Paulo Afonso Campus, Federal University of Vale do São Francisco, Paulo Afonso, Bahia, Brazil.
Campus Central, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
PLoS One. 2024 Mar 27;19(3):e0296837. doi: 10.1371/journal.pone.0296837. eCollection 2024.
The COVID-19 pandemic has had a negative impact on socioeconomic and public health conditions of the population.
To measure the temporal evolution of COVID-19 cases in cities near the countryside outside metropolitan areas of northeastern Brazil and the impact of the primary care organization in its containment.
This is a time-series study, based on the first three months of COVID-19 incidence in northeastern Brazil. Secondary data were used, the outcome was number of COVID-19 cases. Independent variables were time, coverage and quality score of basic health services, and demographic, socioeconomic and social isolation variables. Generalizable Linear Models with first order autoregression were applied.
COVID-19 spreads heterogeneously in cities near the countryside of Northeastern Brazilian cities, showing associations with the city size, socioeconomic and organizational indicators of services. The Family Health Strategy seems to mitigate the speed of progression and burden of the disease, in addition to measures such as social isolation and closure of commercial activities.
The spread of COVID-19 reveals multiple related factors, which require coordinated intersectoral actions in order to mitigate its problems, especially in biologically and socially vulnerable populations.
COVID-19 大流行对人口的社会经济和公共卫生状况产生了负面影响。
测量巴西东北部大都市以外农村地区附近城市 COVID-19 病例的时间演变，以及初级保健组织在遏制该病中的作用。
这是一项基于巴西东北部 COVID-19 发病前三个月的时间序列研究。使用了二手数据，结果是 COVID-19 病例数。自变量为时间、基本卫生服务的覆盖范围和质量评分以及人口统计学、社会经济和社会隔离变量。应用了一阶自回归广义线性模型。
COVID-19 在巴西东北部城市农村地区附近的城市中呈异质传播，与城市规模、服务的社会经济和组织指标有关。家庭健康战略似乎减轻了疾病的进展速度和负担，除了社会隔离和关闭商业活动等措施外。
COVID-19 的传播揭示了多种相关因素，需要采取协调的部门间行动来减轻其问题，特别是在生物和社会脆弱人群中。
