Excess deaths from all causes and by COVID-19 in Brazil in 2020

Detalhes bibliográficos
Autor(a) principal: Santos,Alcione Miranda dos
Data de Publicação: 2021
Outros Autores: Souza,Bruno Feres de, Carvalho,Carolina Abreu de, Campos,Marcos Adriano Garcia, Oliveira,Bruno Luciano Carneiro Alves de, Diniz,Eduardo Moraes, Branco,Maria dos Remédios Freitas Carvalho, Queiroz,Rejane Christine de Sousa, Carvalho,Vitória Abreu de, Araújo,Waleska Regina Machado, Silva,Antônio Augusto Moura da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100259
Resumo: ABSTRACT OBJECTIVE To estimate the 2020 all-cause and COVID-19 excess mortality according to sex, age, race/color, and state, and to compare mortality rates by selected causes with that of the five previous years in Brazil. METHODS Data from the Mortality Information System were used. Expected deaths for 2020 were estimated from 2015 to 2019 data using a negative binomial log-linear model. RESULTS Excess deaths in Brazil in 2020 amounted to 13.7%, and the ratio of excess deaths to COVID-19 deaths was 0.90. Reductions in deaths from cardiovascular diseases (CVD), respiratory diseases, and external causes, and an increase in ill-defined causes were all noted. Excess deaths were also found to be heterogeneous, being higher in the Northern, Center-Western, and Northeastern states. In some states, the number of COVID-19 deaths was lower than that of excess deaths, whereas the opposite occurred in others. Moreover, excess deaths were higher in men aged 20 to 59, and in black, yellow, or indigenous individuals. Meanwhile, excess mortality was lower in women, in individuals aged 80 years or older, and in whites. Additionally, deaths among those aged 0 to 19 were 7.2% lower than expected, with reduction in mortality from respiratory diseases and external causes. There was also a drop in mortality due to external causes in men and in those aged 20 to 39 years. Moreover, reductions in deaths from CVD and neoplasms were noted in some states and groups. CONCLUSION There is evidence of underreporting of COVID-19 deaths and of the possible impact of restrictive measures in the reduction of deaths from external causes and respiratory diseases. The impacts of COVID-19 on mortality were heterogeneous among the states and groups, revealing that regional, demographic, socioeconomic, and racial differences expose individuals in distinct ways to the risk of death from both COVID-19 and other causes.
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spelling Excess deaths from all causes and by COVID-19 in Brazil in 2020Neoplasms, mortalityMortalityCOVID-19Cause of DeathABSTRACT OBJECTIVE To estimate the 2020 all-cause and COVID-19 excess mortality according to sex, age, race/color, and state, and to compare mortality rates by selected causes with that of the five previous years in Brazil. METHODS Data from the Mortality Information System were used. Expected deaths for 2020 were estimated from 2015 to 2019 data using a negative binomial log-linear model. RESULTS Excess deaths in Brazil in 2020 amounted to 13.7%, and the ratio of excess deaths to COVID-19 deaths was 0.90. Reductions in deaths from cardiovascular diseases (CVD), respiratory diseases, and external causes, and an increase in ill-defined causes were all noted. Excess deaths were also found to be heterogeneous, being higher in the Northern, Center-Western, and Northeastern states. In some states, the number of COVID-19 deaths was lower than that of excess deaths, whereas the opposite occurred in others. Moreover, excess deaths were higher in men aged 20 to 59, and in black, yellow, or indigenous individuals. Meanwhile, excess mortality was lower in women, in individuals aged 80 years or older, and in whites. Additionally, deaths among those aged 0 to 19 were 7.2% lower than expected, with reduction in mortality from respiratory diseases and external causes. There was also a drop in mortality due to external causes in men and in those aged 20 to 39 years. Moreover, reductions in deaths from CVD and neoplasms were noted in some states and groups. CONCLUSION There is evidence of underreporting of COVID-19 deaths and of the possible impact of restrictive measures in the reduction of deaths from external causes and respiratory diseases. The impacts of COVID-19 on mortality were heterogeneous among the states and groups, revealing that regional, demographic, socioeconomic, and racial differences expose individuals in distinct ways to the risk of death from both COVID-19 and other causes.Faculdade de Saúde Pública da Universidade de São Paulo2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100259Revista de Saúde Pública v.55 2021reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2021055004137info:eu-repo/semantics/openAccessSantos,Alcione Miranda dosSouza,Bruno Feres deCarvalho,Carolina Abreu deCampos,Marcos Adriano GarciaOliveira,Bruno Luciano Carneiro Alves deDiniz,Eduardo MoraesBranco,Maria dos Remédios Freitas CarvalhoQueiroz,Rejane Christine de SousaCarvalho,Vitória Abreu deAraújo,Waleska Regina MachadoSilva,Antônio Augusto Moura daeng2021-10-26T00:00:00Zoai:scielo:S0034-89102021000100259Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2021-10-26T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Excess deaths from all causes and by COVID-19 in Brazil in 2020
