Reduction in life expectancy in Brazil after COVID-19.

Reduction in life expectancy in Brazil after COVID-19.
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COVID-19 后巴西的预期寿命缩短。

DOI:
10.1038/s41591-021-01437-z
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发表时间:
2021-09
期刊:
影响因子:
82.9
通讯作者:
Goldman N
Goldman N
中科院分区:
医学1区
文献类型:
--
作者:
Castro MC;Gurzenda S;Turra CM;Kim S;Andrasfay T;Goldman N

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巴西受到COVID-19的严重影响。我们使用2020年和2021年1月至4月报告的总死亡人数数据来衡量和比较各州的死亡人数。我们估计,2020年出生时预期寿命(e0)将下降1.3年,这是自2014年以来从未见过的死亡率水平。2020年,65岁预期寿命(e65)减少了0.9年,使巴西回到了2012年的水平。男性的下降幅度更大,在e0年龄段,男女之间的差距扩大了9.1%。在各州中,亚马逊州自2000年以来在e0方面的改善损失了60.4%。于二零二一年首四个月,COVID-19死亡人数占二零二零年总数字的107%。假设在没有COVID-19的情况下,死亡率将等于2019年的全因死亡率,则2021年的COVID-19死亡人数已使2021年的e0减少1. 8年,略高于在类似假设下估计的2020年的减少。
Brazil has been heavily impacted by COVID-19. We use data on reported total deaths in 2020 and in Jan-Apr 2021 to measure and compare the death toll across states. We estimate a decline in 2020 life expectancy at birth (e0) of 1.3 years, a mortality level not seen since 2014. The reduction in life expectancy at age 65 (e65) in 2020 was 0.9 year, setting Brazil back to 2012 levels. The decline was larger for males, widening by 9.1% the female-male gap in e0. Among states, Amazonas lost 60.4% of the improvements in e0 since 2000. In the first four months of 2021, COVID-19 deaths represented 107% of the total 2020 figures. Assuming that death rates would have been equal to 2019 all-cause rates in the absence of COVID-19, COVID-19 deaths in 2021 have already reduced e0 in 2021 by 1.8 years, which is slightly larger than the reduction estimated for 2020 under similar assumptions.
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