ArticleInternational journal for equity in health2023
Social inequalities and COVID-19 mortality between neighborhoods of Bariloche city, Argentina.
Article in International journal for equity in health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Inequities in HIV/AIDS mortality in 315 Latin American cities: a population-based cross-sectional analysis.Lancet regional health. Americas · 2026Article
- Urban Environments, Health, and Environmental Sustainability: Findings From the SALURBAL Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Review
- Navigating the divide: inequalities in household experiences of healthcare disruption in Latin American and the Caribbean countries amidst COVID-19.International journal for equity in health · 2024Article
- Socioeconomic factors and COVID-19 mortality in immune-mediated rheumatic diseases patients: regional analysis from Argentina, Mexico and Brazil.Advances in rheumatology (London, England) · 2024Article
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9 authors.
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Abstract
backgroundThe COVID-19 pandemic has shown how intraurban inequalities are likely to reinforce health and social inequalities. Studies at small area level help to visualize social inequialities hidden in large areas as cities or regions.
aimTo describe the spatial patterning of COVID-19 death rates in neighborhoods of the medium-sized city of Bariloche, Argentina, and to explore its relationship with the socioeconomic characteristics of neighborhoods.
methodsWe conducted an ecological study in Bariloche, Argentina. The outcome was counts of COVID-19 deaths between June 2020 and May 2022 obtained from the surveillance system and georeferenced to neighborhoods. We estimated crude- and age-adjusted death rates by neighborhood using a Bayesian approach through a Poisson regression that accounts for spatial-autocorrelation via Conditional Autoregressive (CAR) structure. We also analyzed associations of age-adjusted death rates with area-level socioeconomic indicators.
resultsMedian COVID-19 death rate across neighborhoods was 17.9 (10th/90th percentile of 6.3/35.2) per 10,000 inhabitants. We found lower age-adjusted rates in the city core and western part of the city. The age-adjusted death rate in the most deprived areas was almost double than in the least deprived areas, with an education-related relative index of inequality (RII) of 2.14 (95% CI 1.55 to 2.96).
conclusionWe found spatial heterogeneity and intraurban variability in age-adjusted COVID-19 death rates, with a clear social gradient, and a higher burden in already deprived areas. This highlights the importance of studying inequalities in health outcomes across small areas to inform placed-based interventions.
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