Figueiredo Alexandre Medeiros de, Figueiredo Daniela Cristina Moreira Marculino de, Gomes Luciano Bezerra, Massuda Adriano, Gil-García Eugenia, Vianna Rodrigo Pinheiro de Toledo, Daponte Antonio
Universidade Federal da Paraíba. João Pessoa, Paraíba, Brazil.
Fundação Getúlio Vargas. São Paulo, São Paulo, Brazil.
Rev Bras Enferm. 2020 Nov 13;73(Suppl 2):e20200673. doi: 10.1590/0034-7167-2020-0673. eCollection 2020.
To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.
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.
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.
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.
分析社会经济、人口、流行病学因素以及卫生系统结构对巴西新冠疫情演变的影响。
采用生态研究，从数据库中提取变量，将截至2020年8月23日巴西各州的新冠发病率和死亡率作为反应变量。使用斯皮尔曼相关系数和多元回归分析估计关联的大小。
在巴西各州，新冠发病率59.8%的变化可归因于收入不平等、家庭显著密集化和较高死亡率。就死亡率而言，相同变量解释了联邦单位中该国57.9%的变化。
我们的结果表明，社会经济因素影响了巴西新冠疫情的演变和影响。因此，我们建议采取全面行动，确保经济状况，并加强针对社会经济脆弱人群的卫生网络。
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