Social determinants of health associated with severity and mortality in patients with COVID-19
RI Núñez Cortés, M Ortega Palavecinos… - 2021 - repositorio.uchile.cl
RI Núñez Cortés, M Ortega Palavecinos, CA Soto Carmona, P Torres Gangas, C Rivero…
2021•repositorio.uchile.clHistorically, pandemics have resulted in higher mortality rates in the most vulnerable
populations. Social determinants of health (SDH) have been associated with people
morbidity and mortality at different levels. Objective: To determine the relationship between
SDH and COVID-19 severity and mortality. Methods: Retrospective study, where data from
patients with COVID-19 were collected at a public hospital in Chile. Sociodemographic
variables related to structural SDH were classified according to the following categories …
populations. Social determinants of health (SDH) have been associated with people
morbidity and mortality at different levels. Objective: To determine the relationship between
SDH and COVID-19 severity and mortality. Methods: Retrospective study, where data from
patients with COVID-19 were collected at a public hospital in Chile. Sociodemographic
variables related to structural SDH were classified according to the following categories …
Historically, pandemics have resulted in higher mortality rates in the most vulnerable populations. Social determinants of health (SDH) have been associated with people morbidity and mortality at different levels.
Objective
To determine the relationship between SDH and COVID-19 severity and mortality.
Methods
Retrospective study, where data from patients with COVID-19 were collected at a public hospital in Chile. Sociodemographic variables related to structural SDH were classified according to the following categories: gender, age (< 65 years, ≥ 65 years), secondary education (completed or not), work status (active, inactive) and income (< USD 320, ≥ USD 320).
Results
A total of 1,012 laboratory-confirmed COVID-19 cases were included. Average age was 64.2 ± 17.5 years. Mortality of the entire sample was 14.5 %. Age, level of education, unemployment and income had a strong association with mortality (p < 0.001).
Conclusions
The findings reinforce the idea that SDH should be considered a public health priority, which is why political efforts should focus on reducing health inequalities for future generations.
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