Association between living in municipalities with high crowding conditions and poverty and mortality from COVID-19 in Mexico

Citation:

Ríos, Viridiana, Edgar Denova-Gutiérrez, and Simon Barquera. 2022. “Association between living in municipalities with high crowding conditions and poverty and mortality from COVID-19 in Mexico”. PLoS ONE 17 (2).

Abstract:

The present study explores the association between living in overcrowded conditions and poverty, and the probability of dying from COVID-19 in Mexico. It evaluates the socioeconomic characteristics of the municipality in which the patients reside and the individual characteristics of the patients, including their comorbidities. The present analysis includes a total of 288,152 cases from the Epidemiological Surveillance System for viral respiratory disease platform. The association between the main exposures (overcrowded conditions and poverty) and the outcomes of interest (death by COVID-19) was explored using mixed effects Poisson regression models. Living in crowded conditions increased the probability of dying from COVID-19 by 13% (96% CI: 1.05, 1.23). Individuals who reported an income below the welfare line (poverty) had a higher probability of dying from COVID-19 (RR= 1.82; 95% CI: 1.64, 2.02). Adjusted relative risks of death were 1.22 for patients with obesity and 1.24 for subjects with a hypertension diagnosis. Those living with diabetes were more likely to die from COVID-19 (RR = 1.41). Our data suggest that crowded conditions, poverty, and some vulnerabilities like indigenous ethnicity, food insecurity, lack of access to social security, lack of access to health services, age, and male sex are associated with a higher probability of dying from COVID-19.

Publisher's Version

Last updated on 02/28/2022