La salud pública en el Perú y el COVID--19

Chirinos-Cáceres, Jesús Lorenzo

doi:10.20453/ah.v63i2.3831

Cited by 2 publications

(2 citation statements)

References 2 publications

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“…Reaching a rate of more than 70 per 100 000 [1] and an excess of deaths of 103% compared to 2019 [2]. Fragmented health system with limited budget and inefficient primary care, despite prolonged confinement, led to these serious outcomes [3] .…”

Section: Introductionmentioning

confidence: 99%

Association between altitude and death from COVID-19 in subjects with diabetes mellitus during the first wave: cross sectional study of the National Death Index

Ambrosio-Ojose,

Casquero-Zambrano,

Vasquez-Hassinger

et al. 2024

Preprint

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Background. In high Andean areas, there is greater insulin sensitivity which may be a protective factor against complications in subjects with diabetes mellitus. Objective: Determine the association between altitude of residence and death from COVID-19 in deaths with diabetes mellitus in Peru during the first wave.. Methods: We carried out a cross-sectional analysis of deaths registered in the National Death System of Peru (SINADEF in Spanish). We selected Peruvians with diabetes mellitus identified by presenting the diagnosis in any of the six boxes on the certificate. The dependent variable was death from COVID-19 as the basic cause of death, located in last place among causes A, B, C and D according to the Pan American Health Organization. The independent variable was the altitude of residence, categorized as less than 1 500 m a.s.l, 1 500 to 2 499 m a.s.l. and greater than 2 500 m a.sl. Through a multilevel analysis by geographic region and using a Poisson regression, we obtained the risk ratios of death from COVID-19 according to the altitude of residence. We adjusted by individual and contextual variables. Results: We included 16 406 deaths with diabetes mellitus between March-December 2020. 34.3% died from Covid19 and 9.7% came from areas above 2 500 m. The proportion of deaths from COVID-19 of those with residence altitude above 2 500 m was 20% lower compared to residents below 1 500 m (RR: 0.80; 95% CI: 0.70 – 0.91; p<0.001), adjusted for individual and socioeconomic factors. Its influence is also shown as the altitude changes every 100, 250, 500 and 1000 m a.s.l., through multilevel analysis. Conclusion: A higher altitude of residence is associated with a lower proportion of deaths from COVID-19 in people with diabetes mellitus during the first wave in Peru. The study contribute to expanding knowledge of the effects of altitude with respect to mortality in people with diabetes mellitus in a context of a highly contagious and virulent infectious disease.

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Section: Introductionmentioning

confidence: 99%

Association between altitude and death from COVID-19 in subjects with diabetes mellitus during the first wave: cross sectional study of the National Death Index

Ambrosio-Ojose,

Casquero-Zambrano,

Vasquez-Hassinger

et al. 2024

Preprint

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“…Ante la propagación del virus y el aviso emitido por el ente más importante de la salud, los establecimiento de salud se intentaron prepararse para asumir este nuevo reto (WHO 2021), pero aun así no se imaginaban el impacto mundial que generaría esta pandemia. Si bien es cierto la situación en Perú era critica, desde mucho antes de declararse el estado de emergencia por el coronavirus, los establecimientos de salud del país ya venían trabajando en situaciones críticas debido a la precariedad en la que se encuentran el acceso del sistema de salud, evidenciando así el poco o casi nulo avance en cuanto a tensiones primarias (Chirinos, 2020).…”

Section: Introductionunclassified

Estrés laboral en el personal de salud de un hospital público del Callao durante la pandemia del COVID-19

Hancco

2023

repsi

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Esta investigación partió de la necesidad de conocer el nivel de estrés laboral en el trabajador de salud durante la pandemia, para ello, se propuso a determinar niveles de estrés laboral en el personal de salud de un hospital público del Callao durante la pandemia del COVID-19. La metodología empleada fue bajo el enfoque cuantitativo, de tipo básico, con un alcance descriptivo bajo el diseño no experimental de corte transversal. La muestra fue no probabilística (N= 188). Se aplicó el cuestionario de Estrés Laboral de Hock, tipo Likert, validado en Perú, con un alfa de Cronbach de 0,87 respectivamente. Se usó el estadístico de Kolmogorov-Smirnov, el tipo de análisis fue no paramétrico. Como resultados se obtuvo que el 52,7% de los trabajadores de salud no presenta estrés, el 34,6% presenta estrés leve, el 10,6% estrés moderado, el 1,6% estrés alto y solo un 0,5% estrés grave. Como conclusiones se evidencio la presencia de estrés, pero solo en un nivel leve, es más predominante en técnicos de enfermería, y en los trabajadores que laboran por contratos CAS COVID-19, así también se da con mayor énfasis en mujeres.

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La salud pública en el Perú y el COVID--19

Abstract: La saLud púbLica en eL perú y eL cOVid-19

Cited by 2 publications

References 2 publications

Association between altitude and death from COVID-19 in subjects with diabetes mellitus during the first wave: cross sectional study of the National Death Index

Association between altitude and death from COVID-19 in subjects with diabetes mellitus during the first wave: cross sectional study of the National Death Index

Estrés laboral en el personal de salud de un hospital público del Callao durante la pandemia del COVID-19

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