COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics
BACKGROUND: Few studies have described the clinical characteristics of patients with COVID-19 from ethnic minority groups. Our objective was to evaluate the mortality and incidence rates, clinical characteristics and factors associated with mortality in cases with COVID-19 belonging to the Amazonian...
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2022
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| author | M. Gabriela Soto-Cabezas Mary F. Reyes-Vega Anderson N. Soriano-Moreno Jean Pierre Velásquez Rodríguez Luis Ordoñez Ibargüen Kevin S. Martel Noemi Flores Jaime Cesar V Munayco |
| author_browse | Anderson N. Soriano-Moreno Cesar V Munayco Jean Pierre Velásquez Rodríguez Kevin S. Martel Luis Ordoñez Ibargüen M. Gabriela Soto-Cabezas Mary F. Reyes-Vega Noemi Flores Jaime |
| author_facet | M. Gabriela Soto-Cabezas Mary F. Reyes-Vega Anderson N. Soriano-Moreno Jean Pierre Velásquez Rodríguez Luis Ordoñez Ibargüen Kevin S. Martel Noemi Flores Jaime Cesar V Munayco |
| author_sort | M. Gabriela Soto-Cabezas |
| collection | Producción científica |
| description | BACKGROUND: Few studies have described the clinical characteristics of patients with COVID-19 from ethnic minority groups. Our objective was to evaluate the mortality and incidence rates, clinical characteristics and factors associated with mortality in cases with COVID-19 belonging to the Amazonian indigenous ethnic group in Peru. METHODS: We performed a retrospective cohort study including all cases from COVID-19 among Peruvian people identified as Amazonian indigenous from 07 March to 31 October 2020. We calculated the standardized mortality and incidence ratios using the indirect age-adjusted method to determine the differences between Amazonian Indigenous and the general population. In addition, we used multivariable logistic regression to determine the risk factors for death. RESULTS: A total of 19 018 laboratory confirmed COVID-19 cases were analyzed. Indigenous people had 3.18 (95% CI, 3.13-3.23) times the risk of infection and 0.34 (0.31-0.37) times the mortality risk of the general Peruvian population. Males had 1.29 (1.04-1.61) times the odds of death compared with females and for each year of age, the odds of mortality increased 1.03 (1.03-1.04) times. Cases with respiratory distress had 2.47 (1.96-3.10) times more likely to die. Having an immunodeficiency was 18.7 (6.12-57.00) times more likely to die. DISCUSSION: The Amazonian indigenous population in Peru was strongly affected by COVID-19 compared with the general Peruvian population. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/588 |
| institution | UPeU |
| language | English |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
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| spelling | oai:cris.upeu.edu.pe:20.500.15037/5882026-10-30T16:14:42ZCOVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristicsM. Gabriela Soto-CabezasMary F. Reyes-VegaAnderson N. Soriano-MorenoJean Pierre Velásquez RodríguezLuis Ordoñez IbargüenKevin S. MartelNoemi Flores JaimeCesar V MunaycoDemographyIncidence (geometry)PopulationMedicineAmazonianIndigenousEpidemiologyLogistic regressionOdds ratioMortality rateAmazon rainforestEnvironmental healthInternal medicineBiologyEcologyPhysicsSociologyOpticsDemographyIncidence (geometry)PopulationMedicineAmazonianIndigenousEpidemiologyLogistic regressionOdds ratioMortality rateAmazon rainforestEnvironmental healthInternal medicineBiologyEcologyCOVID-19 epidemiologyCOVID-19 epidemiologyCOVID-19 epidemiologyEthnicityEthnicityEthnicityFemaleFemaleFemaleHumansHumansHumansMaleMaleMaleMinority GroupsMinority GroupsMinority GroupsPeru epidemiologyPeru epidemiologyPeru epidemiologyRetrospective StudiesRetrospective StudiesRetrospective StudiesIncidenceIncidenceIncidenceHealth Sciences Health Professions General Health Professions Indigenous Health and EducationLife Sciences Immunology and Microbiology Immunology Immune responses and vaccinationsHealth Sciences Medicine Infectious Diseases COVID-19 Clinical Research StudiesBACKGROUND: Few studies have described the clinical characteristics of patients with COVID-19 from ethnic minority groups. Our objective was to evaluate the mortality and incidence rates, clinical characteristics and factors associated with mortality in cases with COVID-19 belonging to the Amazonian indigenous ethnic group in Peru. METHODS: We performed a retrospective cohort study including all cases from COVID-19 among Peruvian people identified as Amazonian indigenous from 07 March to 31 October 2020. We calculated the standardized mortality and incidence ratios using the indirect age-adjusted method to determine the differences between Amazonian Indigenous and the general population. In addition, we used multivariable logistic regression to determine the risk factors for death. RESULTS: A total of 19 018 laboratory confirmed COVID-19 cases were analyzed. Indigenous people had 3.18 (95% CI, 3.13-3.23) times the risk of infection and 0.34 (0.31-0.37) times the mortality risk of the general Peruvian population. Males had 1.29 (1.04-1.61) times the odds of death compared with females and for each year of age, the odds of mortality increased 1.03 (1.03-1.04) times. Cases with respiratory distress had 2.47 (1.96-3.10) times more likely to die. Having an immunodeficiency was 18.7 (6.12-57.00) times more likely to die. DISCUSSION: The Amazonian indigenous population in Peru was strongly affected by COVID-19 compared with the general Peruvian population.Articlehttps://pubmed.ncbi.nlm.nih.gov/35640249https://academic.oup.com/jpubhealth/article-pdf/44/3/e359/45516052/fdac058.pdfhttps://doi.org/10.1093/pubmed/fdac05810.1093/pubmed/fdac058https://hdl.handle.net/20.500.15037/588W4282932220enJournal of Public Health1741-38421741-38502022-05-052026-06-13T08:18:08Z2026-06-13T08:18:08Z |
| spellingShingle | Demography Incidence (geometry) Population Medicine Amazonian Indigenous Epidemiology Logistic regression Odds ratio Mortality rate Amazon rainforest Environmental health Internal medicine Biology Ecology Physics Sociology Optics Demography Incidence (geometry) Population Medicine Amazonian Indigenous Epidemiology Logistic regression Odds ratio Mortality rate Amazon rainforest Environmental health Internal medicine Biology Ecology COVID-19 epidemiology COVID-19 epidemiology COVID-19 epidemiology Ethnicity Ethnicity Ethnicity Female Female Female Humans Humans Humans Male Male Male Minority Groups Minority Groups Minority Groups Peru epidemiology Peru epidemiology Peru epidemiology Retrospective Studies Retrospective Studies Retrospective Studies Incidence Incidence Incidence Health Sciences Health Professions General Health Professions Indigenous Health and Education Life Sciences Immunology and Microbiology Immunology Immune responses and vaccinations Health Sciences Medicine Infectious Diseases COVID-19 Clinical Research Studies M. Gabriela Soto-Cabezas Mary F. Reyes-Vega Anderson N. Soriano-Moreno Jean Pierre Velásquez Rodríguez Luis Ordoñez Ibargüen Kevin S. Martel Noemi Flores Jaime Cesar V Munayco COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics |
| title | COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics |
| title_full | COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics |
| title_fullStr | COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics |
| title_full_unstemmed | COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics |
| title_short | COVID-19 among Amazonian indigenous in Peru: mortality, incidence, and clinical characteristics |
| title_sort | covid 19 among amazonian indigenous in peru mortality incidence and clinical characteristics |
| topic | Demography Incidence (geometry) Population Medicine Amazonian Indigenous Epidemiology Logistic regression Odds ratio Mortality rate Amazon rainforest Environmental health Internal medicine Biology Ecology Physics Sociology Optics Demography Incidence (geometry) Population Medicine Amazonian Indigenous Epidemiology Logistic regression Odds ratio Mortality rate Amazon rainforest Environmental health Internal medicine Biology Ecology COVID-19 epidemiology COVID-19 epidemiology COVID-19 epidemiology Ethnicity Ethnicity Ethnicity Female Female Female Humans Humans Humans Male Male Male Minority Groups Minority Groups Minority Groups Peru epidemiology Peru epidemiology Peru epidemiology Retrospective Studies Retrospective Studies Retrospective Studies Incidence Incidence Incidence Health Sciences Health Professions General Health Professions Indigenous Health and Education Life Sciences Immunology and Microbiology Immunology Immune responses and vaccinations Health Sciences Medicine Infectious Diseases COVID-19 Clinical Research Studies |
| topic_facet | Demography Incidence (geometry) Population Medicine Amazonian Indigenous Epidemiology Logistic regression Odds ratio Mortality rate Amazon rainforest Environmental health Internal medicine Biology Ecology Physics Sociology Optics Demography Incidence (geometry) Population Medicine Amazonian Indigenous Epidemiology Logistic regression Odds ratio Mortality rate Amazon rainforest Environmental health Internal medicine Biology Ecology COVID-19 epidemiology COVID-19 epidemiology COVID-19 epidemiology Ethnicity Ethnicity Ethnicity Female Female Female Humans Humans Humans Male Male Male Minority Groups Minority Groups Minority Groups Peru epidemiology Peru epidemiology Peru epidemiology Retrospective Studies Retrospective Studies Retrospective Studies Incidence Incidence Incidence Health Sciences Health Professions General Health Professions Indigenous Health and Education Life Sciences Immunology and Microbiology Immunology Immune responses and vaccinations Health Sciences Medicine Infectious Diseases COVID-19 Clinical Research Studies |
| url | https://pubmed.ncbi.nlm.nih.gov/35640249 https://academic.oup.com/jpubhealth/article-pdf/44/3/e359/45516052/fdac058.pdf https://doi.org/10.1093/pubmed/fdac058 https://hdl.handle.net/20.500.15037/588 |
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