tetano
Editor, Senior Moderator
Rev Soc Bras Med Trop
. 2022 Apr 8;55:e04472021.
doi: 10.1590/0037-8682-0447-2021. eCollection 2022.
Factors associated with COVID-19 mortality in municipalities in the state of São Paulo (Brazil): an ecological study
Rafaela Caroline de Souza[SUP] 1 [/SUP], Ettore Rafael Mai Almeida[SUP] 1 [/SUP], Carlos Magno Castelo Branco Fortaleza[SUP] 1 [/SUP], Hélio Amante Miot[SUP] 1 [/SUP]
Affiliations
Abstract
Background: The mortality rate of coronavirus disease (COVID-19) in the state of São Paulo is highly heterogeneous. This study investigated geographic, economic, social, and health-related factors associated with this discrepancy.
Methods: An ecological study compared COVID-19 mortality rates according to geographic, economic, social, and health-related variables during initial infection of 2.5% of the population in municipalities with more than 30,000 inhabitants.
Results: Mortality was positively associated with demographic density and social inequality (Gini index), and inversely associated with HDI income and longevity of these municipalities, accounting for 33.2% of the variation in mortality.
Conclusions: Social determinants influenced COVID-19 outcomes.
. 2022 Apr 8;55:e04472021.
doi: 10.1590/0037-8682-0447-2021. eCollection 2022.
Factors associated with COVID-19 mortality in municipalities in the state of São Paulo (Brazil): an ecological study
Rafaela Caroline de Souza[SUP] 1 [/SUP], Ettore Rafael Mai Almeida[SUP] 1 [/SUP], Carlos Magno Castelo Branco Fortaleza[SUP] 1 [/SUP], Hélio Amante Miot[SUP] 1 [/SUP]
Affiliations
- PMID: 35416872
- DOI: 10.1590/0037-8682-0447-2021
Abstract
Background: The mortality rate of coronavirus disease (COVID-19) in the state of São Paulo is highly heterogeneous. This study investigated geographic, economic, social, and health-related factors associated with this discrepancy.
Methods: An ecological study compared COVID-19 mortality rates according to geographic, economic, social, and health-related variables during initial infection of 2.5% of the population in municipalities with more than 30,000 inhabitants.
Results: Mortality was positively associated with demographic density and social inequality (Gini index), and inversely associated with HDI income and longevity of these municipalities, accounting for 33.2% of the variation in mortality.
Conclusions: Social determinants influenced COVID-19 outcomes.