Marginalization and life expectancy loss during the Covid-19 pandemic in Mexico, 2020
DOI:
https://doi.org/10.15517/y4fnkz62Keywords:
Covid-19, life expectancy, marginalization indicators, municipalitiesAbstract
Introduction: Studies have been conducted in Mexico on indicators of socioeconomic status in relation to morbidity, incidence, survival, mortality, and lethality due to Covid-19, with the exception of life expectancy (LE). This study proposes to examine LE for the year 2020 in the context of the Covid-19 pandemic and to analyze its relationship with indicators of marginalization in Mexican municipalities. Methodology: LE was calculated using the standard actuarial method based on death information from the Mexican Ministry of Health. Demographic information and indicators of marginalization were obtained from the National Population Council. Correlations and risk analyses were performed to evaluate the relationship between LE and marginalization indicators. A multiple correspondence analysis (MCA) was performed with indicators of education, income, housing, population size and LE. Results: The effect of marginalization indicators on LE indicate that the higher the percentage of marginalization, the higher the effect on LE. The population size of the municipalities had a positive relationship with LE, that is, the larger the population size, the greater the loss in years of LE. MCA reveals clear territorial polarization of well-being and longevity in Mexican municipalities, with educational attainment, income and population size remaining key determinants of LE. Conclusion: These results suggest that the impact of the Covid-19 pandemic on LE was greater in populations with larger communities and, at the same time, the highest percentage of marginalization indicators was found in populations with smaller size.
Downloads
References
Bancet, C. M., & Sosa-Sanchez, I. A. (2022). Morir en tiempos de Covid-19 en México. Efecto de la pandemia en las poblaciones indígenas. Sociológica México, 37(106), 263-282. http://www.sociologicamexico.azc.uam.mx/index.php/Sociologica/article/view/1681/1778
Bhadra, A., Mukherjee, A. y Sarkar, K. (2021). Impact of population density on Covid-19 infected and mortality rate in India. Model Earth Syst Environ, 7(1), 623-629. https://doi.org/10.1007/s40808-020-00984-7
Bilal, U. (2020). The dynamics of contagion in cities “Spanish, Author´s translation”. Panorama Social; (32), 77-94. https://www.funcas.es/wp-content/uploads/2021/02/Usama-Bilal.pdf
Chávez-Almazán, L. A., Díaz-González, L., y Rosales-Rivera, M. (2022). Socioeconomic determinants of health and COVID-19 in Mexico. Gac Med Mex, 158(1), 3–10. http://dx.doi.org/10.24875/GMM.M22000633
Contreras-Manzano, A., Guerrero-López, CM., Aguerrebere, M., Sedas, AC. y Lamadrid-Figueroa, H. (2022). Municipality-Level Predictors of COVID-19 Mortality in Mexico: A Cautionary Tale. Disaster Med Public Health Prep, 16(4), 1384-1392. http//doi: 10.1017/dmp.2020.485
García-Guerrero, VM. y Beltrán-Sánchez, H. (2021). Heterogeneity in Excess Mortality and Its Impact on Loss of Life Expectancy due to COVID-19: Evidence from Mexico. Can Stud Popul, 48, 165-200. https://doi.org/10.1007/s42650-021-00051-1
Heuveline, P. (2022). Global and National Declines in Life Expectancy: An End-of-2021 Assessment. Popul Dev Rev, 48(1), 31-50. https://doi.org/10.1111/padr.12477
Islam, N., Jdanov, D.A., Shkolnikov, V.M., Khunti, K., Kawachi, I., White M., Lewington, S. & Lacey, B. (2021). Effects of COVID-19 pandemic on life expectancy and premature mortality in 2020: time series analysis in 37 countries. BMJ, 375, e066768. https://doi: 10.1136/bmj-2021-06676
Krieger, N., Williams, D. R., y Moss, N. E. (1997). Measuring social class in US public health research: concepts, methodologies, and guidelines. Annual review of public health, 18, 341–378. https://doi.org/10.1146/annurev.publhealth.18.1.341
Lima, E.E.C., Vilela, E.A., Peralta, A., Rocha, M., Quiroz, B.L., Gonzaga, M.R., Piscoya-Díaz, M. Martinez-Folgar, K., García-Guerrero, V.M., y Freire F. (2021). Investigating regional excess mortality during 2020 COVID-19 pandemic in selected Latin American countries. Genus, 77(30). https://doi.org/10.1186/s41118-021-00139-1
Lozano, F., y Ramírez-García, T. (2023). Inequality in Covid-19 mortality in the indigenous-speaking population of Mexico “Spanish, Author´s translation”. In: Lozano, F., Marcos, F., Mendoza, M.A. (coords.), Pandemic, social, and economic inequalities in Mexico “Spanish, Author´s translation”. (pp. 337-3.72). UNAM.
