IMPACT OF SOCIOECONOMIC VULNERABILITY ON COVID-19 OUTCOMES AND SOCIAL DISTANCING IN BRAZIL
DOI:
https://doi.org/10.25110/arqsaude.v27i5.2023-062Palavras-chave:
COVID-19, Health Status Disparities, Social Determinants of Health, Pandemic, Economic StatusResumo
Due to the persistently high cases and deaths, Brazil became one of the worst countries affected by the COVID-19 pandemic. Understanding the possible health inequities is essential, given the population's diversity and the country's fragile socioeconomic situation. Thus, this study aimed to assess the impact and correlation of socioeconomic vulnerability on COVID-19 outcomes and social distancing in Brazil. The Gini Coefficient (GC), the Social Vulnerability Index (SVI), epidemiological data on the COVID-19 epidemic in Brazil, and the Social Distancing Index (SDI) were retrieved from online databases and assessed for each Brazilian state. Data was statistically analyzed through non-parametric tests and multiple linear regressions. The mean values for the GC and SVI were 0.495 and 0.261, respectively. A positive statistically significant correlation was found between the socioeconomic indicators and the three variables related to the COVID-19 outbreak. States with very low social vulnerability presented fewer deaths per 100 thousand inhabitants due to COVID-19 than states with moderate social vulnerability. SVI was a predictor of accumulated cases, confirmed deaths, and social distancing. The COVID-19 outcomes and SDI in Brazilian states are correlated to socioeconomic conditions. The pandemic impacts are more severe on less favored communities.
Referências
BAMBRA et al.. The COVID-19 pandemic and health inequalities. J. Epidemiol. Community Health, v. 7411, p. 964–968, 2020.
BARBOSA, I. R. et al. Cancer mortality in Brazil: Temporal Trends and Predictions for the Year 2030. Medicine, v. 94, n. 16, 2015.
BAQUI, P. et al. Ethnic and regional variations in hospital mortality from COVID-19 in Brazil: a cross-sectional observational study. Lancet Glob. Health., v. 8, 2020.
BRAZIL. Atlas of social vulnerability in Brazilian municipalities. Institute of Applied Economic Research, 2015.
BRAZIL. Atlas of Social Vulnerability. Institute of Applied Economic Research, 2017.
BRAZIL. Continuous National Household Sample Survey - Continuous PNAD. Brazilian Institute of Geography and Statistics (IBGE), 2019.
BRAZIL. Painel Coronavírus. Retrieved June 20, 2020, from: https://covid.saude.gov.br/.
CABRAL, J. F. et al. Vulnerability and Associated Factors Among Older People Using the Family Health Strategy. Cien. Saude Colet., v. 24, p. 3227-3236, 2019.
CUNHA, S. S. et al. Ecological study of socio-economic indicators and prevalence of asthma in schoolchildren in urban Brazil. BMC Public Health, v. 7, 2007.
DE NEGRI, F. et al. Socioeconomic factors and the probability of death by Covid-19 in Brazil. J. Public Health, v. 43, n. 3, p. 493-498, 2021.
DORN, A. V.; COONEY, R.E.; SABIN, M. L. 2020. COVID-19 exacerbating inequalities in the US. Lancet, v. 395, p. 1243–1244.
DOUGLAS, M. et al. Mitigating the wider health effects of covid-19 pandemic response. BMJ, v. 369, 2020.
DYER O. Covid-19: Black people and other minorities are hardest hit in US. BMJ, v. 369, 2020.
GUAN, W. J. et al. China Medical Treatment Expert Group for COVID-19. Comorbidity and its impact on 1590 patients with COVID-19 in China: a nationwide analysis. Eur. Respir. J., v. 55, 2020.
INLOCO. Mapa brasileiro da COVID-19. Retrieved May 23, 2020, from: https://mapabrasileirodacovid.inloco.com.br/pt/.
IOANNIDIS, J. P. A. Coronavirus disease 2019: The harms of exaggerated information and non-evidence-based measures. Eur J Clin Invest., v. 50, 2020.
KEHDY, F. S. G. et al. Brazilian EPIGEN Project Consortium. Origin and dynamics of admixture in Brazilians and its effect on the pattern of deleterious mutations. Proc. Natl. Acad. Sci. USA, v. 112, p. 8696–8701, 2015.
