Incidence and lethality by COVID-19 in the population of the Federal District: an ecological study
DOI:
https://doi.org/10.17058/reci.v12i3.17202Abstract
Background and objectives: understanding the social situation of COVID-19 in poor and less developed countries is still doubtful. Thus, this study aimed to estimate the incidence and lethality by COVID-19, according to the per capita income of the administrative regions of the Federal District (FD). Methods: this is a descriptive ecological study, based on secondary data. Thirty-one administrative regions of the FD were included, and the population consisted of 382,488 individuals. The variables considered were sex, incidence, mortality, lethality, age group, population estimate and education. Results: despite the greater contamination by women, in terms of total mortality, more men died, representing 57.3% of the total deaths in the period. Regarding the influence of the level of education and income on the incidence, it appears that the highest rates of confirmed cases occurred in groups with higher levels of education and income. Despite this higher incidence, it is the group that exhibits the lowest lethality and the third lowest mortality per 100,000 inhabitants. Conclusion: the highest incidence rates were observed in regions with higher per capita income. On the other hand, lethality occurred more incisively in regions with lower purchasing power. In view of this, it is necessary to apply long-term preventive measures in unequal regions.
Downloads
References
Souza CDF, Machado MF, Carmo RF. Human development, social vulnerability and COVID-19 in Brazil: a study of the social determinants of health. Infect Dis Poverty. 2020;9. https://doi.org/10.1186/s40249-020-00743-x .
Demenech LM, Dumith S de C, Vieira MECD, et al. Income inequality and risk of infection and death by covid-19 in brazil. Rev Bras Epidemiol. 2020;23. https://doi.org/10.1590/1980-549720200095.
Rafael RMR, Neto M, Depret DG, et al. Efecto de la renta sobre la incidencia acumulada de COVID-19: un estudio ecológico. Rev Lat Am Enfermagem. 2020;28:1–11. https://doi.org/10.1590/1518-8345.4475.3344.
Escobar AL, Rodriguez TDM, Monteiro JC. Letalidade e características dos óbitos por COVID-19 em Rondônia: estudo observacional. Epidemiol Serv Saúde. 2020;30:e2020763. https://doi.org/10.1590/S1679-49742021000100019.
Nascimento BIJ, Pinto LR, Fernandes VA, et al. Clinical characteristics and outcomes among Brazilian patients with severe acute respiratory syndrome coronavirus 2 infection: An observational retrospective study. Sao Paulo Med J 2020;138:490–7. https://doi.org/10.1590/1516-3180.2020.00365.R1.08092020.
Zarulli V, Barthold Jones JA, Oksuzyan A, et al. Women live longer than men even during severe famines and epidemics. Proc Natl Acad Sci. 2018;115:E832–40. https://doi.org/10.1073/pnas.1701535115.
Estrela FM, Soares CFS, Cruz MAD. et al. Pandemia da Covid 19: refletindo as vulnerabilidades a luz do gênero, raça e classe. Ciênc. Saúde Colet. 2020;25:3431-3436. https://doi.org/10.1590/1413-81232020259.14052020.
Team E. The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) China. China CDC weekly. 2020;41:145–51. http://dx.doi.org/10.46234/ccdcw2020.032.
Bello-Chavolla OY, González-DÍaz A, Antonio-Villa NE, et al. Unequal Impact of Structural Health Determinants and Comorbidity on COVID-19 Severity and Lethality in Older Mexican Adults: Considerations beyond Chronological Aging. The Jour Gerontol. 2021;76:E52–9. https://doi.org/10.1093/gerona/glaa163.
Bialek S, Boundy E, Bowen V, et al. Severe Outcomes Among Patients with Coronavirus Disease 2019 (COVID-19). MMWR Morb Mortal Wkly Rep. 2020;69:343–6. https://dx.doi.org/10.15585%2Fmmwr.mm6912e2.
Costa JA, Silveira JA, Dos Santos SCM, et al. Cardiovascular implications in patients infected with covid-19 and the importance of social isolation to reduce dissemination of the disease. Arq Bras Cardiol. 2020;114:834–8. https://doi.org/10.36660/abc.20200243.
