Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic.
Rev Bras Enferm
; 73(Suppl 2): e20200673, 2020.
Article
in En, Pt
| MEDLINE
| ID: mdl-33206820
ABSTRACT
OBJECTIVE:
To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.METHODS:
Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman's correlation coefficient and multiple regression analysis.RESULTS:
In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country's variations in federal units.CONCLUSION:
Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Coronavirus Infections
/
Social Determinants of Health
/
Betacoronavirus
Type of study:
Diagnostic_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
Aspects:
Determinantes_sociais_saude
Limits:
Humans
Country/Region as subject:
America do sul
/
Brasil
Language:
En
/
Pt
Journal:
Rev Bras Enferm
Year:
2020
Document type:
Article
Affiliation country:
Brazil