Martinez, R., Soliz, P., Caixeta, R. y Ordunez, P. (2019). Reflection on modern methods: years of life lost due to premature mortality—a versatile and comprehensive measure for monitoring non-communicable disease mortality. Int J Epidemiol, 48(4), 1367-1376. https://doi.org/10.1093/ije/dyy254
Mendoza-González, M.F. (2020). Social lag and lethality in Mexico in the context of coronavirus disease pandemic (Covid-19): An approach from the perspective of collective health at the National, State and Municipal levels “Spanish, Author´s translation”. Notas de Población, (111), 133-153.
Mexican Ministry of Health (2022). Deaths, 2022. Open data. http://www.dgis.salud.gob.mx/contenidos/basesdedatos/da_defunciones_gobmx.html
Millán-Guerrero, R. O., Caballero-Hoyos, R., y Monárrez-Espino, J. (2021). Poverty and survival from COVID-19 in Mexico. Journal of Public Health, 43(3), 437–444. https://doi.org/10.1093/pubmed/fdaa228
Mo, Y., Feng, Q. y Gu, D. (2023). Impacts of the COVID-19 pandemic on life expectancy at birth in Asia. BMC Public Health, 23, 1508. https://doi.org/10.1186/s12889-023-16426-9
Muñíz-Montero, I., Sánchez-García, A., Muñiz-Montero, C., y Neri-Suárez, M (2022). Impact of Covid-19 in the Northeast of the State of Puebla, Mexico: Mobility, lethality, marginalization, poverty and impact on tourism. Forhum International Journal of Social Sciences and Humanities, 4(6), e22465-e22465. https://doi.org/10.35766/j.forhum.22465
National Population Council (2020). Marginalization index by state and municipalities 2020. Technical-methodological note “Mexican, author´s translation”. https://www.gob.mx/cms/uploads/attachment/file/634902/Nota_t_cnica_marginaci_n_2020.pdf
National Population Council (September 19th, 2018). Population projections for Mexico and the states, 1950-2070 “Spanish, Author´s translation”. https://datos.gob.mx/busca/dataset/proyecciones-de-la-poblacion-de-mexico-y-de-las-entidades-federativas-2016-2050
Pagano, M. y Gauvreau, K. (1993). Principles of biostatics. Duxbury Press.
