Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013

Detalhes bibliográficos
Autor(a) principal: Gabriel Mendes Borges
Data de Publicação: 2020
Outros Autores: Claudio Dutra Crespo
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7334
Resumo: This study aimed to characterize risk groups for COVID-19 in Brazil and to estimate the number of individuals living in the same household with persons in the risk group. Data were used from the Brazilian National Health Survey (PNS) of 2013. To characterize the risk groups, a binary multiple logistic regression model was adjusted in which the response variable was the presence or absence of at least one condition associated with COVID-19 and the explanatory variables were age, sex, major geographic region, color or race, schooling, and workforce status of the residents interviewed by the study. The results show that age is the principal risk factor for comorbidities associated with COVID-19, but the risk is also greater for persons in more vulnerable categories, such as those with less schooling and blacks and browns. An estimated 68.7% of Brazilians were living with at least one person in the risk group: 30.3% lived with at least one elderly individual and another 38.4% had no elderly individuals in their households, but there was at least one adult resident with preexisting medical conditions. The proportion of persons living in households with at least one resident in the risk group was 50% or greater for all ages and increased from 35 years of age, but there were also high numbers of persons 10 to 25 years of age living with persons in the risk group. The results suggest that due to the difficulties in avoiding close household contact, the exclusive isolation of specific population groups is not a feasible strategy in the Brazilian context, but should be combined with social distancing of the population as a whole.
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spelling Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013Aspectos demográficos e socioeconômicos dos adultos brasileiros e a COVID-19: uma análise dos grupos de risco a partir da Pesquisa Nacional de Saúde, 2013COVID-19Risk GroupsSocioeconomic FactorsSocial IsolationCOVID-19Grupos de RiscoFatores SocioeconômicoIsolamento SocialThis study aimed to characterize risk groups for COVID-19 in Brazil and to estimate the number of individuals living in the same household with persons in the risk group. Data were used from the Brazilian National Health Survey (PNS) of 2013. To characterize the risk groups, a binary multiple logistic regression model was adjusted in which the response variable was the presence or absence of at least one condition associated with COVID-19 and the explanatory variables were age, sex, major geographic region, color or race, schooling, and workforce status of the residents interviewed by the study. The results show that age is the principal risk factor for comorbidities associated with COVID-19, but the risk is also greater for persons in more vulnerable categories, such as those with less schooling and blacks and browns. An estimated 68.7% of Brazilians were living with at least one person in the risk group: 30.3% lived with at least one elderly individual and another 38.4% had no elderly individuals in their households, but there was at least one adult resident with preexisting medical conditions. The proportion of persons living in households with at least one resident in the risk group was 50% or greater for all ages and increased from 35 years of age, but there were also high numbers of persons 10 to 25 years of age living with persons in the risk group. The results suggest that due to the difficulties in avoiding close household contact, the exclusive isolation of specific population groups is not a feasible strategy in the Brazilian context, but should be combined with social distancing of the population as a whole.Los objetivos de este trabajo son caracterizar los grupos de riesgo para COVID-19 en Brasil, así como estimar el número de individuos conviviendo en el mismo domicilio con personas en el grupo de riesgo. Para ello, se utilizan datos de la Encuesta Nacional de Salud 2013. Para caracterizar los grupos de riesgo, se ajustó un modelo de regresión logística binaria múltiple, teniendo como variable respuesta la existencia o no de por lo menos una condición asociada a la COVID-19 y como variables explicativas, la edad, sexo, gran región, color o raza, nivel de escolaridad y condición, en relación a la fuerza de trabajo de los habitantes entrevistados por la encuesta. Los resultados muestran que la edad es el principal factor de riesgo para comorbilidades asociadas a la COVID-19, pero existe también un mayor riesgo para personas en categorías más vulnerables, como los menos escolarizados y negros y mulatos/mestizos. Se estima que un 68,7% de los brasileños vivían con por lo menos una persona en el grupo de riesgo - un 30,3% vivían con por lo menos un anciano y otros un 38,4% no vivían con ancianos en sus domicilios, pero tenían por lo menos un residente adulto con condiciones médicas preexistentes. La proporción de personas viviendo en domicilios, con por lo menos un residente en el grupo de riesgo, era mayor o igual a un 50% para todas las edades, siendo creciente a partir de los 35 años, pero había también un alto número de personas con edad entre 10 y 25 años conviviendo con personas en el grupo de riesgo. Tales resultados sugieren que, en función de las dificultades para evitar el contacto cercano intradomiciliario, el aislamiento exclusivo de grupos poblacionales específicos no se configura en una estrategia posible en el contexto brasileño, debiendo ser combinado con el aislamiento del conjunto de la población.Os objetivos deste