Developing a deprivation index to study geographical health inequalities in Ecuador

Peralta, Andrés; Espinel-Flores, Verónica; Gotsens, Mercè; Pérez, Glória; Benach, Joan; Marí-Dell’Olmo, Marc

doi:10.11606/s1518-8787.2019053001410

Cited by 8 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, in the province of Pichincha, where the capital city of Quito is located, the number of deaths has been steadily increasing since March. As Peralta et al ( 2019b ) mention, the most socioeconomically deprived cantons of the country are in the Amazon, Central Andean, and Northern and Central coastal regions.…”

Section: Resultsmentioning

confidence: 99%

Investigating regional excess mortality during 2020 COVID-19 pandemic in selected Latin American countries

Lima

Vilela

Peralta

et al. 2021

Genus

Self Cite

View full text Add to dashboard Cite

In this paper, we measure the effect of the 2020 COVID-19 pandemic wave at the national and subnational levels in selected Latin American countries that were most affected: Brazil, Chile, Ecuador, Guatemala, Mexico, and Peru. We used publicly available monthly mortality data to measure the impacts of the pandemic using excess mortality for each country and its regions. We compare the mortality, at national and regional levels, in 2020 to the mortality levels of recent trends and provide estimates of the impact of mortality on life expectancy at birth. Our findings indicate that from April 2020 on, mortality exceeded its usual monthly levels in multiple areas of each country. In Mexico and Peru, excess mortality was spreading through many areas by the end of the second half of 2020. To a lesser extent, we observed a similar pattern in Brazil, Chile, and Ecuador. We also found that as the pandemic progressed, excess mortality became more visible in areas with poorer socioeconomic and sanitary conditions. This excess mortality has reduced life expectancy across these countries by 2–10 years. Despite the lack of reliable information on COVID-19 mortality, excess mortality is a useful indicator for measuring the effects of the coronavirus pandemic, especially in the context of Latin American countries, where there is still a lack of good information on causes of death in their vital registration systems.

show abstract

Section: Resultsmentioning

confidence: 99%

Investigating regional excess mortality during 2020 COVID-19 pandemic in selected Latin American countries

Lima

Vilela

Peralta

et al. 2021

Genus

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Descriptive Resultsmentioning

confidence: 99%

“…This is possibly because of the weakened social protection system, reflected on the lack of social support policies during this pandemic phase. Given that safe and adequate housing is essential to protect people from environmental conditions, create social ties, and establish life projects, housing deprivation and the lack of an adequate urban environment have significant health consequences for both sexes [44].…”

Section: Plos Onementioning

confidence: 99%

Determinants of self-reported health status during COVID-19 lockdown among surveyed Ecuadorian population: A cross sectional study

et al. 2023

Self Cite

View full text Add to dashboard Cite

Objective To examine the associations of sociodemographic, socioeconomic, and behavioral factors with depression, anxiety, and self-reported health status during the COVID-19 lockdown in Ecuador. We also assessed the differences in these associations between women and men. Design, setting, and participants We conducted a cross-sectional survey between July to October 2020 to adults who were living in Ecuador between March to October 2020. All data were collected through an online survey. We ran descriptive and bivariate analyses and fitted sex-stratified multivariate logistic regression models to assess the association between explanatory variables and self-reported health status. Results 1801 women and 1123 men completed the survey. Their median (IQR) age was 34 (27–44) years, most participants had a university education (84%) and a full-time public or private job (63%); 16% of participants had poor health self-perception. Poor self-perceived health was associated with being female, having solely public healthcare system access, perceiving housing conditions as inadequate, living with cohabitants requiring care, perceiving difficulties in coping with work or managing household chores, COVID-19 infection, chronic disease, and depression symptoms were significantly and independently associated with poor self-reported health status. For women, self-employment, having solely public healthcare system access, perceiving housing conditions as inadequate, having cohabitants requiring care, having very high difficulties to cope with household chores, having COVID-19, and having a chronic disease increased the likelihood of having poor self-reported health status. For men, poor or inadequate housing, presence of any chronic disease, and depression increased the likelihood of having poor self-reported health status. Conclusion Being female, having solely public healthcare system access, perceiving housing conditions as inadequate, living with cohabitants requiring care, perceiving difficulties in coping with work or managing household chores, COVID-19 infection, chronic disease, and depression symptoms were significantly and independently associated with poor self-reported health status in Ecuadorian population.

show abstract

“…The participant characteristics are presented in Table 1. Their median (IQR) age was 34 (27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44) years, and most patients were female (68%). Regarding sociodemographic characteristics, most participants had a university education (84%) and had a full-time public or private job (63%).…”

Section: Descriptive Resultsmentioning

confidence: 99%

“…This is possibly because of the lack of social support policies during this pandemic phase. Given that safe and adequate housing is essential to protect people from environmental conditions, create social ties, and establish life projects, housing deprivation and the lack of an adequate urban environment have significant health consequences for both sexes [39].…”

Section: Discussionmentioning

confidence: 99%

Determinants of self-reported health status during COVID-19 lockdown among surveyed Ecuadorian population: a cross sectional study

Dueñas-Espín¹,

Jacques-Aviñó

Egas-Reyes

et al. 2022

Preprint

Self Cite

View full text Add to dashboard Cite

ObjectiveTo examine the associations of sociodemographic, socioeconomic, and behavioral factors with depression, anxiety, and self-reported health status during the COVID-19 lockdown in Ecuador. We also assessed the differences in these associations between women and men.Design, setting, and participantsWe conducted a cross-sectional study of adults living in Ecuador between July and October 2020. All data were collected through an online survey. We ran descriptive and bivariate analyses and fitted sex-stratified multivariate logistic regression models to assess the association between explanatory variables and self-reported health status.Results1801 women and 1123 men completed the survey. Their median (IQR) age was 34 (27–44) years, most participants had a university education (84%) and a full-time public or private job (63%); 16% of participants had poor health self-perception. Poor self-perceived health was associated with severe depression, COVID-19 infection, and chronic diseases. For women, and self-employment, having cohabitants requiring care, having COVID-19 and having a chronic disease increased the likelihood of having poor self-reported health status. For men, poor self-reported health status was associated with perceived poor or inadequate housing and depression.ConclusionBeing female, having solely public healthcare system access, perceiving housing conditions as inadequate, living with cohabitants requiring care, perceiving difficulties in coping with work or managing household chores, COVID-19 infection, chronic disease, and depression symptoms were significantly and independently associated with poor self-reported health status in Ecuadorian population.

show abstract

Developing a deprivation index to study geographical health inequalities in Ecuador

Cited by 8 publications

References 27 publications

Investigating regional excess mortality during 2020 COVID-19 pandemic in selected Latin American countries

Investigating regional excess mortality during 2020 COVID-19 pandemic in selected Latin American countries

Determinants of self-reported health status during COVID-19 lockdown among surveyed Ecuadorian population: A cross sectional study

Determinants of self-reported health status during COVID-19 lockdown among surveyed Ecuadorian population: a cross sectional study

Contact Info

Product

Resources

About