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

• Autor(a) principal: Silva, Gabriela Drummond Marques da
• Data de Publicação: 2023
• Outros Autores: Souza, Anelise Andrade de, Castro, Mônica Silva Monteiro de, Miranda, Wanessa Debôrtoli de, Jardim, Leticia Lemos, Sousa, Rômulo Paes de
• Tipo de documento: preprint
• Idioma: por
• Título da fonte: SciELO Preprints
• Texto Completo: https://preprints.scielo.org/index.php/scielo/preprint/view/5533
• topic: Coronavírus; Internação Hospitalar; Mortalidade; Fatores Socioeconômicos; Estudo Ecológico; Coronavirus; Hospitalization; Mortality; Socioeconomic Factors; Ecological Study; Coronavirus; Hospitalización; Mortalidad; Factores Socioeconómicos; Estudio Ecológico

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