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

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