Incidencia y letalidad por COVID-19 en la población del Distrito Federal: un estudio ecológico
DOI:
https://doi.org/10.17058/reci.v12i3.17202Resumen
Justificación y objetivos: la comprensión de la situación social del COVID-19 en los países pobres y menos desarrollados aún es dudosa. Así, el objetivo de este estudio es estimar la incidencia y letalidad por COVID-19, según el ingreso per cápita de las regiones administrativas del Distrito Federal (DF). Métodos: se trata de un estudio ecológico descriptivo, basado en datos secundarios. Se incluyeron 31 regiones administrativas del DF, la población estuvo conformada por 382,488 individuos. Se consideraron como variables el sexo, la incidencia, la mortalidad, la letalidad, el grupo de edad, la población estimada y la escolaridad. Resultados: a pesar de la mayor contaminación por mujeres, en términos de mortalidad total, fallecieron más hombres, representando el 57,3% del total de defunciones en el período. En cuanto a la influencia del nivel de educación e ingresos en la incidencia, parece que las tasas más altas de casos confirmados ocurrieron en grupos con mayores niveles de educación e ingresos. A pesar de esta mayor incidencia, es el grupo que presenta la menor letalidad y la tercera mortalidad más baja por 100.000 habitantes. Conclusión: las tasas de incidencia más altas se observaron en las regiones con mayor ingreso per cápita. Por otro lado, la letalidad se produjo de forma más incisiva en las regiones de menor poder adquisitivo. Ante esto, es necesario aplicar medidas preventivas a largo plazo en regiones desiguales.
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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.
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