An ecological study on the correlation between sanitary vulnerability and air pollution with COVID-19 pandemic burden: What lessons can we learn?

Objectives: Air quality, socioeconomic status, access to healthcare, genetic predispositions, among other factors impacted the COVID-19 pandemic burden. We explored the relationship between PM2.5 levels and sanitary vulnerability in COVID-19 pandemic health outcomes in Argentina. Study design: Ecolo...

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Autores principales: Bullo, Manuela, Lakkis, Susan Gabriela, Enet, Alejandro, Bonfiglio, Juan Ignacio, Di Pasquale, Ricardo Héctor, Represa, Sol, Gonzalez, Luciana Marisol, Gonzalez Aleman, Gabriela, Lamas, María Cristina, Salvia, Agustín, Langsam, Martín, Olego, Tomás, Pérez Lloret, Santiago
Formato: Artículo
Lenguaje:Inglés
Publicado: Elsevier 2025
Materias:
CONTAMINACION DEL AIRE
COVID-19
VULNERABILIDAD SANITARIA
Acceso en línea:https://repositorio.uca.edu.ar/handle/123456789/19944
Aporte de:
Repositorio Institucional de la Universidad Católica Argentina (UCA) de Universidad Católica Argentina
id I33-R139-123456789-19944
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spelling I33-R139-123456789-199442025-06-11T05:01:06Z An ecological study on the correlation between sanitary vulnerability and air pollution with COVID-19 pandemic burden: What lessons can we learn? Bullo, Manuela Lakkis, Susan Gabriela Enet, Alejandro Bonfiglio, Juan Ignacio Di Pasquale, Ricardo Héctor Represa, Sol Gonzalez, Luciana Marisol Gonzalez Aleman, Gabriela Lamas, María Cristina Salvia, Agustín Langsam, Martín Olego, Tomás Pérez Lloret, Santiago CONTAMINACION DEL AIRE COVID-19 VULNERABILIDAD SANITARIA Objectives: Air quality, socioeconomic status, access to healthcare, genetic predispositions, among other factors impacted the COVID-19 pandemic burden. We explored the relationship between PM2.5 levels and sanitary vulnerability in COVID-19 pandemic health outcomes in Argentina. Study design: Ecological study. Methods: We used the Sanitary Vulnerability Index (SVI) to account for social determinants of health and distance to health centers. PM2.5 air concentration and human emissions were obtained from the Atmospheric Composition Analysis Group V5.GL.03 dataset and the inventory of anthropogenic gas-phase and particle emissions for Argentina (GEEA-AEIv3.0M), respectively. Finally, we extracted data from March 1, 2020, to January 1, 2021 from the official Argentinean database of COVID-19 (Argentine Ministry of Health). Results: SVI correlated with the rate of positive COVID-19 tests per 100,000 people (r = −0.56, p < 0.01), Intensive Care Unit (ICU) admissions per 100,000 people (r = −0.52, p < 0.01), and deaths per 100,000 people (r = −0.58, p < 0.01). PM2.5 air concentration correlated with the rate of positive tests (r = −0.09, p = 0.03), ICU admissions (r = −0.16, p < 0.01), and mortality (r = −0.11, p = 0.01). PM2.5 human emissions did not show significant correlations with COVID-19 outcomes. There was a significant interaction between SVI and PM2.5 air concentration for the rate of positive COVID-19 tests and mortality. PM2.5 air quality showed a positive and significant association with the outcomes only in areas with high SVI. A machine-learning model including these variables accounted for 46 % of the variability. Conclusions: The interplay between health vulnerability and air quality in human health is complex. Addressing the burden of COVID-19 pandemic requires the consideration of a comprehensive range of determinants. 2025-06-10T13:24:45Z 2025-06-10T13:24:45Z 2025 Artículo 1476-5616 0033-3506 https://repositorio.uca.edu.ar/handle/123456789/19944 10.1016/j.puhe.2024.12.002 39689648 eng Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ application/pdf Elsevier Public Health. 2025, 238
institution Universidad Católica Argentina
institution_str I-33
repository_str R-139
collection Repositorio Institucional de la Universidad Católica Argentina (UCA)
language Inglés
topic CONTAMINACION DEL AIRE
COVID-19
VULNERABILIDAD SANITARIA
spellingShingle CONTAMINACION DEL AIRE
COVID-19
VULNERABILIDAD SANITARIA
Bullo, Manuela
Lakkis, Susan Gabriela
Enet, Alejandro
Bonfiglio, Juan Ignacio
Di Pasquale, Ricardo Héctor
Represa, Sol
Gonzalez, Luciana Marisol
Gonzalez Aleman, Gabriela
Lamas, María Cristina
Salvia, Agustín
Langsam, Martín
Olego, Tomás
Pérez Lloret, Santiago
An ecological study on the correlation between sanitary vulnerability and air pollution with COVID-19 pandemic burden: What lessons can we learn?
