Evidence map›Paper›PMID 41803878›Full record

ArticleInternational journal for equity in health2026

Inequality and the marginal well-being costs of lockdowns: the case of Chile's local lockdowns design.

Fernando Díaz, Pablo A Henríquez, Ana Sofía León, Jorge Sabat

Abstract read
In one paragraph

Article in International journal for equity in health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Fernando DíazUniversidad Técnica Federico Santa María, Valparaíso, Chile.
Pablo A HenríquezUniversidad Diego Portales, Santiago, Chile. pablo.henriquez@udp.cl.
Ana Sofía LeónUniversidad Diego Portales, Santiago, Chile.
Jorge SabatUniversidad Andres Bello, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper examines how heterogeneous lockdown policies can amplify pre-existing socioeconomic inequalities in well-being during public health crises. Using Chile’s municipality-level heterogeneous COVID-19 lockdown strategy as a case study, we assess whether local quarantines generated a double disadvantage for lower-socioeconomic-status populations: greater exposure to confinement and higher psychological costs when confined. We combine municipal-level lockdown records and socioeconomic data with a novel application of Google Trends to construct real-time indicators of population well-being. To address the geographical mismatch between nationally aggregated search data and local policy implementation, we exploit temporal variation in the socioeconomic composition of the confined population induced by staggered municipal lockdowns, which allows us to link changes in aggregate well-being indicators to shifts in confinement exposure across socioeconomic groups. Our results show that increases in the confined population are associated with significant rises in distress-related search activity, including boredom, loneliness, stress, worry, and self-care. These effects are substantially stronger when confinement disproportionately affects non-wealthy municipalities. We further show that, conditional on epidemiological risk, municipalities with lower income levels and higher concentrations of contact-intensive occupations faced systematically higher probabilities of being placed under lockdown. Taken together, these findings reveal a compounding mechanism through which local lockdown policies can exacerbate pre-existing inequalities: socioeconomically vulnerable populations were both more likely to be confined and more adversely affected by confinement. Methodologically, our study demonstrates how digital trace data can be combined with granular policy information to assess distributional well-being impacts in real time. Substantively, our results highlight the importance of incorporating equity considerations, and occupational structure into the design of non-pharmaceutical interventions.

Indexed as

COVID-19QuarantineChileHumansLow Socioeconomic StatusPandemicsPsychological Well-BeingSARS-CoV-2Socioeconomic Disparities in HealthSocioeconomic FactorsEconomic inequalityEhealthGoogle searchHeterogeneous quarantineMental healthOccupational riskUrban segregationWell-being

Identifiers

PMID41803878
PMCPMC13085343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.