R Lozano

Biographic Data

ID28303
NAMER Lozano
GIVEN NAMESR
FAMILY NAMELozano
SIGNATURELOZANO R
AFFILIATIONSUniversity of Washington
ORCID0000-0002-7356-8823
VERIFIEDYes
TOTAL WORKS46
TOTAL CITATIONS9
AUTHOR COUNT46
EDITOR COUNT0
FIRST PUBLICATION YEAR1998
LATEST PUBLICATION YEAR2025
H-INDEX2

  • Inequities in the continuum of maternal care in Mexico

    Open AccessEdson Serván-Mori, Rocio Garcia-Diaz et al.ARTICLEInternational Journal for Equity…2025

    Despite efforts to improve maternal care, comprehensive antenatal services reach only 61.8% of women in Mexico. This stresses not only the need for targeted policies to enhance antenatal, delivery, and postnatal coverage at critical stages of care, but also the need to continue strengthening strategies that have rendered good results, and not to eliminate them simply for political-ideological reasons. It is imperative to prioritize reducing exist…

  • Inequitable Financial Protection in Health for Indigenous Populations

    Open AccessEdson Serván-Mori, Sergio Meneses-Navarro et al.ARTICLEJournal of Racial and Ethnic…2024References: 39

  • Estimating mortality and disability in Peru before the Covid-19 pandemic

    Open AccessMaría Jesús Ríos-Blancas, Victoria Pando-Robles et al.ARTICLEFrontiers in Public Health2023

    Background: Estimating and analyzing trends and patterns of health loss are essential to promote efficient resource allocation and improve Peru's healthcare system performance. Methods: Using estimates from the Global Burden of Disease (GBD), Injuries, and Risk Factors Study (2019), we assessed mortality and disability in Peru from 1990 to 2019. We report demographic and epidemiologic trends in terms of population, life expectancy at birth (LE), …

  • Equity in out-of-pocket health expenditure

    Open AccessRocio Garcia-Diaz, G Sosa-Rubí et al.ARTICLEJournal of Global Health2023

    Background: The fragmentation of health systems in low- and middle-income countries (LMICs) deepens health inequities and shifts the economic burden of health care to families via out-of-pocket spending (OOPHE). This problem has been addressed by introducing public health insurance programs for poor people; however, there is a lack of knowledge about how equitable these programs are. We aimed to analyse the long-term effects of the Seguro Popular…

  • Evaluation of effective coverage for type 2 diabetes in Mexican primary care health information systems

    Open AccessHéctor Gallardo‐Rincón, María Jesús Ríos-Blancas et al.ARTICLEInternational Journal for Equity…2023

    Expansion and improvement of EC are urgently needed to address the growing number of people living with T2D in Mexico, particularly in states with vulnerable populations

  • Quantifying the effects of the Covid-19 pandemic on gender equality on health, social, and economic indicators

    Open AccessLuisa S Flor, Joseph Friedman et al.ARTICLEThe Lancet2022

    BACKGROUND: Gender is emerging as a significant factor in the social, economic, and health effects of COVID-19. However, most existing studies have focused on its direct impact on health. Here, we aimed to explore the indirect effects of COVID-19 on gender disparities globally. METHODS: We reviewed publicly available datasets with information on indicators related to vaccine hesitancy and uptake, health care services, economic and work-related co…

  • Pandemic preparedness and Covid-19

    Open AccessThomas J Bollyky, Erin N Hulland et al.ARTICLEThe Lancet2022

    BACKGROUND: National rates of COVID-19 infection and fatality have varied dramatically since the onset of the pandemic. Understanding the conditions associated with this cross-country variation is essential to guiding investment in more effective preparedness and response for future pandemics. METHODS: Daily SARS-CoV-2 infections and COVID-19 deaths for 177 countries and territories and 181 subnational locations were extracted from the Institute …

  • Estimating excess mortality due to the Covid-19 pandemic

    Open AccessHaidong Wang, Katherine R Paulson et al.ARTICLEThe Lancet2022

    BACKGROUND: Mortality statistics are fundamental to public health decision making. Mortality varies by time and location, and its measurement is affected by well known biases that have been exacerbated during the COVID-19 pandemic. This paper aims to estimate excess mortality from the COVID-19 pandemic in 191 countries and territories, and 252 subnational units for selected countries, from Jan 1, 2020, to Dec 31, 2021. METHODS: All-cause mortalit…

