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dc.contributor.author
Perner, Mónica Serena
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dc.contributor.author
Trotta, Andrés
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dc.contributor.author
Bilal, Usama
dc.contributor.author
Acharya, Binod
dc.contributor.author
Quick, Harrison
dc.contributor.author
Pacífico, Natalia
dc.contributor.author
Berazategui, Romina
dc.contributor.author
Alazraqui, Marcio
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dc.contributor.author
Diez Roux, Ana Victoria
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dc.date.available
2023-12-12T12:07:11Z
dc.date.issued
2023-09
dc.identifier.citation
Perner, Mónica Serena; Trotta, Andrés; Bilal, Usama; Acharya, Binod; Quick, Harrison; et al.; Social inequalities and COVID-19 mortality between neighborhoods of Bariloche city, Argentina; BioMed Central Ltd; International Journal for Equity in Health; 22; 1; 9-2023; 1-11
dc.identifier.issn
1475-9276
dc.identifier.uri
http://hdl.handle.net/11336/219922
dc.description.abstract
Background: The COVID-19 pandemic has shown how intraurban inequalities are likely to reinforce health and social inequalities. Studies at small area level help to visualize social inequialities hidden in large areas as cities or regions. Aim: To describe the spatial patterning of COVID-19 death rates in neighborhoods of the medium-sized city of Bariloche, Argentina, and to explore its relationship with the socioeconomic characteristics of neighborhoods. Methods: We conducted an ecological study in Bariloche, Argentina. The outcome was counts of COVID-19 deaths between June 2020 and May 2022 obtained from the surveillance system and georeferenced to neighborhoods. We estimated crude- and age-adjusted death rates by neighborhood using a Bayesian approach through a Poisson regression that accounts for spatial-autocorrelation via Conditional Autoregressive (CAR) structure. We also analyzed associations of age-adjusted death rates with area-level socioeconomic indicators. Results: Median COVID-19 death rate across neighborhoods was 17.9 (10th/90th percentile of 6.3/35.2) per 10,000 inhabitants. We found lower age-adjusted rates in the city core and western part of the city. The age-adjusted death rate in the most deprived areas was almost double than in the least deprived areas, with an education-related relative index of inequality (RII) of 2.14 (95% CI 1.55 to 2.96). Conclusion: We found spatial heterogeneity and intraurban variability in age-adjusted COVID-19 death rates, with a clear social gradient, and a higher burden in already deprived areas. This highlights the importance of studying inequalities in health outcomes across small areas to inform placed-based interventions.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central Ltd
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
COVID-19
dc.subject
SMALL AREAS
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SOCIAL INEQUALITIES
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SPATIAL ANALYSIS
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URBAN HEALTH
dc.subject.classification
Epidemiología
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Social inequalities and COVID-19 mortality between neighborhoods of Bariloche city, Argentina
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2023-12-11T17:46:23Z
dc.journal.volume
22
dc.journal.number
1
dc.journal.pagination
1-11
dc.journal.pais
Reino Unido
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dc.description.fil
Fil: Perner, Mónica Serena. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Trotta, Andrés. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; Argentina
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Fil: Bilal, Usama. Drexel University; Estados Unidos
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Fil: Acharya, Binod. Drexel University; Estados Unidos
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Fil: Quick, Harrison. Drexel University; Estados Unidos
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Fil: Pacífico, Natalia. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; Argentina
dc.description.fil
Fil: Berazategui, Romina. Hospital Zonal Bariloche; Argentina
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Fil: Alazraqui, Marcio. Universidad Nacional de Lanús. Rectorado. Instituto de Salud Colectiva; Argentina
dc.description.fil
Fil: Diez Roux, Ana Victoria. Drexel University; Estados Unidos
dc.journal.title
International Journal for Equity in Health
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-023-02019-w
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s12939-023-02019-w
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