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Excess Mortality during the Covid-19 Pandemic in Cities of Chile

Magnitude, Inequalities, and Urban Determinants

Bibliographic Data

ID12473613
AuthorsTania Alfaro (0000-0002-2528-1457, University of Chile, corresponding author), Kevin Martinez-Folgar (0000-0001-9262-298X, Urban Institute), Antonio Vives (0000-0001-5851-0693, Pontificia Universidad Católica de Chile), Usama Bilal (0000-0002-9868-7773, Urban Institute)
Year2022
Volume99
Issue5
Pages922-935
Publication date2022-06-10
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Urban Health (JOURNAL)
Journal identifiersISSN: 1099-3460 • E-ISSN: 1468-2869
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s11524-022-00658-y
PMID35688966
OpenAlexW4281733102
LanguageEN
Citations received9
References cited55

We estimated excess mortality in Chilean cities during the COVID-19 pandemic and its association with city-level factors. We used mortality, and social and built environment data from the SALURBAL study for 21 Chilean cities, composed of 81 municipalities or "comunas", grouped in 4 macroregions. We estimated excess mortality by comparing deaths from January 2020 up to June 2021 vs 2016-2019, using a generalized additive model. We estimated a total of 21,699 (95%CI 21,693 to 21,704) excess deaths across the 21 cities. Overall relative excess mortality was highest in the Metropolitan (Santiago) and the North regions (28.9% and 22.2%, respectively), followed by the South and Center regions (17.6% and 14.1%). At the city-level, the highest relative excess mortality was found in the Northern cities of Calama and Iquique (around 40%). Cities with higher residential overcrowding had higher excess mortality. In Santiago, capital of Chile, municipalities with higher educational attainment had lower relative excess mortality. These results provide insight into the heterogeneous impact of COVID-19 in Chile, which has served as a magnifier of preexisting urban health inequalities, exhibiting different impacts between and within cities. Delving into these findings could help prioritize strategies addressed to prevent deaths in more vulnerable communities

Capital city · Coronavirus disease 2019 (COVID-19 · Economic geography · Economic growth · Economics · Excess mortality · Geography · Inequality · Metropolitan area · Mortality rate · Overcrowding · Pandemic · Socioeconomics · Sociology · Climate Change and Health Impacts · COVID-19 epidemiological studies · Demography · Health disparities and outcomes · Medicine

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Unique citing works9
Citations per year3
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 9

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