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COVID-19 fatality in Mexico's indigenous populations
A D Argoty-Pantoja1, K Robles-Rivera1, B Rivera-Paredez1
1Research Center in Policy, Population and Health, School of Medicine. National Autonomous University of Mexico, Mexico City, Mexico.
Public Health
|March 20, 2021
Summary
Indigenous populations in Mexico experienced significantly higher COVID-19 fatality rates, especially among outpatients. This highlights disparities in care and outcomes for these communities.
Area of Science:
- Epidemiology
- Public Health
- Health Disparities
Background:
- COVID-19 has disproportionately affected various populations globally.
- Understanding ethnic disparities in COVID-19 outcomes is crucial for targeted interventions.
Purpose of the Study:
- To investigate factors contributing to elevated COVID-19 fatality rates among indigenous groups in Mexico compared to the general population.
- To analyze ethnic differences in COVID-19 mortality by management setting (outpatient vs. hospital).
Main Methods:
- Analysis of public COVID-19 surveillance data from the Mexican Ministry of Health.
- Estimation of COVID-19 fatality rates stratified by ethnicity.
- Application of Cox proportional hazards models to explore associated factors, considering outpatient and hospital management.
Main Results:
- Indigenous individuals had a 64.8% higher crude COVID-19 fatality rate than non-indigenous individuals.
- Fatality rates more than doubled for indigenous outpatients compared to non-indigenous outpatients.
- Cox analysis confirmed higher fatality risks for indigenous outpatients across national, state, and regional levels.
Conclusions:
- COVID-19 poses a greater fatality risk for indigenous populations in Mexico.
- Outpatient management is associated with particularly higher fatality rates among indigenous COVID-19 cases.
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