巴西圣埃斯皮里图州的 COVID-19 住院和死亡与健康社会决定因素和合并症的关系：一项横断面研究。

COVID-19 hospitalization and death and relationship with social determinants of health and morbidities in Espírito Santo State, Brazil: a cross-sectional study.

机构信息

Universidade Federal do Espírito Santo, Centro Universitário Norte do Espírito Santo, São Mateus, ES, Brasil.

Universidade do Estado do Rio de Janeiro, Instituto de Medicina Social, Rio de Janeiro, RJ, Brasil.

出版信息

Epidemiol Serv Saude. 2021 Jul 9;30(3):e2020919. doi: 10.1590/S1679-49742021000300004. eCollection 2021.

DOI:10.1590/S1679-49742021000300004

PMID:34287551

Abstract

OBJECTIVE

To analyze the association between social determinants and morbidities for the outcomes of hospitalization, intensive care unit admission and death by COVID-19 in Espírito Santo State, Brazil.

METHODS

Cross-sectional study with secondary data from confirmed cases of COVID-19, reported in the Notifiable Diseases Information System. Poisson regression was used to estimate the prevalence ratios.

RESULTS

104,384 cases reported between February 28th and September 1st, 2020 were studied. The outcomes under study were more frequent among male, elderly, yellow, followed by black, uneducated and with multimorbidity. There was a higher risk of death among people over the age of 60 (PR=56.31 - 95%CI 34.24;92.61), multimorbidities (PR=3.63 - 95%CI 3.16;4.17), kidney disease (PR=3.42 - 95%CI 2.81;4.15) and neoplasms (PR=3.15 - 95%CI 2.41;4.13).

CONCLUSION

The effect of social determinants and morbidities on hospitalization and deaths by COVID-19 is evident.

摘要

目的

分析社会决定因素与 COVID-19 住院、入住重症监护病房和死亡结局之间的关系，对象为巴西圣埃斯皮里图州。

方法

这是一项使用来自巴西法定传染病报告系统中已确诊 COVID-19 病例的二次数据的横断面研究。采用泊松回归来估计患病率比。

结果

研究共纳入了 2020 年 2 月 28 日至 9 月 1 日期间报告的 104384 例病例。研究中，住院、入住重症监护病房和死亡的结局在男性、老年人、黄种人、黑种人、未受教育者和患有多种合并症的人群中更为常见。60 岁以上人群（PR=56.31-95%CI 34.24;92.61）、患有多种合并症（PR=3.63-95%CI 3.16;4.17）、肾脏疾病（PR=3.42-95%CI 2.81;4.15）和肿瘤（PR=3.15-95%CI 2.41;4.13）的患者死亡风险更高。