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primary topic: Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021

Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021
type: AcademicArticle
type: Article
abstract: Objectives To describe long-term trends in mortality attributed to community-acquired pneumonia (CAP) in Chile from 1990 to 2021, stratified by age group, and to evaluate associations with selected socioeconomic and demographic indicators. Study design Ecological, observational, longitudinal study using national secondary data. Methods CAP mortality rates were analyzed for the total population and by age group. Associations with the Human Development Index (HDI), poverty rate, aging index, and life expectancy at birth were examined using a hierarchical analytical approach. This included Spearman's rank correlation for initial exploration, multivariable linear regression to assess adjusted associations, and Prais–Winsten generalized least squares regression to account for first-order autocorrelation and shared temporal trends. Stationarity was evaluated using augmented Dickey–Fuller tests, with supplementary analyses using first-differenced variables. Missing data were imputed using time-based regression or interpolation, with sensitivity analyses performed. Results CAP mortality declined substantially across all age groups over the study period. Strong bivariate correlations were observed between mortality and all socioeconomic indicators; however, these associations were attenuated after adjustment for confounding and temporal autocorrelation. In multivariable and time-series models, HDI and the aging index remained significantly associated with CAP mortality in children (0–9 years) and older adults (≥65 years), whereas associations in intermediate age groups were not robust after accounting for shared secular trends. Poverty and life expectancy did not demonstrate independent associations in adjusted models. Conclusions CAP mortality in Chile has decreased markedly over the past three decades. Associations with socioeconomic indicators are strongest at the extremes of age and persist after accounting for temporal structure, although the ecological design precludes…
date: 2026-05
volume: 256
is part of: Public Health
status: peerReviewed
status: published
author list: authors
type: EPrint
type: ArticleEPrint
is part of: repository
has document: Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021 (Texto)
has document: Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021 (Otro)
subject: Biomedicine
subject: Social Sciences

Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021 (Texto)
type: Document
has file: 1-s2.0-S0033350626001848-main.pdf
has part: 1-s2.0-S0033350626001848-main.pdf

Public Health
type: Collection
issn: 00333506

Italo Salvador López Muñoz
type: Person
given name: Italo Salvador
family name: López Muñoz

Christian R. Mejia
type: Person
given name: Christian R.
family name: Mejia

Shyla Del-Aguila-Arcentales
type: Person
given name: Shyla
family name: Del-Aguila-Arcentales

Neal M. Davies
type: Person
given name: Neal M.
family name: Davies

Maria Loreto Romero Ladrón de Guevara
type: Person
given name: Maria Loreto
family name: Romero Ladrón de Guevara

Aldo Alvarez-Risco
type: Person
given name: Aldo
family name: Alvarez-Risco

Jaime A. Yáñez
type: Person
given name: Jaime A.
family name: Yáñez

Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021 (Otro)
type: Document
is version of: Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021 (Texto)
is volatile version of: Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021 (Texto)
is index codes version of: Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021 (Texto)
has file: indexcodes.txt
has part: indexcodes.txt

HTML Summary of #28573 Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021
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primary topic: Association between socioeconomic and health variables and community-acquired pneumonia mortality rates in Chile from 1990 to 2021

Biomedicine
type: Concept
preferred label: Biomedicina @es

Social Sciences
type: Concept
preferred label: Ciencias Sociales @es