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

<h4>Background</h4>The SARS-CoV-2 pandemic compounds Mexico's pre-existing challenges: very high levels of both non-communicable diseases (NCD) and social inequity.<h4>Methods and findings</h4>Using data from national reporting of SARS-CoV-2 tested individuals, we estima...

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Main Authors: Juan Pablo Gutierrez, Stefano M Bertozzi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0240394
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author Juan Pablo Gutierrez
Stefano M Bertozzi
author_facet Juan Pablo Gutierrez
Stefano M Bertozzi
author_sort Juan Pablo Gutierrez
collection DOAJ
description <h4>Background</h4>The SARS-CoV-2 pandemic compounds Mexico's pre-existing challenges: very high levels of both non-communicable diseases (NCD) and social inequity.<h4>Methods and findings</h4>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.<h4>Conclusions</h4>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.
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spelling doaj.art-b6fb00805c4c4bc09b43c990e3c9fbe82023-03-30T05:31:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011510e024039410.1371/journal.pone.0240394Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico.Juan Pablo GutierrezStefano M Bertozzi<h4>Background</h4>The SARS-CoV-2 pandemic compounds Mexico's pre-existing challenges: very high levels of both non-communicable diseases (NCD) and social inequity.<h4>Methods and findings</h4>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.<h4>Conclusions</h4>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.https://doi.org/10.1371/journal.pone.0240394
spellingShingle Juan Pablo Gutierrez
Stefano M Bertozzi
Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico.
PLoS ONE
title Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico.
title_full Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico.
title_fullStr Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico.
title_full_unstemmed Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico.
title_short Non-communicable diseases and inequalities increase risk of death among COVID-19 patients in Mexico.
title_sort non communicable diseases and inequalities increase risk of death among covid 19 patients in mexico
url https://doi.org/10.1371/journal.pone.0240394
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