Table 3 Demographics, health risk factors, preparedness and response indicators, structural economical-political determinants within the two regions of interest.

From: Global ecological analysis of COVID-19 mortality and comparison between “the East” and “the West”

 

The West

The East

p-value

Median (min; max)

Median (min; max)

Demographics

Population size (million)

10 (1–328)*

28 (13–1420)

0.084

Population density (km-3)

100.0 (4.0–508.2)*

151.0 (2.0–8,358)

0.089

GPD per capita, USD

33,159 (9772–80,504)

4,202 (1,252–65,234)

 < 0.001*

Median age (years)

43.2 (38.3–47.3)

31.4 (20.8–48.4)

 < 0.001*

People 65 + years of age (%)

20.2 (14.6–23.3)

7.53 (3.6–28.4)

 < 0.001*

Urban population (%)

75.4 (53.7–98.0)

53.3 (13.3–100.0)

0.019*

Households with 4 + members (%)

22.2 (13.5–32.1)

58.6 (20.0–83.8)

 < 0.001*

International migrants (%)

12.5 (1.7–21.8)

0.6 (0.1–38.0)

 < 0.001*

Health risk factors

All-cause mortality (per 1,000)

10.5 (6.4–15.4)

6.3 (5.0–11.0)

 < 0.001*

Obesity prevalence (%)

23.1 (19.7–36.2)

6.2 (2.1–29.0)

 < 0.001*

Prevalence of raised blood glucose (%)

6.6 (4.3–7.9)

7.7 (5.3–14.8)

0.002*

Prevalence of raised blood pressure (%)

21.0 (12.9–32.4)

23.2 (11.0–29.0)

0.751

Current tobacco smoking prevalence (%)

27.1 (13.0–39.1)

22.0 (14.1–38.2)

0.101

BCG immunization coverage (%)

year 1990

89 (13–99)

91 (26–99)

0.919

year 2019

96 (25–99)

88 (69–99)

0.563

Multidimensional preparedness

Avg IHR score index (%)

82.0 (57.0–99.0)

73.0 (21.0–97.0)

0.276

GHS index (%)

60.3 (45.6–83.5)

49.3 (26.0–75.5)

0.029*

UHC service coverage index (%)

78.0 (66.0–89.0)

67.5 (40.0–87.0)

0.032*

Medical doctors (per 10,000 population)

36.1 (23.1–63.5)

8.2 (0.7–36.8)

 < 0.001*

Hospital beds (per 10,000 population)

45.7 (21.4–80.0)

24.9 (9.0–129.8)

0.075

Previous cases of SARS (‘Yes’ vs. ‘No’)

10 (37.0%)

12 (66.7%)

0.099

Structural determinants

EIU democracy index (0–10)

8.0 (6.5–9.9)

6.5 (2.1–9.1)

 < 0.001*

Variety of democracy (%)

71.0 (29.0–78.0)

44.0 (14.0–77.0)

0.002

Gini coefficient (%)

31.6 (24.9–41.1)

35.7 (28.7–44.4)

0.020

Literacy rate (%)

99.1 (95.3–99.9)

94.5 (63.4–98.4)

 < 0.001*

Current health expenditure (% GDP)

9.0 (5.6–16.9)

4.4 (2.3–11.0)

 < 0.001*

Government expenditure on essential services (% GDP)

12.1 (7.8–16.0)

13.2 (7.9–28.8)

0.255

Inefficient government bureaucracy (0–30)

12.9 (6.0–21.8)

10.7 (3.1–19.7)

0.066

Political stability and absence of violence (%)

71.4 (57.1–92.4)

52.4 (11.4–97.6)

 < 0.001*

Government effectiveness index (%)

84.1 (40.4–99.0)

63.0 (11.5–8.8)

0.003*

Air transport, passengers (million)

18.7 (0.0–926.7)

50.5 (0.7–659.6)

0.582

Island countries (‘Yes’)

2 (7.4%)

6 (33.3%)

0.069

Response measures

Avg stringency index (%)

48.5 (32.7–59.8)

51.1 (24.0–68.3)

0.828

Timeliness of stay-at-home requirements (days)

27 (6–254)

45 (2–190)

0.173

  1. P-values reported were computed with Mann–Whitney U test or Pearson’s chi-squared test between the West and the East.
  2. BCG Bacillus Calmette-Guerin; COVID-19 coronavirus disease 2019; EIU Economist intelligence unit; GDP gross domestic product; GHS Global Health Security; IHR International Health Regulations; SARS Severe acute respiratory syndrome; UHC universal health coverage.