Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro

Detalhes bibliográficos
Autor(a) principal: Silva, Julio
Data de Publicação: 2021
Outros Autores: 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/46764
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
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spelling Silva, JulioRibeiro-Alves, Marcelo2021-04-19T18:41:48Z2021-04-19T18:41:48Z2021SILVA, Julio; RIBEIRO-ALVES, Marcelo. Social inequalities and the pandemic of COVID-19: the case of Rio de Janeiro. Journal of epidemiology and community health, p. 1-5, Apr. 20210143-005Xhttps://www.arca.fiocruz.br/handle/icict/4676410.1136/jech-2020-214724engBMJSocial inequalities and the pandemic of COVID-19: The case of Rio de Janeiroinfo: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. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Background: The novel coronavirus (SARS-CoV-2) is a global pandemic. The lack of protective vaccine or treatment led most of the countries to follow the flattening of the infection curve with social isolation measures. There is evidence that socioeconomic inequalities have been shaping the COVID-19 burden among low and middle-income countries. This study described what sociodemographic and socioeconomic factors were associated with the greatest risk of COVID-19 infection and mortality and how did the importance of key neighbourhood-level socioeconomic factors change over time during the early stages of the pandemic in the Rio de Janeiro municipality, Brazil. Methods: We linked socioeconomic attributes to confirmed cases and deaths from COVID-19 and computed age-standardised incidence and mortality rates by domains such as age, gender, crowding, education, income and race/ethnicity. Results: The evidence suggests that although age-standardised incidence rates were higher in wealthy neighbourhoods, age-standardised mortality rates were higher in deprived areas during the first 2 months of the pandemic. The age-standardised mortality rates were also higher in males, and in areas with a predominance of people of colour, which are disproportionately represented in more vulnerable groups. The population also presented COVID-19 'rejuvenation', that is, people became risk group younger than in developed countries. Conclusion: We conclude that there is a strong health gradient for COVID-19 death risk during the early stages of the pandemic. COVID-19 cases continued to move towards the urban periphery and to more vulnerable communities, threatening the health system functioning and increasing the health gradient.Communicable diseasesHealth inequalitiesPublic healthSocial epidemiologySocial inequalitiesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/46764/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALSocial_Marcelo_Ribeiro-Alves_etal_INI_2021.pdfSocial_Marcelo_Ribeiro-Alves_etal_INI_2021.pdfapplication/pdf245178https://www.arca.fiocruz.br/bitstream/icict/46764/2/Social_Marcelo_Ribeiro-Alves_etal_INI_2021.pdfa08e810c94ffda52662c356628476e67MD52TEXTSocial_Marcelo_Ribeiro-Alves_etal_INI_2021.pdf.txtSocial_Marcelo_Ribeiro-Alves_etal_INI_2021.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro
title Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro
spellingShingle Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro
Silva, Julio
Communicable diseases
Health inequalities
Public health
Social epidemiology
Social inequalities
title_short Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro
title_full Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro
title_fullStr Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro
title_full_unstemmed Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro
title_sort Social inequalities and the pandemic of COVID-19: The case of Rio de Janeiro
author Silva, Julio
author_facet Silva, Julio
Ribeiro-Alves, Marcelo
author_role author
author2 Ribeiro-Alves, Marcelo
author2_role author
dc.contributor.author.fl_str_mv Silva, Julio
Ribeiro-Alves, Marcelo
dc.subject.en.pt_BR.fl_str_mv Communicable diseases
Health inequalities
Public health
Social epidemiology
Social inequalities
topic Communicable diseases
Health inequalities
Public health
Social epidemiology
Social inequalities
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-04-19T18:41:48Z
dc.date.available.fl_str_mv 2021-04-19T18:41:48Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv SILVA, Julio; RIBEIRO-ALVES, Marcelo. Social inequalities and the pandemic of COVID-19: the case of Rio de Janeiro. Journal of epidemiology and community health, p. 1-5, Apr. 2021
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/46764
dc.identifier.issn.pt_BR.fl_str_mv 0143-005X
dc.identifier.doi.none.fl_str_mv 10.1136/jech-2020-214724
identifier_str_mv SILVA, Julio; RIBEIRO-ALVES, Marcelo. Social inequalities and the pandemic of COVID-19: the case of Rio de Janeiro. Journal of epidemiology and community health, p. 1-5, Apr. 2021
0143-005X
10.1136/jech-2020-214724
url https://www.arca.fiocruz.br/handle/icict/46764
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 BMJ
publisher.none.fl_str_mv BMJ
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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