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Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico.
PLoS One. 2020; 15(10):e0240394.Plos

Abstract

BACKGROUND

The SARS-CoV-2 pandemic compounds Mexico's pre-existing challenges: very high levels of both non-communicable diseases (NCD) and social inequity.

METHODS AND FINDINGS

Using data from national reporting of SARS-CoV-2 tested individuals, we estimated odds of hospitalization, intubation, and death based on pre-existing non-communicable diseases and socioeconomic indicators. We found that obesity, diabetes, and hypertension are positively associated with the three outcomes in a synergistic manner. The municipal poverty level is also positively associated with hospitalization and death.

CONCLUSIONS

Mexico's response to COVID-19 is complicated by a synergistic double challenge: raging NCDs and extreme social inequity. The response to the current pandemic must take both into account both to be effective and to ensure that the burden of COVID-19 not falls disproportionately on those who are already disadvantaged.

Authors+Show Affiliations

Center for Policy, Population & Health Research, School of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.University of California, Berkeley, California, United States of America. University of Washington, Seattle, Washington, United States of America. National Institute of Public Health, Mexico (INSP), Cuernavaca, Mexico.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33031467

Citation

Gutierrez, Juan Pablo, and Stefano M. Bertozzi. "Non-communicable Diseases and Inequalities Increase Risk of Death Among COVID-19 Patients in Mexico." PloS One, vol. 15, no. 10, 2020, pp. e0240394.
Gutierrez JP, Bertozzi SM. Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico. PLoS One. 2020;15(10):e0240394.
Gutierrez, J. P., & Bertozzi, S. M. (2020). Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico. PloS One, 15(10), e0240394. https://doi.org/10.1371/journal.pone.0240394
Gutierrez JP, Bertozzi SM. Non-communicable Diseases and Inequalities Increase Risk of Death Among COVID-19 Patients in Mexico. PLoS One. 2020;15(10):e0240394. PubMed PMID: 33031467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico. AU - Gutierrez,Juan Pablo, AU - Bertozzi,Stefano M, Y1 - 2020/10/08/ PY - 2020/05/26/received PY - 2020/09/27/accepted PY - 2020/10/8/entrez PY - 2020/10/9/pubmed PY - 2020/10/21/medline SP - e0240394 EP - e0240394 JF - PloS one JO - PLoS One VL - 15 IS - 10 N2 - BACKGROUND: The SARS-CoV-2 pandemic compounds Mexico's pre-existing challenges: very high levels of both non-communicable diseases (NCD) and social inequity. METHODS AND FINDINGS: Using data from national reporting of SARS-CoV-2 tested individuals, we estimated odds of hospitalization, intubation, and death based on pre-existing non-communicable diseases and socioeconomic indicators. We found that obesity, diabetes, and hypertension are positively associated with the three outcomes in a synergistic manner. The municipal poverty level is also positively associated with hospitalization and death. CONCLUSIONS: Mexico's response to COVID-19 is complicated by a synergistic double challenge: raging NCDs and extreme social inequity. The response to the current pandemic must take both into account both to be effective and to ensure that the burden of COVID-19 not falls disproportionately on those who are already disadvantaged. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/33031467/Non_communicable_diseases_and_inequalities_increase_risk_of_death_among_COVID_19_patients_in_Mexico_ L2 - https://dx.plos.org/10.1371/journal.pone.0240394 DB - PRIME DP - Unbound Medicine ER -