Palacio-Mejía, L. S., Hernández-Ávila, J. E., Hernández-Ávila, M., Dyer-Leal, D., Barranco, A., Quezada-Sánchez, A. D., Alvarez-Aceves, M., Cortés-Alcalá, R., Fernández-Wheatley, J. L., Ordoñez-Hernández, I., Vielma-Orozco, E., Muradás-Troitiño, M. C., Muro-Orozco, O., Navarro-Luévano, E., Rodriguez-González, K., Gabastou, J. M., López-Ridaura, R., & López-Gatell, H. (2022). Leading causes of excess mortality in Mexico during the COVID-19 pandemic 2020-2021: A death certificates study in a middle-income country. Lancet regional health. Americas, 13, 100303. https://doi.org/10.1016/j.lana.2022.100303
Ribet, C., Melchior, M., Lang, T., Zins, M., Goldberg, M. y Leclerc, A. (2007). Caractérisation et mesure de la situation sociale dans les études épidémiologiques [Characterisation and measurement of social position in epidemiologic studies]. Rev Epidemiol Sante Publique, 55(4), 285-95. https://doi.org/10.1016/j.respe.2007.04.001
Schwartz, S., Susser, E. y Susser, M. (1999). A future for epidemiology? Annu Rev Public Health, 20, 15-33. https://doi.org/10.1146/annurev.publhealth.20.1.15
Silva, E., Ortiz, B., & Carrasco, E. (2023). Desagregación de la esperanza de vida en México desde el nivel estatal hasta el municipal y sus respectivas visualizaciones, 1990–2020. Notas de Población, 50(117), 71–93. https://repositorio.cepal.org/handle/11362/51033
Singh, B.B., Devleesschauwer, B., Khatkar, M.S., Lowerison, M., Singh, B., Dhand, N.K., y Barkema, H. (2022). Disability-adjusted life years (DALYs) due to the direct health impact of COVID-19 in India, 2020. Sci Rep. 12(1), 2454. https://doi.org/10.1038/s41598-022-06505-z
Uribe-Salas, F.J., Núñez-Medina, G., y Parra-Ávila, J. (2023). Effect of COVID-19 mortality on life expectancy in municipalities of Mexico. Comparison between 2019 and 2020. Gac Med Mex. 159(5), 387-397. English. https://doi.org/10.24875/GMM.M23000819.
Wirayuda, A.A.B., y Chan, M.F. (2021). A Systematic Review of Sociodemographic, Macroeconomic, and Health Resources Factors on Life Expectancy. Asia Pacific Journal of Public Health, 33(4), 335-356. https://doi.org/10.1177/1010539520983671
World Health Organization (5th Junary, 2020). Pneumonia of unknown cause – China. https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-cause-china/en/
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Uribe Salas & Núñez-Medina

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Population and Health in Mesoamerica informs its authors and readers that all publications must be submitted with the Letter of Acceptance of Copyright Conditions where the authors are asked for authorization to submit the article to the Journal for consideration so that it may carry out any of the following activities:
- The graphic and style editing of the work or part of it.
The publication and reproduction of the work or part of it, both in print and electronic media, including the Internet and any other known or unknown technology.
The translation of the work or part of it into any language or dialect.
The adaptation of the work to reading, sound, voice and any other available technical representation or mechanism, which makes possible its access for partially or totally blind people, or with any other form of special abilities that prevent their access to the conventional reading of the article.
The distribution and availability of the work to the public, in such a way that the public may have access to them from the time and place that each person chooses, through the physical or electronic mechanisms available to them.
Any other form of use, process or system known or to be known that is related to the activities and editorial purposes to which the Journal is linked.
You can access the Letter by clicking HERE. If you have a question, please write to revista.ccp@ucr.ac.cr
In addition, the content of this site is protected under the Attribution - Noncommercial - Share Alike (by-nc-sa) license which permits commercial use of the original work or derivative works and distribution of which must be made under the same license that governs the original work. The graphic design, images and texts generated by the e-Information Science magazine are property of the Universidad de Costa Rica and are licensed under Creative Commons Attribution - NonCommercial - Attribution-ShareAlike 4.0 International.
Authors who publish in this journal accept the following conditions:
-The authors retain their moral rights over the publication and assign the patrimonial rights mentioned in the Letter of Assignment of Rights with the Creative Commons Attribution - NonCommercial - Compatitr Equal 4.0 International license, which allows third parties to use what is published as long as they mention the authorship of the work and to the first publication in this journal.
-Authors may make other independent and additional contractual arrangements for non-exclusive distribution of the version of the article published in this journal (e.g., inclusion in an institutional repository or publication in a book) as long as they clearly indicate that the work was first published in this journal.
This policy is established in accordance with Law 6638 on Copyright and Related Rights of the Republic of Costa Rica.
