Socioeconomic Inequalities and Ethnic Discrimination in Covid-19 Outcomes

The Case of Mexico

Dados Bibliográficos

ID2072893
AutoresAndrea Salas-Ortiz (0000-0003-1839-096X, University of York, autor correspondente)
Ano2024
Volume11
Fascículo2
Páginas900-912
Data de publicação2024-04-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Racial and Ethnic Health Disparities (JOURNAL)
Identificadores do periódicoISSN: 2196-8837 • E-ISSN: 2197-3792
EditoraSpringer Science and Business Media LLC (PUBLISHER)
DOI10.1007/s40615-023-01571-z
PMID37041406
OpenAlexW4364380304
IdiomaEN
Citações recebidas6
Referências citadas40

In Mexico, Indigenous people were hospitalised and killed by COVID-19 at a disproportionate rate compared to the non-Indigenous population. The main factors contributing to this were poor health conditions and impoverished social and economic circumstances within the country. The objective of this study is to examine the extent to which ethnic disparities are attributable to processes of structural discrimination and further explore the factors that exacerbate or mitigate them. Using administrative public data on COVID-19 and Census information, this study uses the Oaxaca-Blinder decomposition method to examine the extent to which disparities are illegitimate and signal discrimination against Indigenous people. The results show that although ethnic disparities were mainly attributable to observable differences in individual and contextual characteristics, 22.8% (p < 0.001) of the ethnic gap in hospitalisations, 17.5% in early deaths and 16.4% in overall deaths remained unexplained and could potentially indicate systemic discrimination. These findings highlight that pre-existing and longstanding illegitimate disparities against Indigenous people jeopardise the capacity of multi-ethnic countries to achieve social justice in health

Census · Ethnic group · Geography · Health equity · Indigenous · Inequality · Political science · Population · Public health · Social inequality · Socioeconomic status · Sociology · COVID-19 epidemiological studies · COVID-19 Pandemic Impacts · Demography · Food Security and Health in Diverse Populations · Medicine · Epidemiology