Demographic and Geographic COVID-19 Death Risk Factors in Peru. A Nationwide Analysis

Yáñez, Jaime A.; Chung, Sun Ah; Inga-Berrospi, Fiorella; Mejía, Christian R.

doi:10.2139/ssrn.3648543

Cited by 8 publications

(6 citation statements)

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“…Physical isolation was the main preventive measure implemented worldwide to avoid contagion [2][3][4], which caused multiple lifestyle changes in people. Many people have experienced the death of family and friends [5][6][7][8][9], which has resulted in anxiety and mental distress [10][11][12][13]. The widespread disinformation [14,15], fake news [16] and anti-vaccine comments [17,18] have caused an increase in self-medication [19], use of medicinal plants [20] and other alternative treatments [21].…”

Section: Introductionmentioning

confidence: 99%

Influence of Technostress on Academic Performance of University Medicine Students in Peru during the COVID-19 Pandemic

Álvarez-Risco

Del-Aguila-Arcentales

Yáñez

et al. 2021

Sustainability

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The current study aims to validate and apply an instrument to assess the relationship between communication overload, social overload, technostress, exhaustion and academic performance. We performed a cross-sectional, analytical study of 2286 university medical students to assess the influence of technostress as a mediator of social media overload, communication overload and mental exhaustion and its detrimental effect on the academic performance of university students in Peru during the COVID-19 pandemic. The research model was validated using partial least square structural equation modeling (PLS-SEM) to establish the influence of variables on the model. Communication and social overload were found to positively influence technostress by correlations of 0.284 and 0.557, respectively. Technostress positively influenced exhaustion by 0.898, while exhaustion negatively influenced academic performance by -0.439. Bootstrapping demonstrated that the path coefficients of the research model were statistically significant. The research outcomes may help university managers understand students’ technostress and develop strategies to improve the balanced use of technology for their daily academic activities.

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Section: Introductionmentioning

confidence: 99%

Influence of Technostress on Academic Performance of University Medicine Students in Peru during the COVID-19 Pandemic

Álvarez-Risco

Del-Aguila-Arcentales

Yáñez

et al. 2021

Sustainability

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“…Incomplete COVID-19 death reporting constitutes a data gap and a challenge to understanding ongoing coronavirus pandemic dynamics, especially with regard to future waves. We recommend that all data collection and reporting authorities responsibly implement real-time tracking and reporting of CLI deaths as provisional together with confirmed COVID-19 deaths, complying with the WHO’s suggested surveillance approach toward reporting COVID-19 deaths, 3 which may be similar to the reporting standard of the U.S. CDC. 13 Having accurate data on both confirmed and provisional death statistics will enable public health researchers, policy analysts, and development partners to correctly estimate the COVID-19–related mortality rate and subsequently design data-driven pandemic preparedness efforts, early response strategies for forthcoming waves of the pandemic, and emergency actions with necessary assistance from both national and international public health organizations.…”

Section: Discussionmentioning

confidence: 99%

“…Underreporting COVID-19 death statistics, by either mistake or purposefully changing death counts and reporting methodologies, is not uncommon across the world, with countries including China and Peru adjusting their death counts. 1 – 3 The World Health Organization (WHO) has suggested including “death[s] resulting from a clinically compatible illness in a probable or confirmed COVID-19 case” 4 in mortality statistics to support pandemic surveillance. However, evidence has emerged showing the Institute of Epidemiology Disease Control and Research (IEDCR), a reporting authority in Bangladesh, has only reported COVID-19 deaths and has not reported any COVID-19–like illness (CLI) deaths despite the suggested (e.g., WHO) guidelines.…”

Section: Introductionmentioning

confidence: 99%

Officially Confirmed COVID-19 and Unreported COVID-19–Like Illness Death Counts: An Assessment of Reporting Discrepancy in Bangladesh

Ahamad

Tanin

Talukder

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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Reporting discrepancies between officially confirmed COVID-19 death counts and unreported COVID-19–like illness (CLI) death counts have been evident across the world, including Bangladesh. Publicly available data were used to explore the differences between confirmed COVID-19 death counts and deaths with possible COVID-19 symptoms between March 2, 2020 and August 22, 2020. Unreported CLI death counts totaled more than half of the confirmed COVID-19 death counts during the study period. However, the reporting authority did not consider CLI deaths, which might produce incomplete and unreliable COVID-19 data and respective mortality rates. All deaths with possible COVID-19 symptoms need to be included in provisional death counts to better estimate the COVID-19 mortality rate and to develop data-driven COVID-19 response strategies. An urgent initiative is needed to prepare a comprehensive guideline for reporting COVID-19 deaths.

