Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/171206 |
Resumo: | OBJECTIVE: To estimate the proportion and total number of the general adult population who may be at higher risk of severe Covid-19 in Brazil. METHODS: We included 51,770 participants from a nationally representative, household-based health survey (PNS) conducted in Brazil. We estimated the proportion and number of adults (≥ 18 years) at risk of severe Covid-19 by sex, educational level, race/ethnicity, and state based on the presence of one or more of the following risk factors: age ≥ 65 years or medical diagnosis of cardiovascular disease, diabetes, hypertension, chronic respiratory disease, cancer, stroke, chronic kidney disease and moderate to severe asthma, smoking status, and obesity. RESULTS: Adults at risk of severe Covid-19 in Brazil varied from 34.0% (53 million) to 54.5% (86 million) nationwide. Less-educated adults present a 2-fold higher prevalence of risk factors compared to university graduated. We found no differences by sex and race/ethnicity. São Paulo, Rio de Janeiro, Minas Gerais, and Rio Grande do Sul were the most vulnerable states in absolute and relative terms of adults at risk. CONCLUSIONS: Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. These findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited. |
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Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in BrazilRisk GroupsCoronavirus Infections, epidemiologySocioeconomic FactorsPatient Care PlanningOBJECTIVE: To estimate the proportion and total number of the general adult population who may be at higher risk of severe Covid-19 in Brazil. METHODS: We included 51,770 participants from a nationally representative, household-based health survey (PNS) conducted in Brazil. We estimated the proportion and number of adults (≥ 18 years) at risk of severe Covid-19 by sex, educational level, race/ethnicity, and state based on the presence of one or more of the following risk factors: age ≥ 65 years or medical diagnosis of cardiovascular disease, diabetes, hypertension, chronic respiratory disease, cancer, stroke, chronic kidney disease and moderate to severe asthma, smoking status, and obesity. RESULTS: Adults at risk of severe Covid-19 in Brazil varied from 34.0% (53 million) to 54.5% (86 million) nationwide. Less-educated adults present a 2-fold higher prevalence of risk factors compared to university graduated. We found no differences by sex and race/ethnicity. São Paulo, Rio de Janeiro, Minas Gerais, and Rio Grande do Sul were the most vulnerable states in absolute and relative terms of adults at risk. CONCLUSIONS: Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. These findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited.Universidade de São Paulo. Faculdade de Saúde Pública2020-06-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/17120610.11606/s1518-8787.2020054002596Revista de Saúde Pública; Vol. 54 (2020); 50Revista de Saúde Pública; Vol. 54 (2020); 50Revista de Saúde Pública; v. 54 (2020); 501518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/171206/161356https://www.revistas.usp.br/rsp/article/view/171206/161357Copyright (c) 2020 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessRezende, Leandro F. M.Thome, BeatrizSchveitzer, Mariana CabralSouza-Júnior, Paulo Roberto Borges deSzwarcwald, Célia Landmann2020-06-25T13:59:04Zoai:revistas.usp.br:article/171206Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2020-06-25T13:59:04Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil |
title |
Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil |
spellingShingle |
Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil Rezende, Leandro F. M. Risk Groups Coronavirus Infections, epidemiology Socioeconomic Factors Patient Care Planning |
title_short |
Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil |
title_full |
Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil |
title_fullStr |
Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil |
title_full_unstemmed |
Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil |
title_sort |
Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil |
author |
Rezende, Leandro F. M. |
author_facet |
Rezende, Leandro F. M. Thome, Beatriz Schveitzer, Mariana Cabral Souza-Júnior, Paulo Roberto Borges de Szwarcwald, Célia Landmann |
author_role |
author |
author2 |
Thome, Beatriz Schveitzer, Mariana Cabral Souza-Júnior, Paulo Roberto Borges de Szwarcwald, Célia Landmann |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rezende, Leandro F. M. Thome, Beatriz Schveitzer, Mariana Cabral Souza-Júnior, Paulo Roberto Borges de Szwarcwald, Célia Landmann |
dc.subject.por.fl_str_mv |
Risk Groups Coronavirus Infections, epidemiology Socioeconomic Factors Patient Care Planning |
topic |
Risk Groups Coronavirus Infections, epidemiology Socioeconomic Factors Patient Care Planning |
description |
OBJECTIVE: To estimate the proportion and total number of the general adult population who may be at higher risk of severe Covid-19 in Brazil. METHODS: We included 51,770 participants from a nationally representative, household-based health survey (PNS) conducted in Brazil. We estimated the proportion and number of adults (≥ 18 years) at risk of severe Covid-19 by sex, educational level, race/ethnicity, and state based on the presence of one or more of the following risk factors: age ≥ 65 years or medical diagnosis of cardiovascular disease, diabetes, hypertension, chronic respiratory disease, cancer, stroke, chronic kidney disease and moderate to severe asthma, smoking status, and obesity. RESULTS: Adults at risk of severe Covid-19 in Brazil varied from 34.0% (53 million) to 54.5% (86 million) nationwide. Less-educated adults present a 2-fold higher prevalence of risk factors compared to university graduated. We found no differences by sex and race/ethnicity. São Paulo, Rio de Janeiro, Minas Gerais, and Rio Grande do Sul were the most vulnerable states in absolute and relative terms of adults at risk. CONCLUSIONS: Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. These findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/171206 10.11606/s1518-8787.2020054002596 |
url |
https://www.revistas.usp.br/rsp/article/view/171206 |
identifier_str_mv |
10.11606/s1518-8787.2020054002596 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/171206/161356 https://www.revistas.usp.br/rsp/article/view/171206/161357 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 54 (2020); 50 Revista de Saúde Pública; Vol. 54 (2020); 50 Revista de Saúde Pública; v. 54 (2020); 50 1518-8787 0034-8910 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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1800221801306914816 |