Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
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DOI：
10.1590/0034-7167-2020-0673
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发表时间：
2020-01-01
影响因子：
1.3
通讯作者：
Daponte, Antonio
中科院分区：
文献类型：
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作者：
Figueiredo, Alexandre Medeiros de;Figueiredo, Daniela Cristina Moreira Marculino de;Daponte, Antonio
目的：分析巴西COVID-19大流行演变过程中社会经济、人口统计学、流行病学因素和卫生系统结构的影响。方法：生态学研究，从数据库中提取变量，将巴西各州截至2020年8月23日的COVID-19发病率和死亡率作为响应变量。使用斯皮尔曼相关系数和多元回归分析估计了相关性的大小。结果：在巴西各州，COVID-19发病率的59.8%的变异是由收入不平等、显著的家庭密集化和较高的死亡率所证明的。在死亡率的情况下，这些相同的变量解释了该国联邦单位57.9%的变化。结论：我们的研究结果表明，社会经济因素影响了COVID-19在巴西的演变和影响。因此，我们建议采取综合行动，确保社会经济脆弱群体的经济条件和加强保健网络。
OBJECTIVE: To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.METHODS: Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman's correlation coefficient and multiple regression analysis.RESULTS: In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country's variations in federal units.CONCLUSION: Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.