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“…The usefulness that SINADEF has shown for mortality surveillance during the COVID-19 pandemic is another aspect that highlights the importance of contributing to its institutionalization. During the COVID-19 pandemic, SINADEF was used in several studies [10][11][12]27] as an important source of information to document excess mortality from all causes in Peru and was recognized as the most reliable way to measure the severity and the impact of COVID-19 on the population. With the support of SINADEF, an excess mortality of 371.9 per 100,000 inhabitants in 2020 was documented in Peru [28], and in general, all the researchers agreed in highlighting the importance of strengthening the mortality documentation system in Peru.…”

Section: Comparison With Prior Workmentioning

confidence: 99%

“…Furthermore, SINADEF has played a fundamental role in documenting the excess mortality that occurred during the COVID-19 pandemic in Peru. Several studies [10][11][12] used SINADEF to warn, from the beginning of the first wave of transmission of COVID-19 in Peru, a significant difference in deaths that the physicians who used SINADEF attributed to COVID-19 and that were not reported by the system of epidemiological surveillance. In addition, they coincide in pointing out the importance of the quality of the data provided by SINADEF and the need to strengthen the entire death registration process so that it is useful for containing the health emergency.…”

Section: Introductionmentioning

confidence: 99%

Physicians’ Perceptions as Predictors of the Future Use of the National Death Information System in Peru: Cross-sectional Study

Vargas-Herrera¹,

Meneses²,

Cortez-Escalante³

2022

J Med Internet Res

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Background A computer application called the National Death Information System (SINADEF) was implemented in Peru so that physicians can prepare death certificates in electronic format and the information is available online. In 2018, only half of the estimated deaths in Peru were certified using SINADEF. When a death is certified in paper format, the probability being entered in the mortality database decreases. It is important to know, from the user’s perspective, the factors that can influence the successful implementation of SINADEF. SINADEF can only be successfully implemented if it is known whether physicians believe that it is useful and easy to operate. Objective The aim of this study was to identify the perceptions of physicians and other factors as predictors of their behavioral intention to use SINADEF to certify a death. Methods This study had an observational, cross-sectional design. A survey was provided to physicians working in Peru, who used SINADEF to certify a death for a period of 12 months, starting in November 2019. A questionnaire was adapted based on the Technology Acceptance Model. The questions measured the dimensions of subjective norm, image, job relevance, output quality, demonstrability of results, perceived usefulness, perceived ease of use, and behavioral intention to use. Chi-square and logistic regression tests were used in the analysis, and a confidence level of 95% was chosen to support a significant association. Results In this study, 272 physicians responded to the survey; 184 (67.6%) were men and the average age was 45.3 (SD 10.1) years. The age range was 24 to 73 years. In the bivariate analysis, the intention to use SINADEF was found to be associated with (1) perceived usefulness, expressed as “using SINADEF avoids falsifying a death certificate” (P<.001), “using SINADEF reduces the risk of errors” (P<.001), and “using SINADEF allows for filling out a certificate in less time” (P<.001); and (2) perceived ease of use, expressed as “I think SINADEF is easy to use” (P<.001). In the logistic regression, perceived usefulness (odds ratio [OR] 8.5, 95% CI 2.2-32.3; P=.002), perceived ease of use (OR 10.1, 95% CI 2.4-41.8; P=.001), and training in filling out death certificates (OR 8.3, 95% CI 1.6-42.8; P=.01) were found to be predictors of the behavioral intention to use SINADEF. Conclusions The behavioral intention to use SINADEF was related to the perception that it is an easy-to-use system, the belief that it improves the performance of physicians in carrying out the task at hand, and with training in filling out death certificates.

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Demographic and Geographic COVID-19 Death Risk Factors in Peru. A Nationwide Analysis

Cited by 8 publications

References 0 publications

Influence of Technostress on Academic Performance of University Medicine Students in Peru during the COVID-19 Pandemic

Influence of Technostress on Academic Performance of University Medicine Students in Peru during the COVID-19 Pandemic

Officially Confirmed COVID-19 and Unreported COVID-19–Like Illness Death Counts: An Assessment of Reporting Discrepancy in Bangladesh

Physicians’ Perceptions as Predictors of the Future Use of the National Death Information System in Peru: Cross-sectional Study

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