Factors associated with COVID-19 mortality in municipalities in the state of São Paulo (Brazil): an ecological study

BACKGROUND: The mortality rate of coronavirus disease (COVID-19) in the state of São Paulo is highly heterogeneous. This study investigated geographic, economic, social, and health-related factors associated with this discrepancy. METHODS: An ecological study compared COVID-19 mortality rates accord...

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Detalles Bibliográficos
Autores principales: de Souza, Rafaela Caroline, Almeida, Ettore Rafael Mai, Fortaleza, Carlos Magno Castelo Branco, Miot, Hélio Amante
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Medicina Tropical - SBMT 2022
Materias:
Short Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9009881/
https://www.ncbi.nlm.nih.gov/pubmed/35416872
http://dx.doi.org/10.1590/0037-8682-0447-2021
Descripción
Sumario:BACKGROUND: The mortality rate of coronavirus disease (COVID-19) in the state of São Paulo is highly heterogeneous. This study investigated geographic, economic, social, and health-related factors associated with this discrepancy. METHODS: An ecological study compared COVID-19 mortality rates according to geographic, economic, social, and health-related variables during initial infection of 2.5% of the population in municipalities with more than 30,000 inhabitants. RESULTS: Mortality was positively associated with demographic density and social inequality (Gini index), and inversely associated with HDI income and longevity of these municipalities, accounting for 33.2% of the variation in mortality. CONCLUSIONS: Social determinants influenced COVID-19 outcomes.

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