A Biosocial Approach to the Clinical Characteristics of Cuban Adults Infected by SARS Cov2 Virus

Abstract

Introduction: Initial reports of SARS CoV2 virus infection identified the male sex with the highest risk of incidence and lethality. In Cuba, people with COVID 19 have a similar distribution according to sex. It would be pertinent to identify what occurs in middle-aged women, where the biological changes of menopause and the overload of their social work can influence the behavior of the disease.
Objectives: To describe the incidence and mortality of adults with SARS-CoV2 virus infection, with emphasis on middle-aged women.
Methods: From the reports of the Cuban Ministry of Public Health, we extracted the total number of infected subjects of both sexes within 20-59 ages, and grouped them in 20-39, 40-49 and 50-59 year groups. Furthermore, according to the woman's life cycle, we
considered reproductive years, years in transition to menopause and post menopause, respectively. Incidence and fatality rates were calculated according to sex and age subset.
Results: Adults aging 20 and 59 years of age had the highest incidence among active patients. The highest rate was observed in women aged 50-59 years. Fatality was higher in males and in postmenopausal females. Alcoholism was associated with deceased males.
Conclusions: It is necessary to make visible the influence of postmenopausal associated biological changes and social overload on the clinical characteristics of COVID19. This represents a space of a need of knowledge, to draw future prevention and promotion strategies in the recovery stage.