title Excess deaths from all causes and by COVID-19 in Brazil in 2020
spellingShingle Excess deaths from all causes and by COVID-19 in Brazil in 2020
Santos,Alcione Miranda dos
Neoplasms, mortality
Mortality
COVID-19
Cause of Death
title_short Excess deaths from all causes and by COVID-19 in Brazil in 2020
title_full Excess deaths from all causes and by COVID-19 in Brazil in 2020
title_fullStr Excess deaths from all causes and by COVID-19 in Brazil in 2020
title_full_unstemmed Excess deaths from all causes and by COVID-19 in Brazil in 2020
title_sort Excess deaths from all causes and by COVID-19 in Brazil in 2020
author Santos,Alcione Miranda dos
author_facet Santos,Alcione Miranda dos
Souza,Bruno Feres de
Carvalho,Carolina Abreu de
Campos,Marcos Adriano Garcia
Oliveira,Bruno Luciano Carneiro Alves de
Diniz,Eduardo Moraes
Branco,Maria dos Remédios Freitas Carvalho
Queiroz,Rejane Christine de Sousa
Carvalho,Vitória Abreu de
Araújo,Waleska Regina Machado
Silva,Antônio Augusto Moura da
author_role author
author2 Souza,Bruno Feres de
Carvalho,Carolina Abreu de
Campos,Marcos Adriano Garcia
Oliveira,Bruno Luciano Carneiro Alves de
Diniz,Eduardo Moraes
Branco,Maria dos Remédios Freitas Carvalho
Queiroz,Rejane Christine de Sousa
Carvalho,Vitória Abreu de
Araújo,Waleska Regina Machado
Silva,Antônio Augusto Moura da
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Santos,Alcione Miranda dos
Souza,Bruno Feres de
Carvalho,Carolina Abreu de
Campos,Marcos Adriano Garcia
Oliveira,Bruno Luciano Carneiro Alves de
Diniz,Eduardo Moraes
Branco,Maria dos Remédios Freitas Carvalho
Queiroz,Rejane Christine de Sousa
Carvalho,Vitória Abreu de
Araújo,Waleska Regina Machado
Silva,Antônio Augusto Moura da
dc.subject.por.fl_str_mv Neoplasms, mortality
Mortality
COVID-19
Cause of Death
topic Neoplasms, mortality
Mortality
COVID-19
Cause of Death
description ABSTRACT OBJECTIVE To estimate the 2020 all-cause and COVID-19 excess mortality according to sex, age, race/color, and state, and to compare mortality rates by selected causes with that of the five previous years in Brazil. METHODS Data from the Mortality Information System were used. Expected deaths for 2020 were estimated from 2015 to 2019 data using a negative binomial log-linear model. RESULTS Excess deaths in Brazil in 2020 amounted to 13.7%, and the ratio of excess deaths to COVID-19 deaths was 0.90. Reductions in deaths from cardiovascular diseases (CVD), respiratory diseases, and external causes, and an increase in ill-defined causes were all noted. Excess deaths were also found to be heterogeneous, being higher in the Northern, Center-Western, and Northeastern states. In some states, the number of COVID-19 deaths was lower than that of excess deaths, whereas the opposite occurred in others. Moreover, excess deaths were higher in men aged 20 to 59, and in black, yellow, or indigenous individuals. Meanwhile, excess mortality was lower in women, in individuals aged 80 years or older, and in whites. Additionally, deaths among those aged 0 to 19 were 7.2% lower than expected, with reduction in mortality from respiratory diseases and external causes. There was also a drop in mortality due to external causes in men and in those aged 20 to 39 years. Moreover, reductions in deaths from CVD and neoplasms were noted in some states and groups. CONCLUSION There is evidence of underreporting of COVID-19 deaths and of the possible impact of restrictive measures in the reduction of deaths from external causes and respiratory diseases. The impacts of COVID-19 on mortality were heterogeneous among the states and groups, revealing that regional, demographic, socioeconomic, and racial differences expose individuals in distinct ways to the risk of death from both COVID-19 and other causes.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100259
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102021000100259
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.11606/s1518-8787.2021055004137
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
publisher.none.fl_str_mv Faculdade de Saúde Pública da Universidade de São Paulo
dc.source.none.fl_str_mv Revista de Saúde Pública v.55 2021
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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