期刊
REVISTA DA SOCIEDADE BRASILEIRA DE MEDICINA TROPICAL
卷 55, 期 -, 页码 -出版社
SOC BRASILEIRA MEDICINA TROPICAL
DOI: 10.1590/0037-8682-0447-2021
关键词
COVID-19; SARS-CoV-2; Mortality; Ecological studies; Health inequality; Social inequality; Human development index
This study investigated the heterogeneity of COVID-19 mortality rate in Sao Paulo state and found that social determinants were important factors influencing COVID-19 outcomes.
Background: The mortality rate of coronavirus disease (COVID-19) in the state of Sao 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.
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