Open AccessCorrelation between mortality due to COVID-19, wealth index, human development and population density in districts of Metropolitan Lima during 2020
Author(s) -
Zalia Elizabeth Dorregaray Farge,
Alonso Soto,
Jhony A. De La Cruz-Vargas
Publication year - 2021
Publication title -
revista de la facultad de medicina humana
Language(s) - English
Resource type - Journals
eISSN - 2308-0531
pISSN - 1814-5469
DOI - 10.25176/rfmh.v21i4.3987
Subject(s) - demography , incidence (geometry) , population , ecological study , human development index , correlation , case fatality rate , medicine , covid-19 , poverty , spearman's rank correlation coefficient , population density , human development (humanity) , statistics , disease , mathematics , geometry , sociology , political science , infectious disease (medical specialty) , law , economics , economic growth
OBJECTIVE: To determine the correlation between mortality due to COVID-19 and incidence of poverty and district human development index (HDI) in the department of Lima. METHODOLOGY: An observational, ecological, correlational study. The population were patients who died from COVID-19 in Lima Metropolitana. We included all patients reported dead in the open data base of the Ministerio de Salud. The dependent variable was mortality due to COVID-19, calculated by dividing the number of deaths by the total district population, and the independent variables were the incidence of poverty and HDI. We carried out a secondary analysis evaluating the fatality by COVID-19. The correlation was calculated through Spearman’s non-parametric method. RESULTS: 13 154 people died of COVID-19 during the period between March and September, the majority was of masculine gender with an average age of 66 years. We did not find a significant correlation between mortality and incidence of poverty (rho=-0,2230; p=0,15). We found a significant correlation between mortality due to COVID-19 and HDI (rho= 0,4466; p=0,002). Mortality was correlated with population density (rho=0,7616; p=<0,001). We found a positive (rho=0,32) and significant (p=0,037) correlation between fatality and incidence of poverty. We found a significant correlation between fatality due to COVID-19 and population density (rho=0,7616; p=<0,001). We did not find a significant correlation between fatality and HDI. CONCLUSIONS: Population density was a factor associated in the most consistent manner with mortality and fatality due to COVID. Poverty was associated to greater fatality, but not to greater mortality.