  • Quantifying Disparities in the Continuum of Care for Maternal Health Attributable to Age Discrimination in Mexico, 1994–2018

    Open AccessIleana Heredia-Pi, Edson Serván-Mori et al.ARTICLESexuality Research and Social…2022References: 3

  • Intergenerational Replication of Teenage Pregnancy and Educational Attainment in Mexico

    Open AccessEdson Serván-Mori, Amado D Quezada-Sánchez et al.ARTICLEArchives of Sexual Behavior2022Cited by: 1References: 34

  • Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the Covid-19 pandemic

    Open AccessDamian F Santomauro, Damian Santomauro et al.ARTICLEThe Lancet2021

    BACKGROUND: Before 2020, mental disorders were leading causes of the global health-related burden, with depressive and anxiety disorders being leading contributors to this burden. The emergence of the COVID-19 pandemic has created an environment where many determinants of poor mental health are exacerbated. The need for up-to-date information on the mental health impacts of COVID-19 in a way that informs health system responses is imperative. In …

  • Trends and outcomes in primary health care expenditures in low-income and middle-income countries, 2000–2017

    Open AccessMatthew Schneider, Matthew T Schneider et al.ARTICLEBMJ Global Health2021

    INTRODUCTION: As the world responds to COVID-19 and aims for the Sustainable Development Goals, the potential for primary healthcare (PHC) is substantial, although the trends and effectiveness of PHC expenditure are unknown. We estimate PHC expenditure for each low-income and middle-income country between 2000 and 2017 and test which health outputs and outcomes were associated with PHC expenditure. METHODS: We used three data sources to estimate …

  • Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019

    Open AccessR Lozano, Nancy Fullman et al.ARTICLEThe Lancet2020

    BACKGROUND: Achieving universal health coverage (UHC) involves all people receiving the health services they need, of high quality, without experiencing financial hardship. Making progress towards UHC is a policy priority for both countries and global institutions, as highlighted by the agenda of the UN Sustainable Development Goals (SDGs) and WHO's Thirteenth General Programme of Work (GPW13). Measuring effective coverage at the health-system le…

  • Global, regional, and national sepsis incidence and mortality, 1990–2017

    Open AccessKristina E Rudd, Sarah C Johnson et al.ARTICLEThe Lancet2020

    BACKGROUND: Sepsis is life-threatening organ dysfunction due to a dysregulated host response to infection. It is considered a major cause of health loss, but data for the global burden of sepsis are limited. As a syndrome caused by underlying infection, sepsis is not part of standard Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) estimates. Accurate estimates are important to inform and monitor health policy interventions, allo…

  • Fertility, mortality, migration, and population scenarios for 195 countries and territories from 2017 to 2100

    Open AccessStein Emil Vollset, Emily Goren et al.ARTICLEThe Lancet2020

    BACKGROUND: Understanding potential patterns in future population levels is crucial for anticipating and planning for changing age structures, resource and health-care needs, and environmental and economic landscapes. Future fertility patterns are a key input to estimation of future population size, but they are surrounded by substantial uncertainty and diverging methodologies of estimation and forecasting, leading to important differences in glo…

  • Advances and challenges on the path toward the SDGs

    Open AccessJuan Pablo Gutiérrez-Reyes, Marcela Agudelo-Botero et al.ARTICLEBMJ Global Health2020

    BACKGROUND: The sustainable development goals (SDGs) have generated momentum for global health, aligning efforts from governments and international organisations toward a set of goals that are expected to reflect improvements in life conditions across the globe. Mexico has huge social inequalities that can affect access to quality care and health outcomes. The objective of this study is to analyse inequalities among Mexico's 32 states on the heal…

  • Life expectancy, death, and disability in Haiti, 1990-2017

    Open AccessFato Fene, María Jesús Ríos-Blancas et al.ARTICLERevista Panamericana de Salud…2020

