Excess Mortality during the COVID-19 Pandemic in Cities of Chile: Magnitude, Inequalities, and Urban Determinants

Simple item page
dc.contributor.authorAlfaro, Tania
dc.contributor.authorMartinez-Folgar, Kevin
dc.contributor.authorVives, Alejandra
dc.contributor.authorBilal, Usama
dc.contributor.otherCEDEUS (Chile)
dc.date.accessioned2024-01-10T13:45:13Z
dc.date.available2024-01-10T13:45:13Z
dc.date.issued2022
dc.description.abstractWe 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.
dc.fechaingreso.objetodigital2024-03-14
dc.fuente.origenWOS
dc.identifier.doi10.1007/s11524-022-00658-y
dc.identifier.eissn1468-2869
dc.identifier.issn1099-3460
dc.identifier.urihttps://doi.org/10.1007/s11524-022-00658-y
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/79001
dc.identifier.wosidWOS:000809295300001
dc.information.autorucFacultad de Medicina; Vives Vergara, Alejandra; S/I; 135637
dc.language.isoen
dc.nota.accesoContenido completo
dc.publisherSPRINGER
dc.rightsacceso abierto
dc.subjectCOVID-19
dc.subjectMortality
dc.subjectChile
dc.subjectUrban health
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleExcess Mortality during the COVID-19 Pandemic in Cities of Chile: Magnitude, Inequalities, and Urban Determinants
dc.typeartículo
sipa.codpersvinculados135637
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
s11524-022-00658-y.pdf
Size:
1 MB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Artículos de revistas
CEDEUS