Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?

Detalhes bibliográficos
Autor(a) principal: Castro-Alves, Julio
Data de Publicação: 2022
Outros Autores: Silva, Lídia Santos, Lima, João Paulo, Ribeiro-Alves, Marcelo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/53458
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
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spelling Castro-Alves, JulioSilva, Lídia SantosLima, João PauloRibeiro-Alves, Marcelo2022-06-23T19:04:37Z2022-06-23T19:04:37Z2022CASTRO-ALVES, Julio et al. Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020? PloS one, v. 17, n. 4, p. 1-18, 20221932-6203https://www.arca.fiocruz.br/handle/icict/5345810.1371/journal.pone.0266109engPublic Library of ScienceWere the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Background: The COVID-19 pandemic in Brazil has been showing a pattern of distribution of related deaths associated with individual socioeconomic status (SES). However, little is known about the role of SES in the distribution of the mortality rate in different population, from an ecological perspective. Objective: The objective of this study was to evaluate the role of socioeconomic factors in the distribution of the COVID-19-related mortality rate among Brazilian municipalities in 2020. Methods: We conducted a retrospective, cross-sectional, observational, population-wide, and ecological study, using data of COVID-19-related deaths from the Influenza Epidemiological Surveillance Information System database (SIVEP-Gripe) and SES from the Social Vulnerability Index (SVI), the Human Development Index (HDI), the Geographic Index of the Socioeconomic Context and Social Studies (GeoSES), and 2010 Demographic Census (IBGE/Brazil). We computed crude, age- and sex-standardized, and the latter offset by the time of exposure to the epidemic mortality rates. To determine socioeconomic factors associated with mortality rates we used log-linear models with state codes as a random effect and Haversine variance-covariance matrix. Results: 191,528 deaths were related to COVID-19 and distributed in 4,928 (88.55%) Brazilian municipalities. Whatever the socioeconomic indexes used, the R2 were very small to explain SMRT. Consistent across all socioeconomic indexes used, high-income, more educated, and well infrastructure municipalities generally had higher mortality rates. Conclusion: Excluding the effect of demographic structure and pandemic timing from mortality rates, the contribution of SES to explain differences in COVID-19-related mortality rates among municipalities in Brazil became very low. The impact of SES on COVID-19-related mortality may vary across levels of aggregation. Urban infrastructure, which includes mobility structures, more complex economic activities and connections, may have influenced the average municipal death rate.COVID-19Socioeconomic statusSocioeconomic factorsBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83097https://www.arca.fiocruz.br/bitstream/icict/53458/1/license.txt73c2438d9038594f05d706f987b602c3MD51ORIGINALWere_Marcelo_Alves_etal_INI_2022_COVID-19.pdfWere_Marcelo_Alves_etal_INI_2022_COVID-19.pdfapplication/pdf937149https://www.arca.fiocruz.br/bitstream/icict/53458/2/Were_Marcelo_Alves_etal_INI_2022_COVID-19.pdfc012b8cca4e86218a385a84dca9d0b6eMD52icict/534582022-06-23 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dc.title.pt_BR.fl_str_mv Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?
title Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?
spellingShingle Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?
Castro-Alves, Julio
COVID-19
Socioeconomic status
Socioeconomic factors
Brazil
title_short Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?
title_full Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?
title_fullStr Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?
title_full_unstemmed Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?
title_sort Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020?
author Castro-Alves, Julio
author_facet Castro-Alves, Julio
Silva, Lídia Santos
Lima, João Paulo
Ribeiro-Alves, Marcelo
author_role author
author2 Silva, Lídia Santos
Lima, João Paulo
Ribeiro-Alves, Marcelo
author2_role author
author
author
dc.contributor.author.fl_str_mv Castro-Alves, Julio
Silva, Lídia Santos
Lima, João Paulo
Ribeiro-Alves, Marcelo
dc.subject.en.pt_BR.fl_str_mv COVID-19
Socioeconomic status
Socioeconomic factors
Brazil
topic COVID-19
Socioeconomic status
Socioeconomic factors
Brazil
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-06-23T19:04:37Z
dc.date.available.fl_str_mv 2022-06-23T19:04:37Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv CASTRO-ALVES, Julio et al. Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020? PloS one, v. 17, n. 4, p. 1-18, 2022
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/53458
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0266109
identifier_str_mv CASTRO-ALVES, Julio et al. Were the socio-economic determinants of municipalities relevant to the increment of COVID-19 related deaths in Brazil in 2020? PloS one, v. 17, n. 4, p. 1-18, 2022
1932-6203
10.1371/journal.pone.0266109
url https://www.arca.fiocruz.br/handle/icict/53458
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/53458/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/53458/2/Were_Marcelo_Alves_etal_INI_2022_COVID-19.pdf
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