Influence of socioeconomic inequality on the distribution of hospitalizations and deaths from COVID-19 in Brazilian municipalities, 2020: an ecological study
DOI:
https://doi.org/10.1590/s2237-96222023000100021Keywords:
Coronavirus, Hospitalization, Mortality, Socioeconomic Factors, Ecological StudyAbstract
Objective: to analyze the influence of socioeconomic inequality on COVID-19 distribution in Brazilian municipalities, controlling for effect of hospital infrastructure, comorbidities, and other variables. Methods: ecological study on hospitalizations and deaths from Covid-19 in 2020; outcome data obtained from Ministry of Health. Incidence ratio estimated via a generalized linear model with negative binomial distribution. Results: 291,073 hospitalizations and 139,953 deaths were identified; higher mortality rate in municipalities with highest proportion of non-white population (95%CI 1.01;1.16) and with more households with more than two people per room (95%CI 1.01;1.13); presence of sanitary sewage was protective (hospitalizations: 95%CI 0.87;0.99 – deaths: 95%CI 0.90;0.99) and higher proportion of population in subnormal agglomerations was a risk factor (hospitalizations: 95%CI 1.01;1.16 – deaths: 95%CI 1.09;1.21), with this variable interacting with the proportion of people with
emergency assistance (hospitalizations: 95%CI 0.88;1.00 – deaths: 95%CI 0.89;0.98). Conclusion: Socioeconomic conditions affected illness and death from COVID-19 in Brazil
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Copyright (c) 2023 Gabriela Drummond Marques da Silva, Anelise Andrade de Souza, Mônica Silva Monteiro de Castro, Wanessa Debôrtoli de Miranda, Leticia Lemos Jardim, Rômulo Paes de Sousa
This work is licensed under a Creative Commons Attribution 4.0 International License.
