Excess deaths from all causes and by COVID-19 in Brazil in 2020
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , |
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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Revista de Saúde Pública |
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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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1748936506569916416 |