2022
DOI: 10.1093/ije/dyac184
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Socio-demographic inequalities and excess non-COVID-19 mortality during the COVID-19 pandemic: a data-driven analysis of 1 069 174 death certificates in Mexico

Abstract: Background In 2020, Mexico experienced one of the highest rates of excess mortality globally. However, the extent of non-COVID deaths on excess mortality, its regional distribution and the association between socio-demographic inequalities have not been characterized. Methods We conducted a retrospective municipal and individual-level study using 1 069 174 death certificates to analyse COVID-19 and non-COVID-19 deaths classif… Show more

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Cited by 23 publications
(4 citation statements)
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“…More unrecognized COVID-19 deaths may have occurred in these areas as a result of limited COVID-19 testing and a greater share of deaths occuring outside of hospital settings, both of which complicate valid cause-of-death assignment. 8,14,39 Another potential contributing factor is the greater reliance on coroners in these regions, who are typically elected and often hold other positions within the county such as sheriff-coroners. 40 Medical training required for coroners is limited and highly variable across states, 41 whereas medical examiners are physicians with extensive training in forensic pathology and death investigation.…”
Section: Discussionmentioning
confidence: 99%
“…More unrecognized COVID-19 deaths may have occurred in these areas as a result of limited COVID-19 testing and a greater share of deaths occuring outside of hospital settings, both of which complicate valid cause-of-death assignment. 8,14,39 Another potential contributing factor is the greater reliance on coroners in these regions, who are typically elected and often hold other positions within the county such as sheriff-coroners. 40 Medical training required for coroners is limited and highly variable across states, 41 whereas medical examiners are physicians with extensive training in forensic pathology and death investigation.…”
Section: Discussionmentioning
confidence: 99%
“…The large number of deaths attributable to COVID-19 have been noted on death certificate tabulations and comparisons with historical rates of death . Prior studies have generally adjusted for demographic information, and some have adjusted for a range of more nuanced measures such as socioeconomic status, insurance coverage, comorbid conditions, and long-term care .…”
Section: Discussionmentioning
confidence: 99%
“…The large number of deaths attributable to COVID-19 have been noted on death certificate tabulations and comparisons with historical rates of death . Prior studies have generally adjusted for demographic information, and some have adjusted for a range of more nuanced measures such as socioeconomic status, insurance coverage, comorbid conditions, and long-term care . Notably, Al-Aly and colleagues compared vaccinated VA patients who had breakthrough COVID-19 infections with both unvaccinated and vaccinated controls without infections and found increased mortality from 30 days through 6 months after infection.…”
Section: Discussionmentioning
confidence: 99%
“…However, after the second wave (Fall 2020), the central and southeastern regions began to form new hotspots for deaths over the medium-high range, mainly located across the municipalities of Delicias, Hidalgo del Parral, and Cuauhtemoc. At this time, Chihuahua was identified as one of the states with the highest excess mortality rates at a national level (Antonio-Villa et al, 2022).…”
Section: Spatial Distribution Of Deathsmentioning
confidence: 99%