Socioeconomic factors and covid-19 mortality in immune-mediated rheumatic diseases patients: regional analysis from argentina, mexico and brazil

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dc.creatorMarco Ulisesmartinez-martinez
dc.creatorMaría Jezabel Haye Salinas
dc.creatorSofía Ornella
dc.creatorMariana Pera
dc.creatorIris Jazmín Colunga-pedraza
dc.creatorFedra Irazoque-palazuelos
dc.creatorGreta Reyes-cordero
dc.creatorTatiana s Rodriguez-reyna
dc.creatorJose Antonio Veloz-aranda
dc.creatorCassandra Michele Skinner-taylor
dc.creatorIngrid Maribel Juárez-mora
dc.creatorCarolina Ayelen Isnardi
dc.creatorGilda Aparecida Ferreira
dc.creatorDeshiré Alpizar-rodriguez
dc.creatorGuillermo Javier Pons-estel
dc.creatorBelén María Virasoro
dc.creatorMaría Agustina Alfaro
dc.creatorIngrid Petkovic
dc.creatorRosana Quintana
dc.creatorGuillermo Berbotto
dc.creatorEt.al
dc.date.accessioned2025-07-17T17:53:55Z
dc.date.accessioned2025-09-08T23:54:36Z
dc.date.available2025-07-17T17:53:55Z
dc.date.issued2024
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1186/s42358-024-00418-3
dc.identifier.issn25233106
dc.identifier.urihttps://hdl.handle.net/1843/83616
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofAdvances in Rheumatology
dc.rightsAcesso Aberto
dc.subjectCOVID-19
dc.subjectEpidemiology
dc.subjectRegional socioeconomic factors
dc.subject.otherCOVID-19
dc.subject.otherSARS-CoV-2 infection
dc.subject.otherImmune-mediated rheumatic diseases
dc.subject.otherEpidemiology
dc.titleSocioeconomic factors and covid-19 mortality in immune-mediated rheumatic diseases patients: regional analysis from argentina, mexico and brazil
dc.typeArtigo de periódico
local.citation.epage15
local.citation.issue78
local.citation.spage1
local.citation.volume64
local.description.resumoBackground SARS-CoV-2 infection has become a major international issue, not only from a medical point of view, but also social, economic and political. Most of the available information comes from the United States, Europe, and China, where the population and the socioeconomic status are very di erent from Latin American countries. This study evaluates the e ect of regional socioeconomic characteristics on mortality due SARS-CoV-2 infection in patients with immune-mediated rheumatic diseases (IMRD) from Argentina, Mexico and Brazil. Methods Data from three national registries, SAR-COVID (Argentina), CMR-COVID (Mexico) and ReumaCoV-Brasil (Brazil), were combined. Adult IMRD patients with SARS-CoV-2 infection were recruited. National data for each province/state, including population density, number of physicians per inhabitant, income, unemployment, GINI index, Municipal Human Development Index (MHDI), stringency index, vaccination rate and most frequent viral strains per period were assessed as risk factors for mortality due to COVID-19. Results A total of 4744 patients were included, 2534 (53.4%) from SAR-COVID, 1166 (24.6%) from CMRCOVID and 1044 (22.0%) from ReumaCoV-Brasil. Mortality due to COVID-19 was 5.4%. In the multivariable analysis, higher number of physicians per 1000 inhabitants and being infected during the vaccination period of each country were associated with lower mortality. After adjustment for socioeconomic factors, there was no association with country of residence and mortality. Conclusion These findings corroborate the complex interplay between socioeconomic factors, rheumatic disease activity, and regional disparities as determinants of death due to COVID-19 in Argentina, Brazil and Mexico. Thus, this research provides valuable insights for guiding public health policies and clinical practice in the ongoing fight against the COVID-19 pandemic.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://advancesinrheumatology.biomedcentral.com/articles/10.1186/s42358-024-00418-3

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