garzón-Orjuela, Nathaly Eslava-Schmalbach, Javier Gil, Fabian Guarnizo-Herreño, Carol C. |
author_facet | Garzón-Orjuela, Nathaly Eslava-Schmalbach, Javier Gil, Fabian Guarnizo-Herreño, Carol C. |
author_sort | Garzón-Orjuela, Nathaly |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9384892 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
spelling | pubmed-93848922022-08-19 Plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por COVID-19 en Colombia* Garzón-Orjuela, Nathaly Eslava-Schmalbach, Javier Gil, Fabian Guarnizo-Herreño, Carol C. Rev Panam Salud Publica Comunicación Breve 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. Organización Panamericana de la Salud 2022-08-17 /pmc/articles/PMC9384892/ /pubmed/35990530 http://dx.doi.org/10.26633/RPSP.2022.78 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/us/Este es un artículo de acceso abierto distribuido bajo los términos de la licencia Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO, que permite su uso, distribución y reproducción en cualquier medio, siempre que el trabajo original se cite de la manera adecuada. No se permiten modificaciones a los artículos ni su uso comercial. Al reproducir un artículo no debe haber ningún indicio de que la OPS o el artículo avalan a una organización o un producto específico. El uso del logo de la OPS no está permitido. Esta leyenda debe conservarse, junto con la URL original del artículo. Crédito del logo y texto open access: PLoS, bajo licencia Creative Commons Attribution-Share Alike 3.0 Unported. |
spellingShingle | Comunicación Breve Garzón-Orjuela, Nathaly Eslava-Schmalbach, Javier Gil, Fabian Guarnizo-Herreño, Carol C. Plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por COVID-19 en Colombia* |
title | Plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por COVID-19 en Colombia* |
title_full | Plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por COVID-19 en Colombia* |
title_fullStr | Plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por COVID-19 en Colombia* |
title_full_unstemmed | Plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por COVID-19 en Colombia* |
title_short | Plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por COVID-19 en Colombia* |
title_sort | plan de seguro de salud: factor que más contribuye a las desigualdades en la mortalidad por covid-19 en colombia* |
topic | Comunicación Breve |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9384892/ https://www.ncbi.nlm.nih.gov/pubmed/35990530 http://dx.doi.org/10.26633/RPSP.2022.78 |
work_keys_str_mv | AT garzonorjuelanathaly plandesegurodesaludfactorquemascontribuyealasdesigualdadesenlamortalidadporcovid19encolombia AT eslavaschmalbachjavier plandesegurodesaludfactorquemascontribuyealasdesigualdadesenlamortalidadporcovid19encolombia AT gilfabian plandesegurodesaludfactorquemascontribuyealasdesigualdadesenlamortalidadporcovid19encolombia AT guarnizoherrenocarolc plandesegurodesaludfactorquemascontribuyealasdesigualdadesenlamortalidadporcovid19encolombia |