Human development, social vulnerability and COVID-19 in Brazil: a study of the social determinants of health.
Infect Dis Poverty
; 9(1): 124, 2020 Aug 31.
Article
in English
| MEDLINE | ID: covidwho-736446
ABSTRACT
BACKGROUND:
Coronavirus disease 2019 (COVID-19) was confirmed in Brazil in February 2020. Since then, the disease has spread throughout the country, reaching the poorest areas. This study analyzes the relationship between COVID-19 and the population's living conditions. We aimed to identify social determinants related to the incidence, mortality, and case fatality rate of COVID-19 in Brazil, in 2020.METHODS:
This is an ecological study evaluating the relationship between COVID-19 incidence, mortality, and case fatality rates and 49 social indicators of human development and social vulnerability. For the analysis, bivariate spatial correlation and multivariate and spatial regression models (spatial lag model and spatial error models) were used, considering a 95% confidence interval and a significance level of 5%.RESULTS:
A total of 44.8% of municipalities registered confirmed cases of COVID-19 and 14.7% had deaths. We observed that 56.2% of municipalities with confirmed cases had very low human development (COVID-19 incidence rate 59.00/100 000; mortality rate 36.75/1 000 000), and 52.8% had very high vulnerability (COVID-19 incidence rate 41.68/100 000; mortality rate 27.46/1 000 000). The regression model showed 17 indicators associated with transmission of COVID-19 in Brazil.CONCLUSIONS:
Although COVID-19 first arrived in the most developed and least vulnerable municipalities in Brazil, it has already reached locations that are farther from large urban centers, whose populations are exposed to a context of intense social vulnerability. Based on these findings, it is necessary to adopt measures that take local social aspects into account in order to contain the pandemic.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Coronavirus Infections
/
Social Determinants of Health
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Humans
/
Young adult
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Infect Dis Poverty
Year:
2020
Document Type:
Article
Affiliation country:
S40249-020-00743-x
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