Socioeconomic disparities associated with mortality in patients hospitalized for Covid-19 in Colombia

Bibliographic Data

ID22091548
AuthorsOscar Ignacio Mendoza Cardozo (Universidad de Antioquia, corresponding author), Juan Pablo Pérez Bedoya (0000-0002-2474-6603, Universidad de Antioquia), Lina Marcela Ruiz Galvis (0000-0003-1134-9112, Universidad de Antioquia), Carlos Andrés Pérez Aguirre (0000-0003-4937-1163, Universidad de Antioquia), Boris Anghelo Rodríguez Rey, Boris A Rodríguez (0000-0001-5298-218X, Universidad de Antioquia), Noël C Barengo (0000-0003-0660-3091, Florida International University), Johnatan Cardona Jiménez (0000-0002-6370-8837, Universidad Nacional de Colombia), Paula Andrea Diaz‐valencia (0000-0001-8065-5629, Universidad de Antioquia), Paula Andrea Díaz Valencia
Year2023
Volume11
Pages1139379-1139379
Publication date2023-03-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1139379
PMID37151581
OpenAlexW4361284726
LanguageEN
Citations received1
References cited28

Socioeconomic disparities play an important role in the development of severe clinical outcomes including deaths from COVID-19. However, the current scientific evidence in regard the association between measures of poverty and COVID-19 mortality in hospitalized patients is scant. The objective of this study was to investigate whether there is an association between the Colombian Multidimensional Poverty Index (CMPI) and mortality from COVID-19 in hospitalized patients in Colombia from May 1, 2020 to August 15, 2021. This was an ecological study using individual data on hospitalized patients from the National Institute of Health of Colombia (INS), and municipal level data from the High-Cost Account and the National Administrative Department of Statistics. The main outcome variable was mortality due to COVID-19. The main exposure variable was the CMPI that ranges from 0 to 100% and was categorized into five levels: (i) level I (0%−20%), (ii) level II (20%−40%), (iii) level III (40%−60%), (iv) level IV (60%−80%); and (v) level V (80%−100%). The higher the level, the higher the level of multidimensional poverty. A Bayesian multilevel logistic regression model was applied to estimate Odds Ratio (OR) and their corresponding 95% credible intervals (CI). In addition, a subgroup analysis was performed according to the epidemiological COVID-19 waves using the same model. The odds for dying from COVID-19 was 1.46 (95% CI 1.4–1.53) for level II, 1.41 (95% CI 1.33–1.49) for level III and 1.70 (95% CI 1.54–1.89) for level IV hospitalized COVID-19 patients compared with the least poor patients (CMPI level I). In addition, age and male sex also increased mortality in COVID-19 hospitalized patients. Patients between 26 and 50 years-of-age had 4.17-fold increased odds (95% CI 4.07–4.3) of death compared with younger than 26-years-old patients. The corresponding for 51–75 years-old patients and those above the age of 75 years were 9.17 (95% CI 8.93–9.41) and 17.1 (95% CI 16.63–17.56), respectively. Finally, the odds of death from COVID-19 in hospitalized patients gradually decreased as the pandemic evolved. In conclusion, socioeconomic disparities were a major risk factor for mortality in patients hospitalized for COVID-19 in Colombia

Ecological study · Environmental health · Logistic regression · Odds · Odds ratio · Population · Poverty · Socioeconomic status · COVID-19 and healthcare impacts · COVID-19 Clinical Research Studies · COVID-19 epidemiological studies · Demography · Medicine · Epidemiology · Internal Medicine

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