topic_facet CONTAMINACION DEL AIRE
COVID-19
VULNERABILIDAD SANITARIA
description Objectives: Air quality, socioeconomic status, access to healthcare, genetic predispositions, among other factors impacted the COVID-19 pandemic burden. We explored the relationship between PM2.5 levels and sanitary vulnerability in COVID-19 pandemic health outcomes in Argentina. Study design: Ecological study. Methods: We used the Sanitary Vulnerability Index (SVI) to account for social determinants of health and distance to health centers. PM2.5 air concentration and human emissions were obtained from the Atmospheric Composition Analysis Group V5.GL.03 dataset and the inventory of anthropogenic gas-phase and particle emissions for Argentina (GEEA-AEIv3.0M), respectively. Finally, we extracted data from March 1, 2020, to January 1, 2021 from the official Argentinean database of COVID-19 (Argentine Ministry of Health). Results: SVI correlated with the rate of positive COVID-19 tests per 100,000 people (r = −0.56, p < 0.01), Intensive Care Unit (ICU) admissions per 100,000 people (r = −0.52, p < 0.01), and deaths per 100,000 people (r = −0.58, p < 0.01). PM2.5 air concentration correlated with the rate of positive tests (r = −0.09, p = 0.03), ICU admissions (r = −0.16, p < 0.01), and mortality (r = −0.11, p = 0.01). PM2.5 human emissions did not show significant correlations with COVID-19 outcomes. There was a significant interaction between SVI and PM2.5 air concentration for the rate of positive COVID-19 tests and mortality. PM2.5 air quality showed a positive and significant association with the outcomes only in areas with high SVI. A machine-learning model including these variables accounted for 46 % of the variability. Conclusions: The interplay between health vulnerability and air quality in human health is complex. Addressing the burden of COVID-19 pandemic requires the consideration of a comprehensive range of determinants.
format Artículo
author Bullo, Manuela
Lakkis, Susan Gabriela
Enet, Alejandro
Bonfiglio, Juan Ignacio
Di Pasquale, Ricardo Héctor
Represa, Sol
Gonzalez, Luciana Marisol
Gonzalez Aleman, Gabriela
Lamas, María Cristina
Salvia, Agustín
Langsam, Martín
Olego, Tomás
Pérez Lloret, Santiago
author_facet Bullo, Manuela
Lakkis, Susan Gabriela
Enet, Alejandro
Bonfiglio, Juan Ignacio
Di Pasquale, Ricardo Héctor
Represa, Sol
Gonzalez, Luciana Marisol
Gonzalez Aleman, Gabriela
Lamas, María Cristina
Salvia, Agustín
Langsam, Martín
Olego, Tomás
Pérez Lloret, Santiago
author_sort Bullo, Manuela
title An ecological study on the correlation between sanitary vulnerability and air pollution with COVID-19 pandemic burden: What lessons can we learn?
title_short An ecological study on the correlation between sanitary vulnerability and air pollution with COVID-19 pandemic burden: What lessons can we learn?
title_full An ecological study on the correlation between sanitary vulnerability and air pollution with COVID-19 pandemic burden: What lessons can we learn?
title_fullStr An ecological study on the correlation between sanitary vulnerability and air pollution with COVID-19 pandemic burden: What lessons can we learn?
title_full_unstemmed An ecological study on the correlation between sanitary vulnerability and air pollution with COVID-19 pandemic burden: What lessons can we learn?
title_sort ecological study on the correlation between sanitary vulnerability and air pollution with covid-19 pandemic burden: what lessons can we learn?
publisher Elsevier
publishDate 2025
url https://repositorio.uca.edu.ar/handle/123456789/19944
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