Socio-economic inequality in national incidence and mortality rates of COVID-19 in India: An Ecological Study

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DOI:

https://doi.org/10.47203/IJCH.2020.v32i04.010

Keywords:

COVID-19

Abstract

Background: There are sufficient evidences on the association of epidemiological and clinical features of the patients with COVID-19 but still there are paucity of evidences on socio-economic aspects of this disease. An ecological study has been carried out with aim to assess the associations of the Human Development Index (HDI) and its components of each states and Union territories in India with incidence and mortality from COVID-19. Methods: Information on confirmed cases and deaths have been extracted from the data on the website of Covid India Organization and the data on HDI and its components have been extracted from various national and international agencies. Regression analysis was performed which showed a direct significant association (p-values<0.05) of incidence and mortality rates with HDI and its components at the national level. Concentration index was estimated to measure socio-economic inequality in COVID-19 incidence and mortality rates with 95% confidence interval (CI), which were 0.41 (0.27–0.54) and 0.42 (0.26–0.58) for incidence and mortality rates of COVID-19 respectively. Results: The high incidence and mortality rates of COVID-19 in states and union territories of India with high HDI and its components warrant priority for interventions by the national health policy-makers. Cases detection and screening facilities need to be scaled up in states and UTs with low incidence and mortality rates to minimize the under-reporting of the cases.

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References

Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. The Lancet. 2020;395(10224):565–74.

Riou J, Althaus CL. Pattern of early human-to-human transmission of Wuhan 2019 novel coronavirus (2019-nCoV), December 2019 to January 2020. Euro Surveill. 2020;25(4):2000058. doi: 10.2807/1560-7917.ES.2020.25.4.2000058. Erratum in: Euro Surveill. 2020;25(7): PMID: 32019669; PMCID: PMC7001239.[PubMed].

Coronavirus Update (Live): 108,293,836 Cases and 2,378,759 Deaths from COVID-19 Virus Pandemic - Worldometer [Internet]. [cited 2020 Dec 22]. Available from: https://www.worldometers.info/coronavirus/

Coronavirus in India: Latest Map and Case Count [Internet]. Available from: https://www.covid19india.org [cited 2020 Dec 20]

Zhou P, Yang XL, Wang XG, Hu B, Zhang L, Zhang W, Si HR, Zhu Y, Li B, Huang CL, Chen HD, Chen J, Luo Y, Guo H, Jiang RD, Liu MQ, Chen Y, Shen XR, Wang X,Zheng XS, Zhao K, Chen QJ, Deng F, Liu LL, Yan B, Zhan FX, Wang YY, Xiao GF, Shi ZL. A pneumonia outbreak associated with a new cor navirus of probable bat origin. Nature. 2020;579(7798):270-273. doi: 10.1038/s41586-020-2012-7. Epub 2020 Feb 3. PMID: 32015507; PMCID: PMC7095418.[PubMed].

showPdf.pdf [Internet]. Available from: https://www.thelancet.com/action/showPdf?pii=S0140-6736%2820%2930211-7 [cited 2020 Dec 20]

Kolifarhood G, Aghaali M, Mozafar Saadati H, Taherpour N, Rahimi S, Izadi N, Hashemi Nazari SS. Epidemiological and Clinical Aspects of COVID-19; a NarrativeReview. Arch Acad Emerg Med. 2020 1;8(1):e41. PMID: 32259130; PMCID: PMC7117787.[PubMed].

Sub-national HDI - Subnational HDI - Global Data Lab [Internet]. Available from: https://globaldatalab.org/shdi/ shdi/IND/?levels=1%2B4&interpolation=0&extrapolation=0&nearest_real=0 [cited 2020 Dec 20]

Khazaei Z, Goodarzi E, Borhaninejad V, Iranmanesh F, Mirshekarpour H, Mirzaei B, Naemi H, Bechashk SM, Darvishi I, Ershad Sarabi R, Naghibzadeh-Tahami A. The association between incidence and mortality of brain cancer and human development index (HDI): an ecological study. BMC Public Health. 2020 12;20(1):1696. doi: 10.1186/s12889-020-09838-4. PMID: 33183267; PMCID: PMC7664078.[PubMed].

Goodarzi E, Sohrabivafa M, Darvishi I, Naemi H, Khazaei Z. Epidemiology of mortality induced by acute respiratory infections in infants and children under the age of 5 years and its relationship with the Human Development Index in Asia: an updated ecological study. J Public Health. 2020;10;

state-wise-aadhaar-saturation.pdf [Internet]. [cited 2020 Dec 22]. Available from: https://uidai.gov.in/images/state-wise-aadhaar-saturation.pdf

Census of India?: Sample Registration System (SRS) Bulletins [Internet]. Available from: https://censusindia.gov.in/vital _statistics/SRS_Bulletins/Bulletins.aspx [cited 2020 Dec 20]

Report_585_75th_round_Education_final_1507_0.pdf [Internet]. Available from: http://mospi.nic.in/sites/ default/files/publication_reports/Report_585_75th_round_Education_final_1507_0.pdf [cited 2020 Dec 20]

Reserve Bank of India - Publications [Internet]. Available from: https://www.rbi.org.in/scripts/publicationsview. aspx?id=12043 [cited 2020 Dec 20]

Second Advance Estimates of National Income, 2019-20 and Quarterly Estimates of Gross Domestic Product for the Third Quarter (Oct-Dec), 2019-20 [Internet]. Available from: https://pib.gov.in/Pressreleaseshare.aspx?PRID=1604677 [cited 2020 Dec 20]

paper2_1.pdf [Internet]. Available from: https://censu sindia.gov.in/2011-prov-results/paper2/data_files/india/ paper2_1.pdf [cited 2020 Dec 20]

Valev D. Relationships of total COVID-19 cases and deaths with ten demographic, economic and social indicators [Internet]. Epidemiology; 2020 Sep Available from: http://medrxiv.org/lookup/doi/10.1101/2020.09.05.20188953 [cited 2020 Dec 20]

Choi KW, Chau TN, Tsang O, Tso E, Chiu MC, Tong WL, Lee PO, Ng TK, Ng WF, Lee KC, Lam W, Yu WC, Lai JY, Lai ST; Princess Margaret Hospital SARS Study Group. Outcomes and prognostic factors in 267 patients with severe acute respiratory syndrome in Hong Kong. Ann Intern Med. 2003 4;139(9):715-23. doi: 10.7326/0003-4819-139-9-200311040-00005. PMID: 14597455.[PubMed].

Hong KH, Choi JP, Hong SH, Lee J, Kwon JS, Kim SM, Park SY, Rhee JY, Kim BN, Choi HJ, Shin EC, Pai H, Park SH, Kim SH. Predictors of mortality in Middle East respiratory syndrome (MERS). Thorax. 2018 Mar;73(3):286-289. doi: 10.1136/thoraxjnl-2016-209313. Epub 2017 19. PMID: 28724637.[PubMed].

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020 28;395(10229):1054-1062. doi:10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11. Erratum in: Lancet. 2020 Mar 28;395(10229):1038. Erratum in: Lancet. 2020 28;395(10229):1038. PMID: 32171076; PMCID: PMC7270627.[PubMed].

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Published

2020-12-31

How to Cite

1.
Ranjan A, Singh PK, Pandey S, Singh CM, Ayub A. Socio-economic inequality in national incidence and mortality rates of COVID-19 in India: An Ecological Study. Indian J Community Health [Internet]. 2020 Dec. 31 [cited 2024 Dec. 14];32(4):665-76. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/1965

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