Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

• Autor(a) principal: Figueiredo,Alexandre Medeiros de
• Data de Publicação: 2020
• Outros Autores: Figueiredo,Daniela Cristina Moreira Marculino de, Gomes,Luciano Bezerra, Massuda,Adriano, Gil-García,Eugenia, Vianna,Rodrigo Pinheiro de Toledo, Daponte,Antonio
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020001400158
• topic: Social Determinants of Health; Epidemiology; Infections; Coronavirus infection; Epidemics

ABSTRACT Objective: To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil. Methods: Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman's correlation coefficient and multiple regression analysis. Results: In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country's variations in federal units. Conclusion: Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.