Socio-economic inequalities and COVID-19 incidence and mortality in Brazilian children: a nationwide register-based study.
Socio-economic inequalities and COVID-19 incidence and mortality in Brazilian children: a nationwide register-based study.
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DOI：
10.1016/j.puhe.2020.11.005
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发表时间：
2021-01
期刊：
影响因子：
5.2
通讯作者：
Santos VS
中科院分区：
文献类型：
--
作者：
Martins-Filho PR;Quintans-Júnior LJ;de Souza Araújo AA;Sposato KB;Souza Tavares CS;Gurgel RQ;Fontes Leite DC;de Paiva SM;Santos HP Jr;Santos VS
这项研究旨在估计巴西儿童2019年冠状病毒病（COVID-19）的发病率和死亡率，并在州一级分析中分析其与社会经济不平等的关系。这是一项全国性的基于登记的研究。为了估计巴西0-19岁儿童的COVID-19发病率和死亡率，我们从巴西27个州卫生部门网站的去识别微数据目录和官方公报中提取了截至2020年9月3日的确诊病例和死亡数据。社会和经济不平等分别使用社会脆弱性指数和基尼系数进行评估。使用斯皮尔曼等级相关分析了巴西儿童COVID-19发病率与州一级社会经济脆弱性之间的关系。在我们数据库中的3，998，055名COVID-19患者中，335，279人（8.4%）是0-19岁的儿童。登记的儿童死亡人数为800人，约占该国COVID-19相关死亡人数的0. 7%。巴西各地区之间的发病率和死亡率存在重大差异，在州一级的分析中发现，死亡率与社会（ρ = 0.519; P值= 0.007;影响程度：中等）和经济（ρ = 0.615; P值< 0.001;影响程度：强）不平等之间存在相关性。这项基于人群的研究显示，巴西儿童的COVID-19估计存在重要的地区差异，死亡率与社会经济不平等之间存在关系。了解COVID-19估计中的社会地理差异对于规划社会战略和地方决策以减轻疾病对儿科人群的影响至关重要。2019冠状病毒病（COVID-19）导致的不良后果不仅是个体临床特征的结果。这项基于人群的研究显示了巴西儿童COVID-19死亡率与社会经济不平等之间的关系。巴西儿童的COVID-19估计值存在重要的地区差异。了解COVID-19估计中的社会地理差异对于规划社会战略和地方决策以减轻疾病对儿科人群的影响至关重要。
This study aimed to estimate the incidence and mortality rates of coronavirus disease 2019 (COVID-19) in Brazilian children and to analyze its relationship with socio-economic inequalities in a state-level analysis. This is a nationwide register-based study. To estimate the incidence and mortality rates of COVID-19 in Brazilian children aged 0–19 years, we extracted data of confirmed cases and deaths from the de-identified microdata catalog and official bulletins of the 27 Brazilian states' health department websites until September 3, 2020. Social and economic inequalities were evaluated using the Social Vulnerability Index and Gini coefficient, respectively. The relationship between COVID-19 rates in Brazilian children and socio-economic vulnerability at the state level was analyzed using Spearman's rank correlation. Of the 3,998,055 individuals with COVID-19 included in our database, 335,279 (8.4%) were children aged 0–19 years. Eight hundred deaths in children were registered, which accounts for about 0.7% of the deaths related to COVID-19 in the country. There were important differences in the incidence and mortality rates among Brazilian regions, and a correlation between mortality rates and social (ρ = 0.519; P-value = 0.007; effect magnitude: moderate) and economic (ρ = 0.615; P-value < 0.001; effect magnitude: strong) inequalities was found in a state-level analysis. This population-based study showed important regional differences in COVID-19 estimates for children in Brazil and a relationship between mortality rates and socio-economic inequalities. The knowledge of sociogeographic differences in the estimates of COVID-19 is crucial to planning societal strategies and local decision-making to mitigate the effects of disease in the pediatric population. Adverse outcomes due to coronavirus disease 2019 (COVID-19) are not only the result of individual clinical characteristics. This population-based study showed a relationship between mortality rates of COVID-19 among Brazilian children and socio-economic inequalities. There are important regional differences in COVID-19 estimates for children in Brazil. The knowledge of sociogeographic differences in the estimates of COVID-19 is crucial to planning societal strategies and local decision-making to mitigate the effects of disease in the pediatric population.
影响因子：
4.5
作者：
Chaudhry, Muhammad Tayyab;Jamal, M. Hasan;Khan, Muhammad Salman
通讯作者：
Khan, Muhammad Salman
影响因子：
6.3
作者：
Bambra, Clare;Riordan, Ryan;Matthews, Fiona
通讯作者：
Matthews, Fiona