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Adults at high-risk of severe coronavirus disease-2019 (Covid-19) in Brazil
Rezende, Leandro F. M; Thome, Beatriz; Schveitzer, Mariana Cabral; Souza-Júnior, Paulo Roberto Borges de; Szwarcwald, Célia Landmann.
  • Rezende, Leandro F. M; Universidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Medicina Preventiva. São Paulo. BR
  • Thome, Beatriz; Universidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Medicina Preventiva. São Paulo. BR
  • Schveitzer, Mariana Cabral; Universidade Federal de São Paulo. Escola Paulista de Medicina. Departamento de Medicina Preventiva. São Paulo. BR
  • Souza-Júnior, Paulo Roberto Borges de; Fundação Instituto Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro. BR
  • Szwarcwald, Célia Landmann; Fundação Instituto Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro. BR
Rev. saúde pública (Online) ; 54: 50, 2020. tab, graf
Article in English | LILACS, BBO | ID: biblio-1101862
ABSTRACT
ABSTRACT 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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Full text: Available Index: LILACS (Americas) Main subject: Pneumonia, Viral / Coronavirus Infections / Risk Assessment / Betacoronavirus Type of study: Etiology study / Prevalence study / Risk factors Limits: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. saúde pública (Online) Journal subject: Sa£de P£blica Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fundação Instituto Oswaldo Cruz/BR / Universidade Federal de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Pneumonia, Viral / Coronavirus Infections / Risk Assessment / Betacoronavirus Type of study: Etiology study / Prevalence study / Risk factors Limits: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Rev. saúde pública (Online) Journal subject: Sa£de P£blica Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fundação Instituto Oswaldo Cruz/BR / Universidade Federal de São Paulo/BR