masterThesis
Condiciones de vulnerabilidad, sociodemográficas y clínicas de la población con COVID-19 incluida en la estrategia de atención primaria en salud. Mosquera, 2020
Autor
López Guzmán, Yudy Carolina
Barros Castillo, Sabrina María
Leal Betancourt, Mitchell Ignacio
Institución
Resumen
Introduction: By December 2019, the Wuhan Municipal Health and Sanitation Commission reported a conglomerate of 27 cases of pneumonia of unknown cause, with the arrival in Colombia, the municipalities implemented strategies to minimize the number of infections, as was the case in the municipality de Mosquera, however, the characterization of the population affected by COVID 19 is not known. Objective: To analyze the conditions of vulnerability, sociodemographic and clinical characteristics of the population diagnosed with COVID-19 included in Mosquera's primary health care strategy . Methodology. Retrospective cross-sectional, observational quantitative design research, with analysis of the vulnerability conditions, sociodemographic and clinical characteristics of the population diagnosed with COVID-19 that affected the Mosquera population with the highest prevalence at the time of the pandemic during the year 2020. Results: It was found that 4,610 people in the observed period were positive for COVID-19, of which 99% lived in urban areas, the age group was distributed 5% between 0 and 11 years, 4% between 12 and 17 years old, 21% between 18 and 28 years old, 59% between 29 and 59 years old and 12% between 60 and over. Of the positive patients for COVID-19 who were visited and included in the APS strategy, 99% live in urban areas, the older population affected was in the life cycle of adulthood with 58%, affiliated to the contributory regime represented in a 82%, greater representation in women with 56%. Of the total population, 48% was chronic with the highest incidence of COPD followed by HT. Of the COVID-19 positive patients, 73% were symptomatic, 92% did not require hospitalization, most of the COVID-19 positive patients had between 2 to 3 close contacts (29%) of which 82% were asymptomatic, due to epidemiological nexus, a patient infected 69% between 0 to 1 person. Conclusions: The COVID-19 pandemic has had disproportionately negative impacts on socially disadvantaged and underserved populations around the world. Inequality and related social determinants that affect certain groups are directly related to the adverse health outcomes of vulnerable populations during the pandemic.