Factors associated with COVID-19 mortality in municipalities in the state of São Paulo (Brazil): an ecological study
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Data
2022-01-01
Autores
Souza, Rafaela Caroline de [UNESP]
Almeida, Ettore Rafael Mai [UNESP]
Fortaleza, Carlos Magno Castelo Branco [UNESP]
Miot, Hélio Amante [UNESP]
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Resumo
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.
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COVID-19, Ecological studies, Health inequality, Human development index, Mortality, SARS-CoV-2, Social inequality
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Revista da Sociedade Brasileira de Medicina Tropical, v. 55.