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Influence of socioeconomic inequality on the distribution of hospitalizations and deaths from COVID-19 in Brazilian municipalities, 2020: an ecological study

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DOI:

https://doi.org/10.1590/s2237-96222023000100021

Keywords:

Coronavirus, Hospitalization, Mortality, Socioeconomic Factors, Ecological Study

Abstract

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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Posted

02/06/2023

How to Cite

Silva, G. D. M. da, Souza, A. A. de, Castro, M. S. M. de, Miranda, W. D. de, Jardim, L. L., & Sousa, R. P. de. (2023). Influence of socioeconomic inequality on the distribution of hospitalizations and deaths from COVID-19 in Brazilian municipalities, 2020: an ecological study. In SciELO Preprints. https://doi.org/10.1590/s2237-96222023000100021

Section

Health Sciences

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