    Objective. To investigate the magnitude and distribution of the main causes of death, disability, and risk factors in Haiti. Methods. We conducted an ecological analysis, using data estimated from the Global Burden of Disease Study 2017 for the period 1990-2017, to present life expectancy (LE), healthy life expectancy (HALE) at under 1-year-old, cause-specific deaths, years of life lost (YLLs), years lived with disability (YLDs), disability adjus…

  • Health effects of dietary risks in 195 countries, 1990–2017

    Open AccessAshkan Afshin, Patrick John Sur et al.ARTICLEThe Lancet2019

    BACKGROUND: Suboptimal diet is an important preventable risk factor for non-communicable diseases (NCDs); however, its impact on the burden of NCDs has not been systematically evaluated. This study aimed to evaluate the consumption of major foods and nutrients across 195 countries and to quantify the impact of their suboptimal intake on NCD mortality and morbidity. METHODS: By use of a comparative risk assessment approach, we estimated the propor…

  • Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death

    Open AccessKyle J Foreman, Neal Marquez et al.ARTICLEThe Lancet2018

    BACKGROUND: Understanding potential trajectories in health and drivers of health is crucial to guiding long-term investments and policy implementation. Past work on forecasting has provided an incomplete landscape of future health scenarios, highlighting a need for a more robust modelling platform from which policy options and potential health trajectories can be assessed. This study provides a novel approach to modelling life expectancy, all-cau…

  • Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories

    Open AccessR Lozano, Nancy Fullman et al.ARTICLEThe Lancet2018

    BACKGROUND: Efforts to establish the 2015 baseline and monitor early implementation of the UN Sustainable Development Goals (SDGs) highlight both great potential for and threats to improving health by 2030. To fully deliver on the SDG aim of "leaving no one behind", it is increasingly important to examine the health-related SDGs beyond national-level estimates. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD 2…

  • Burden of disease in Brazil, 1990–2016

    Open AccessFatima Marinho, Valéria Maria De Azeredo Passos et al.ARTICLEThe Lancet2018

    BACKGROUND: Political, economic, and epidemiological changes in Brazil have affected health and the health system. We used the Global Burden of Disease Study 2016 (GBD 2016) results to understand changing health patterns and inform policy responses. METHODS: We analysed GBD 2016 estimates for life expectancy at birth (LE), healthy life expectancy (HALE), all-cause and cause-specific mortality, years of life lost (YLLs), years lived with disabilit…

  • Use of performance metrics for the measurement of universal coverage for maternal care in Mexico

    Open AccessEdson Serván-Mori, David Contreras-Loya et al.ARTICLEHealth Policy and Planning2017References: 40

    This study provides evidence for those working in the maternal health metrics and health system performance fields, as well as those interested in achieving universal and effective health care coverage. Based on the perspective of continuity of health care and applying quasi-experimental methods to analyse the cross-sectional 2009 National Demographic Dynamics Survey (n = 14 414 women), we estimated the middle-term effects of Mexico's new public …

  • Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015

    Open AccessHaidong Wang, Zulfiqar A Bhutta et al.ARTICLEThe Lancet2016

    BACKGROUND: Established in 2000, Millennium Development Goal 4 (MDG4) catalysed extraordinary political, financial, and social commitments to reduce under-5 mortality by two-thirds between 1990 and 2015. At the country level, the pace of progress in improving child survival has varied markedly, highlighting a crucial need to further examine potential drivers of accelerated or slowed decreases in child mortality. The Global Burden of Disease 2015 …

  • Global, regional, and national disability-adjusted life-years (Dalys) for 315 diseases and injuries and healthy life expectancy (Hale), 1990–2015

    Open AccessNicholas J Kassebaum, Megha Arora et al.ARTICLEThe Lancet2016

    BACKGROUND: Healthy life expectancy (HALE) and disability-adjusted life-years (DALYs) provide summary measures of health across geographies and time that can inform assessments of epidemiological patterns and health system performance, help to prioritise investments in research and development, and monitor progress toward the Sustainable Development Goals (SDGs). We aimed to provide updated HALE and DALYs for geographies worldwide and evaluate ho…

  • Global, regional, and national levels of maternal mortality, 1990–2015

    Open AccessNicholas J Kassebaum, Ryan M Barber et al.ARTICLEThe Lancet2016

    BACKGROUND: In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015. METHODS: We estimated maternal mortality at the global, regional, …