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Medicina (Buenos Aires)
Print version ISSN 0025-7680On-line version ISSN 1669-9106
Abstract
TORTOSA, Fernando et al. Geographic variability, health inequities and lethality due to COVID-19 in Bariloche, Río Negro, 2020-2021. Medicina (B. Aires) [online]. 2024, vol.84, n.1, pp.29-46. ISSN 0025-7680.
Introduction
: The objective of this study was to ana lyze the geographic variability and the relationship between social determinants of health and COVID-19 lethality in Bariloche.
Methods
: A database from the National Epidemiologi cal Surveillance System was used to analyze COVID-19 positive cases from January 2020 to December 2021. The data were geocoded and incorporated into a geo graphic information system (GIS). A three-step analytical framework was applied to measure health inequity, us ing socioeconomic indicators and access to services. A multivariate analysis was conducted to predict fatality.
Results
: A total of 25 020 COVID-19 cases were diag nosed in Bariloche during the study period. The fatality rate was 2.1%. Significant variability in socioeconomic indicators was observed among different territorial delegations of the city.
Discussion
: The results showed health inequities and an association between social determinants and COVID-19 lethality in Bariloche. Individuals living in areas with higher socioeconomic vulnerability had a higher risk of mortality. These findings highlight the importance of addressing health inequities in a pan demic response.
Keywords : Inequity; Geographic variability; COVID-19; Social vulnerability; Geocoding.
