COVID-19 incidence and mortality in the Metropolitan Region, Chile: Time, space, and structural factors

Demographic, health, and socioeconomic factors significantly inform COVID-19 outcomes. This article analyzes the association of these factors and outcomes in Chile during the first five months of the pandemic. Using the municipalities Metropolitan Region's municipalities as the unit of analysis...

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Bibliographic Details
Published in:PloS one 2021-05, Vol.16 (5), p.e0250707-e0250707
Main Authors: Villalobos Dintrans, Pablo, Castillo, Claudio, de la Fuente, Felipe, Maddaleno, Matilde
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Chile
Control
Coronaviruses
COVID-19
Demographic aspects
Economic conditions
Engineering and Technology
Epidemics
Forecasts and trends
Health care policy
Medicine and Health Sciences
Metropolitan areas
People and places
Social factors
Socio-economic aspects
Socioeconomic factors
Socioeconomics
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Summary:Demographic, health, and socioeconomic factors significantly inform COVID-19 outcomes. This article analyzes the association of these factors and outcomes in Chile during the first five months of the pandemic. Using the municipalities Metropolitan Region's municipalities as the unit of analysis, the study looks at the role of time dynamics, space, and place in cases and deaths over a 100-day period between March and July 2020. As a result, common and idiosyncratic elements explain the prevalence and dynamics of infections and mortality. Social determinants of health, particularly multidimensional poverty index and use of public transportation play an important role in explaining differences in outcomes. The article contributes to the understanding of the determinants of COVID-19 highlighting the need to consider time-space dynamics and social determinants as key in the analysis. Structural factors are important to identify at-risk populations and to select policy strategies to prevent and mitigate the effects of COVID-19. The results are especially relevant for similar research in unequal settings.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0250707