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Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

Authors :
Alexandre Medeiros de Figueiredo
Daniela Cristina Moreira Marculino de Figueiredo
Luciano Bezerra Gomes
Adriano Massuda
Eugenia Gil-García
Rodrigo Pinheiro de Toledo Vianna
Antonio Daponte
Source :
Revista Brasileira de Enfermagem, Vol 73, Iss suppl 2 (2020)
Publication Year :
2020
Publisher :
Associação Brasileira de Enfermagem, 2020.

Abstract

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.

Details

Language :
English, Spanish; Castilian, Portuguese
ISSN :
19840446 and 00347167
Volume :
73
Issue :
suppl 2
Database :
Directory of Open Access Journals
Journal :
Revista Brasileira de Enfermagem
Publication Type :
Academic Journal
Accession number :
edsdoj.97221e511caa43af820ae2553c6bcf40
Document Type :
article
Full Text :
https://doi.org/10.1590/0034-7167-2020-0673