Descriptive study of COVID-19 mortality according to sex, schooling, age, health region and historical series: State of Rio de Janeiro, January 2020 to August 2021
Keywords:COVID-19, mortality, standardized mortality ratio, syndemic, health service region
Introduction: the first COVID-19 case in the state of Rio de Janeiro was registered on march 6 2020 and SARS-Cov-2 has been impacting population’s lives on biopsychosocial aspects since, being characterized as a syndemic and overwhelming the Brazilian public Unified Health System. Objectives: describe the COVID-19 pandemic through demographic stratification of deaths occurring from january 2020 to august 2021 and on Rio de Janeiro state’s health service regions. Methods: this is an aggregate transversional study, which used data available from the Health Ministry, producing a descriptive epidemiology. Measures of absolute prevalence and standardized mortality ratio (SMR) were calculated; population size used was the one estimated to 2020. Associations between variables were checked by Pearson’s test. Results: statistically significant associations were observed between scholarity, sex, age and health service region in relation to COVID-19 deaths and by other causes. About COVID-19 mortality, there was an association between scholarity and sex, highlighting more deaths than expected on higher educated males and on no educated females. The health regions Metropolitana I and II had SMR over 100%, and the other regions had low SMR, specially Baía da Ilha Grande and Baixada Litorânea regions which had less deaths than expected. Conclusions: the results showed demographic, geographic and historic patterns of the pandemic on Rio de Janeiro state, which may represent socioeconomic vulnerabilities, allowing to characterize COVID-19 as a syndemic.
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Copyright (c) 2022 Maria Fernanda Império Pereira, Letícia Chagas Rocha, Lucas Flores Sartori, Miguel Vianna de Souza, Raquel Assumpção Sodré Matias de Lima, Antonio Luiz Rodrigues Júnior
This work is licensed under a Creative Commons Attribution 4.0 International License.