COVID-19 beyond cases and treatment. An estimate of inequality in access to diagnosis in Bogotá, 2020
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Keywords

Coronavirus infections
socioeconomic factors
diagnosis
Gini coefficient
Bogotá

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COVID-19 beyond cases and treatment. An estimate of inequality in access to diagnosis in Bogotá, 2020. (2021). Gerencia Y Políticas De Salud, 20, 1-15. https://doi.org/10.11144/Javeriana.rgps20.ccaa
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Abstract

Introduction. The COVID-19 pandemic has exerted unprecedented pressure on health systems, revealing inequalities on a world scale. One of the concerns over this period has been the possible inequality of access for diagnostic tests related to the economic resources of the population. In this study, we analyze the results of tests for COVID-19 detection in Bogotá and their relationship with income levels. Methods. Ecological research with SIVIGILA reports was carried out between March 6 to July 1, 2020, for positive and negative COVID-19 test records. The statistical description of the quantitative and qualitative variables and bivariate analysis were performed. Additionally, the Gini coefficient was calculated based on the Lorenz Curve. Results. The study included 44,300 records. The tests were conducted mainly on men (51.4%) and from the highest strata 4, 5, and 6 (53.5%). Similarly, the Gini Coefficient showed inequality in access by comparing socioeconomic strata. Conclusions. The analysis show inequality in access to the diagnostic tests for SARS-CoV-2, with the highest strata having more access associated with greater purchasing power.

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Copyright (c) 2022 Jeadran Nevardo Malagón-Rojas, Edgar Antonio Ibáñez Pinilla, Yesith Guillermo Toloza Pérez, Eliana Téllez, Julia Almentero, Eliana Parra, Luisa Lagos, Diana Walteros, Marcela Mercado