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. 2023 Sep 28;13(1):16293.
doi: 10.1038/s41598-023-43531-x.

Inequity in mortality rates and potential years of life lost caused by COVID-19 in the Greater Santiago, Chile

Andrés Ayala  1 , Claudio Vargas  1 , Felipe Elorrieta  2 , Pablo Villalobos Dintrans  3 , Matilde Maddaleno  3
Affiliations

Inequity in mortality rates and potential years of life lost caused by COVID-19 in the Greater Santiago, Chile

Andrés Ayala et al. Sci Rep. .

Abstract

Several studies have shown that, in Chile, income inequality is relevant in explaining health inequities. The COVID-19 pandemic has also had a negative impact, with higher mortality rates in those municipalities of Greater Santiago with lower socioeconomic status. We study inequity in mortality based on Potential Years of Life Lost (PYLL) in 34 urban municipalities of the Metropolitan Region (Greater Santiago) and analyze its evolution between 2018 and 2021 and by COVID-19 waves. To compare the results obtained for PYLL, we also computed the mortality rates adjusted by direct standardization. In addition, we used the concentration index (CI) to measure the health inequalities between municipalities. In the first year of the pandemic, the absolute PYLL and the standardized mortality rate for all causes of death showed an increase of 13.6% and 18.9%, respectively. Moreover, 409,086 years of life were prematurely lost in 2020, one-fifth of them due to COVID-19. The concentration indices confirm inequality in both mortality rates and PYLL, where it is more pronounced when calculating the latter measure. Results show that the deaths due to the COVID-19 pandemic affected the most economically disadvantaged municipalities, and particularly young people in those places.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
PYLL and mortality rate by COVID-19 confirmed (2020) in the municipalities of Greater Santiago.
Figure 2
Figure 2
Spatial distribution of confirmed COVID-19 PYLL (2020) and average income per household.
See this image and copyright information in PMC

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