LYNCH, M.; FRANKLIN, G. Strategies to Reduce Hospital Mortality in Lower and Middle Income Countries (LMICs) and Resource-Limited Settings. London: IntechOpen, 2019.
MARSON, F.; ORTEGA, M. M. COVID-19 in Brazil. Pulmonology, v. 26, n. 4, p. 241–244, 2020.
MEINERS, M. M. M. A. et al. Access and adherence to medication among people with diabetes in Brazil: evidences from PNAUM. Rev. bras. epidemiol., v. 20, p. 445-459, 2017.
NETO, F.R.G.X.; MARINHO, A. C. C. Construção e utilização de instrumento de estratificação de risco para vacinação de idosos contra a covid-19. Arquivos de Ciências da Saúde da UNIPAR, v.27, n.3, p.1346-1357, 2023.
NICOLA, M. et al. The socio-economic implications of the coronavirus pandemic (COVID-19): A review. Int. J. Surg., v. 78, p. 185–193, 2020.
ORTEGA, F.; ORSINI, M. Governing COVID-19 without government in Brazil: Ignorance, neoliberal authoritarianism, and the collapse of public health leadership. Glob. public health, v. 15, p. 1257–1277, 2020.
PABAYO, R. et al. Income inequality and mortality: results from a longitudinal study of older residents of São Paulo, Brazil. Am. J. Public Health, v. 103, p. e43–e49, 2013.
PEREIRA, F. A. C. et al. Profile of COVID-19 in Brazil—risk factors and socioeconomic vulnerability associated with disease outcome: retrospective analysis of population-based registers. BMJ Global Health, v. 7, n. 12, 2022.
RAMÍREZ, I. J.; LEE, J. COVID-19 Emergence and Social and Health Determinants in Colorado: A Rapid Spatial Analysis. Int. J. Environ. Res. Public Health, v. 17, n. 3856, 2020.
SANTOS D. et al. Prevalence of Systemic Arterial Hypertension in Quilombola Communities, State of Sergipe, Brazil. Arq. Bras. Cardiol., v. 113, p. 383–390, 2019.
SMITH, J. A.; JUDD, J. COVID-19: Vulnerability and the power of privilege in a pandemic. Health Promot. J. Austr., v. 31, p. 158–160, 2020.
SHRIVASTAVA, S. R.; SHRIVASTAVA, P. S.; RAMASAMY, J. Risk Communication: An Integral Element in Public Health Emergencies. Int. J. Prev. Med, v. 7, 2016.
SOUSA FILHO, J. F. et al. Association of urban inequality and income segregation with COVID-19 mortality in Brazil. Plos one, v. 17, n. 11, 2022.
THE LANCET. COVID-19 in Brazil: "So what?". The Lancet, v. 395, n. 1461, 2020.
TURNER-MUSA, J.; AJAYI, O.; KEMP, L. Examining Social Determinants of Health, Stigma, and COVID-19 Disparities. Healthcare (Basel, Switzerland), v. 8, p. 168, 2020.
WANG, Z.; TANG, K. Combating COVID-19: health equity matters. Nat Med., v. 26, n. 458, 2020.
XU, P. P. et al. Risk factors for adverse clinical outcomes with COVID-19 in China: a multicenter, retrospective, observational study. Theranostics, v. 10, p. 6372–6383, 2020.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Os Direitos Autorais para artigos publicados são de direito da revista. Em virtude da aparecerem nesta revista de acesso público, os artigos são de uso gratuito, com Creative Commons Attribution 4.0 International License.
A revista se reserva o direito de efetuar, nos originais, alterações de ordem normativa, ortográfica e gramatical, com vistas a manter o padrão culto da língua e a credibilidade do veículo. Respeitará, no entanto, o estilo de escrever dos autores.
Alterações, correções ou sugestões de ordem conceitual serão encaminhadas aos autores, quando necessário. Nesses casos, os artigos, depois de adequados, deverão ser submetidos a nova apreciação.
As opiniões emitidas pelos autores dos artigos são de sua exclusiva responsabilidade.