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Demographic and Health Indicators in Correlation to Interstate Variability of Incidence, Confirmation, Hospitalization, and Lethality in Mexico: Preliminary Analysis from Imported and Community Acquired Cases during COVID-19 Outbreak

Author

Listed:
  • Nina Mendez-Dominguez

    (Department of Health Sciences, School of Medicine, Universidad Marista, Periférico Norte Tablaje Catastral 13941, Merida 97300, Mexico)

  • Alberto Alvarez-Baeza

    (Department of Health Sciences, School of Medicine, Universidad Marista, Periférico Norte Tablaje Catastral 13941, Merida 97300, Mexico)

  • Genny Carrillo

    (Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, 212 Adriance Lab Road, College Station, TX 77843, USA)

Abstract

This study’s objective is to analyze the incidence, lethality, hospitalization, and confirmation of COVID-19 cases in Mexico. Sentinel surveillance for COVID-19 cases in Mexico began after the confirmation of the first patient with community transmission. Methods: This epidemiologic, cross-sectional study includes all clinically suspected, and laboratory-confirmed cases nationwide from the beginning of the outbreak to 21 April 2020. State-cluster demographic data and health indicators were analyzed in reference to epidemiologic measures, with logistic regressions for the dependent variables of incidence, confirmation, and lethality. Results: The national incidence was 13.89/100,000 inhabitants with a 6.52% overall lethality and a confirmed-case mortality of 11.1%. The incidence variation significantly correlated with migration, but not urbanization. Pediatric patients were less prone to be tested (OR = −3.92), while geriatric individuals were a priority. State lethality positively correlated with the proportion of the population assisted at public hospitals and correlated inversely to the number of hospitals and clinics in the state. Conclusions: Migration strongly correlated with incidence; elderly patients had lower odds of being hospitalized but were likely to die. Patients aged <15 were less prone to be laboratory-confirmed. Case confirmation was not performed in all hospitalized patients, but 72.15% of hospitalized patients had favorable outcomes to date.

Suggested Citation

  • Nina Mendez-Dominguez & Alberto Alvarez-Baeza & Genny Carrillo, 2020. "Demographic and Health Indicators in Correlation to Interstate Variability of Incidence, Confirmation, Hospitalization, and Lethality in Mexico: Preliminary Analysis from Imported and Community Acquir," IJERPH, MDPI, vol. 17(12), pages 1-12, June.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4281-:d:371800
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    Cited by:

    1. Mario Antonio Téllez-González & Juan Antonio Pineda-Juárez & Juan Antonio Suárez-Cuenca & Mónica Escamilla-Tilch & Daniel Santillán-Cortez & Silvia García & Sofía Lizeth Alcaraz-Estrada & Juan Carlos , 2022. "Epidemiological Profile and Social Welfare Index as Factors Associated with COVID-19 Hospitalization and Severity in Mexico City: A Retrospective Analysis," IJERPH, MDPI, vol. 19(22), pages 1-13, November.

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