trabalho são caracterizar os grupos de risco para COVID-19 no Brasil, bem como estimar o número de indivíduos convivendo no mesmo domicílio com pessoas no grupo de risco. Para tal, utiliza-se dados da Pesquisa Nacional de Saúde de 2013. Para caracterizar os grupos de risco, ajustou-se um modelo de regressão logística binária múltipla tendo como variável a resposta à existência ou não de pelo menos uma condição associada à COVID-19 e como variáveis explicativas a idade, sexo, grande região, cor ou raça, nível de escolaridade e condição em relação à força de trabalho dos moradores entrevistados pela pesquisa. Os resultados mostram que a idade é o principal fator de risco para comorbidades associadas à COVID-19, mas há também maior risco para pessoas em categorias mais vulneráveis, como os menos escolarizados e pretos e pardos. Estima-se que 68,7% dos brasileiros viviam com pelo menos uma pessoa no grupo de risco - 30,3% viviam com pelo menos um idoso e outros 38,4% não tinham idosos em seus domicílios, mas havia pelo menos um morador adulto com condições médicas preexistentes. A proporção de pessoas vivendo em domicílios com pelo menos um morador no grupo de risco era maior ou igual a 50% para todas as idades, sendo crescente a partir dos 35 anos, mas havia também um alto número de pessoas com idades entre 10 e 25 anos convivendo com pessoas no grupo de risco. Tais resultados sugerem que, em função das dificuldades em se evitar contato próximo intradomiciliar, o isolamento exclusivo de grupos populacionais específicos não se configura uma estratégia possível no contexto brasileiro, devendo ser combinado com o isolamento do conjunto da população.Reports in Public HealthCadernos de Saúde Pública2020-10-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7334Reports in Public Health; Vol. 36 No. 10 (2020): OctoberCadernos de Saúde Pública; v. 36 n. 10 (2020): Outubro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7334/16128https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7334/16129https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7334/16130https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7334/16131Gabriel Mendes BorgesClaudio Dutra Crespoinfo:eu-repo/semantics/openAccess2024-03-06T15:29:53Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7334Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:25.946581Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013
Aspectos demográficos e socioeconômicos dos adultos brasileiros e a COVID-19: uma análise dos grupos de risco a partir da Pesquisa Nacional de Saúde, 2013
title Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013
spellingShingle Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013
Gabriel Mendes Borges
COVID-19
Risk Groups
Socioeconomic Factors
Social Isolation
COVID-19
Grupos de Risco
Fatores Socioeconômico
Isolamento Social
title_short Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013
title_full Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013
title_fullStr Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013
title_full_unstemmed Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013
title_sort Demographic and socioeconomic characteristics of Brazilian adults and COVID-19: a risk group analysis based on the Brazilian National Health Survey, 2013
author Gabriel Mendes Borges
author_facet Gabriel Mendes Borges
Claudio Dutra Crespo
author_role author
author2 Claudio Dutra Crespo
author2_role author
dc.contributor.author.fl_str_mv Gabriel Mendes Borges
Claudio Dutra Crespo
dc.subject.por.fl_str_mv COVID-19
Risk Groups
Socioeconomic Factors
Social Isolation
COVID-19
Grupos de Risco
Fatores Socioeconômico
Isolamento Social
topic COVID-19
Risk Groups
Socioeconomic Factors
Social Isolation
COVID-19
Grupos de Risco
Fatores Socioeconômico
Isolamento Social
description This study aimed to characterize risk groups for COVID-19 in Brazil and to estimate the number of individuals living in the same household with persons in the risk group. Data were used from the Brazilian National Health Survey (PNS) of 2013. To characterize the risk groups, a binary multiple logistic regression model was adjusted in which the response variable was the presence or absence of at least one condition associated with COVID-19 and the explanatory variables were age, sex, major geographic region, color or race, schooling, and workforce status of the residents interviewed by the study. The results show that age is the principal risk factor for comorbidities associated with COVID-19, but the risk is also greater for persons in more vulnerable categories, such as those with less schooling and blacks and browns. An estimated 68.7% of Brazilians were living with at least one person in the risk group: 30.3% lived with at least one elderly individual and another 38.4% had no elderly individuals in their households, but there was at least one adult resident with preexisting medical conditions. The proportion of persons living in households with at least one resident in the risk group was 50% or greater for all ages and increased from 35 years of age, but there were also high numbers of persons 10 to 25 years of age living with persons in the risk group. The results suggest that due to the difficulties in avoiding close household contact, the exclusive isolation of specific population groups is not a feasible strategy in the Brazilian context, but should be combined with social distancing of the population as a whole.
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7334/16130
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 36 No. 10 (2020): October
Cadernos de Saúde Pública; v. 36 n. 10 (2020): Outubro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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