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Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico

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  • Juan Pablo Gutierrez
  • Stefano M Bertozzi

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.

Suggested Citation

  • Juan Pablo Gutierrez & Stefano M Bertozzi, 2020. "Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-11, October.
    • Handle: RePEc:plo:pone00:0240394
    DOI: 10.1371/journal.pone.0240394
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    Cited by:

    1. Monroy-Gómez-Franco, Luis & Vélez-Grajales, Roberto & López-Calva, Luis F., 2022. "The potential effects of the COVID-19 pandemic on learnings," International Journal of Educational Development, Elsevier, vol. 91(C).
    2. Viridiana Ríos & Edgar Denova-Gutiérrez & Simón Barquera, 2022. "Association between living in municipalities with high crowding conditions and poverty and mortality from COVID-19 in Mexico," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-15, February.
    3. Ana Basto-Abreu & Martha Carnalla & Leticia Torres-Ibarra & Martín Romero-Martínez & Jesús Martínez-Barnetche & Irma López-Martínez & Rodrigo Aparicio-Antonio & Teresa Shamah-Levy & Celia Alpuche-Aran, 2022. "Nationally representative SARS-CoV-2 antibody prevalence estimates after the first epidemic wave in Mexico," Nature Communications, Nature, vol. 13(1), pages 1-8, December.
    4. González-Mares, Mariana Odemaris & Aradillas-García, Celia & Márquez-Mireles, Leonardo Ernesto & Monsiváis-Nava, Claudia Davinia & Bernal-Medina, Jesús Eduardo & Vargas-Morales, Juan Manuel & Portales, 2022. "Implementation and evaluation of an educational intervention to prevent risk factors for the development of non-communicable diseases in Mexican families of suburban communities," Evaluation and Program Planning, Elsevier, vol. 92(C).

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