Disaster Medicine and Public Health Preparedness Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale www.cambridge.org/dmp Alejandra Contreras-Manzano ScD1, Carlos M. Guerrero-L´opez MSc2, Mercedes Aguerrebere MD, MSc3, Ana Cristina Sedas MD, MSc4 and Héctor Lamadrid-Figueroa MD, ScD5 Original Research 1 Cite this article: Contreras-Manzano A, Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico; 2 3 Guerrero-L´opez CM, Aguerrebere M, Sedas AC, Mexican Social Security Institute, Juárez, Cuauhtémoc, Mexico; National Autonomous University of Mexico, 4 Lamadrid-Figueroa H. Municipality-level Mexico City, Mexico; Department of Global Health and Social Medicine, Harvard Medical School, Boston, predictors of COVID-19 mortality in Mexico: A Massachusetts USA and 5Center for Population Health Research, National Institute of Public Health, cautionary tale. Disaster Med Public Health Cuernavaca, Morelos, Mexico Prep. doi: https://doi.org/10.1017/ dmp.2020.485. Abstract Keywords: Objective: Local characteristics of populations have been associated with coronavirus disease COVID-19; risk factors; social determinants; 2019 (COVID-19) outcomes. We analyze the municipality-level factors associated with a high health determinants; municipality-level COVID-19 mortality rate (MR) of in Mexico. Corresponding author: Methods: We retrieved information from cumulative confirmed symptomatic cases and deaths Héctor Lamadrid-Figueroa, from COVID-19 as of June 20, 2020, and data from most recent census and surveys of Mexico. Email:
[email protected]. A negative binomial regression model was adjusted, the dependent variable was the number of COVID-19 deaths, and the independent variables were the quintiles of the distribution of sociodemographic and health characteristics among the 2457 municipalities of Mexico.