Le Couteur DG, Anderson RM, Newman AB. COVID-19 is a disease of older people. J Gerontol A Biol Sci Med Sci. 2020;75:1804-9 https://doi.org/10.1093/gerona/glaa080.
Barbosa IR, Galvão MHR, Souza TA, et al. Incidence of and mortality from COVID-19 in the older Brazilian population and its relationship with contextual indicators: an ecological study. Rev Bras Geriatr e Gerontol. 2020;23. https://doi.org/10.1590/1981-22562020023.200171.
Cheng ZJ, Shan J. 2019 Novel coronavirus: where we are and what we know. Infection. 2020;48:155–63. https://doi.org/10.1007/s15010-020-01401-y.
Silva GA, Jardim BC, Santos CVB. Excess mortality in Brazil in times of covid-19. Cienc e Saude Coletiva. 2020;25:3345–54. https://doi.org/10.1590/1413-81232020259.23642020.
Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395:507–13. https://doi.org/10.1016/S0140-6736(20)30211-7.
Xie J, Tong Z, Guan X, et al. Clinical Characteristics of Patients Who Died of Coronavirus Disease 2019 in China. JAMA Netw open. 2020;3:e205619. http://dx.doi.org/10.1001/jamanetworkopen.2020.5619.
Gomez JMD, Du-Fay-De-Lavallaz JM, Fugar S, et al. Sex Differences in COVID-19 Hospitalization and Mortality. J Women’s Heal. 2021;30:646–53. https://doi.org/10.1089/jwh.2020.8948.
Mellström U. COVID-19, masculinity and risk/at risk. Norma. 2020;15:94–6. https://doi.org/10.1080/18902138.2020.1762307.
Smith JA, Griffith DM, White A, et al. Covid-19, equity and men’s health: Using evidence to inform future public health policy, practice and research responses to pandemics. Int J Men’s Soc Community Heal. 2020;3:e48–64. https://doi.org/10.22374/ijmsch.v3i1.42.
Lehmann EY, Lehmann LS. Responding to Patients Who Refuse to Wear Masks During the Covid-19 Pandemic. J Gen Intern Med. 2021;36:2814–5. https://dx.doi.org/10.1007%2Fs11606-020-06323-x.
Hockham C, Thompson K, Carcel C, et al. What Sex-Disaggregated Metrics Are Needed to Explain Sex Differences in COVID-19? Front Glob Women’s Heal. 2020;1:1–3. https://doi.org/10.3389/fgwh.2020.00002.
Lenzi L, Wiens A, Grochocki M, et al. Study of the relationship between socio-demographic characteristics and new influenza A (H1N1). The Brazilian Journal of Infectious Diseases, 15(5),457-461. https://doi.org/10.1016/S1413-8670(11)70227-6.
Rocha D, Lemos Q, Pires J, et al. Fatores de risco associados à gravidade e óbitos por influenza durante a Pandemia de Influenza A (H1N1) 2009 em região tropical/semi-árida do Brasil. Journal of Health & Biological Sciences. http://dx.doi.org/10.12662/2317-3076jhbs.v3i2.165.p77-85.2015.
Tanjitpiyanond P, Álvarez B, Jetten J, et al. Unlocking collective cooperation in the midst of COVID‐19: The role of social support in predicting the social class disparity in cooperation. Br J Soc Psychol. 2021. https://doi.org/10.1111/bjso.12514.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Jackson Gois Teixeira, Antonio Carlos dos Santos
This work is licensed under a Creative Commons Attribution 4.0 International License.
The author must state that the paper is original (has not been published previously), not infringing any copyright or other ownership right involving third parties. Once the paper is submitted, the Journal reserves the right to make normative changes, such as spelling and grammar, in order to maintain the language standard, but respecting the author’s style. The published papers become ownership of RECI, considering that all the opinions expressed by the authors are their responsibility. Because we are an open access journal, we allow free use of articles in educational and scientific applications provided the source is cited under the Creative Commons CC-BY license.