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Tytuł pozycji:

COVID-19 among the inhabitants of the slums in the city of Buenos Aires: a population-based study.

Tytuł :
COVID-19 among the inhabitants of the slums in the city of Buenos Aires: a population-based study.
Autorzy :
Macchia A; Undersecretary of Health Planning, Buenos Aires City Health Services, Buenos Aires, Argentina .
Ferrante D; Undersecretary of Health Planning, Buenos Aires City Health Services, Buenos Aires, Argentina.
Battistella G; Undersecretary of Health Planning, Buenos Aires City Health Services, Buenos Aires, Argentina.
Mariani J; Hospital El Cruce, Buenos Aires, Argentina.
González Bernaldo de Quirós F; Minister of Health of the City of Buenos Aires, Buenos Aires, Argentina.
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Źródło :
BMJ open [BMJ Open] 2021 Jan 20; Vol. 11 (1), pp. e044592. Date of Electronic Publication: 2021 Jan 20.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
MeSH Terms :
Health Status Disparities*
Poverty Areas*
COVID-19/*epidemiology
COVID-19 Nucleic Acid Testing/*statistics & numerical data
Residence Characteristics/*statistics & numerical data
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Argentina/epidemiology ; Child ; Child, Preschool ; Female ; Health Policy ; Humans ; Incidence ; Infant ; Infant, Newborn ; Logistic Models ; Male ; Middle Aged ; Young Adult
References :
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Contributed Indexing :
Keywords: epidemiology*; primary care*; public health*
Entry Date(s) :
Date Created: 20210121 Date Completed: 20210201 Latest Revision: 20210201
Update Code :
20210210
PubMed Central ID :
PMC7818811
DOI :
10.1136/bmjopen-2020-044592
PMID :
33472790
Czasopismo naukowe
Objective: To summarise the unfolding of the COVID-19 epidemic among slum dwellers and different social strata in the city of Buenos Aires during the first 20 weeks after the first reported case.
Design: Observational study using a time-series analysis. Natural experiment in a big city.
Setting: Population of the city of Buenos Aires and the integrated health reporting system records of positive RT-PCR for COVID-19 tests.
Participants: Records from the Argentine Integrated Health Reporting System for all persons with suspected and RT-PCR-confirmed diagnosis of COVID-19 between 31 January and 14 July 2020.
Outcomes: To estimate the effects of living in a slum on the standardised incidence rate of COVID-19, corrected Poisson regression models were used. Additionally, the impact of socioeconomic status was performed using an ecological analysis at the community level.
Results: A total of 114 052 people were tested for symptoms related with COVID-19. Of these, 39 039 (34.2%) were RT-PCR positive. The incidence rates for COVID-19 towards the end of the 20th week were 160 (155 to 165) per 100 000 people among the inhabitants who did not reside in the slums (n=2 841 997) and 708 (674 to 642) among slums dwellers (n=233 749). Compared with the better-off socioeconomic quintile (1.00), there was a linear gradient on incidence rates: 1.36 (1.25 to 1.46), 1.61 (1.49 to 1.74), 1.86 (1.72 to 2.01), 2.94 (2.74 to 3.16) from Q2 to Q5, respectively. Slum dwellers were associated with an incidence rate of 14.3 (13.4 to 15.4).
Conclusions: The distribution of the epidemic is socially conditioned. Slum dwellers are at a much higher risk than the rest of the community. Slum dwellers should not be considered just another risk category but an entirely different reality that requires policies tailored to their needs.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

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