Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With COVID-19 in Brazil
On May 10, 2021, Brazil ranked second in the world in COVID-19 deaths. Understanding risk factors, or social and ethnic inequality in health care according to a given city population and political or economic weakness is of paramount importance. Brazil had a seriousness COVID-19 outbreak in light of...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-03-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.856137/full |
| _version_ | 1811272710780616704 |
|---|---|
| author | Waldecy Rodrigues Waldecy Rodrigues Humberto da Costa Frizzera Daniela Mascarenhas de Queiroz Trevisan David Prata Geovane Rossone Reis Raulison Alves Resende |
| author_facet | Waldecy Rodrigues Waldecy Rodrigues Humberto da Costa Frizzera Daniela Mascarenhas de Queiroz Trevisan David Prata Geovane Rossone Reis Raulison Alves Resende |
| author_sort | Waldecy Rodrigues |
| collection | DOAJ |
| description | On May 10, 2021, Brazil ranked second in the world in COVID-19 deaths. Understanding risk factors, or social and ethnic inequality in health care according to a given city population and political or economic weakness is of paramount importance. Brazil had a seriousness COVID-19 outbreak in light of social and economic factors and its complex racial demographics. The objective of this study was to verify the odds of mortality of hospitalized patients during COVID-19 infection based on their economic, social, and epidemiological characteristics. We found that odds of death are greater among patients with comorbidities, neurological (1.99) and renal diseases (1.97), and immunodeficiency disorders (1.69). While the relative income (2.45) indicates that social factors have greater influence on mortality than the comorbidities studied. Patients living in the Northern macro-region of Brazil face greater chance of mortality compared to those in Central-South Brazil. We conclude that, during the studied period, the chances of mortality for COVID-19 in Brazil were more strongly influenced by socioeconomic poverty conditions than by natural comorbidities (neurological, renal, and immunodeficiency disorders), which were also very relevant. Regional factors are relevant in mortality rates given more individuals being vulnerable to poverty conditions. |
| first_indexed | 2024-04-12T22:45:12Z |
| format | Article |
| id | doaj.art-ccbc986c8b54492c8f9ad8508b167d63 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T22:45:12Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-ccbc986c8b54492c8f9ad8508b167d632022-12-22T03:13:35ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-03-011010.3389/fpubh.2022.856137856137Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With COVID-19 in BrazilWaldecy Rodrigues0Waldecy Rodrigues1Humberto da Costa Frizzera2Daniela Mascarenhas de Queiroz Trevisan3David Prata4Geovane Rossone Reis5Raulison Alves Resende6Program of Computational Modelling, Federal University of Tocantins, Palmas, BrazilProgram of Institute of Regional Development, Federal University of Tocantins, Palmas, BrazilProgram of Computational Modelling, Federal University of Tocantins, Palmas, BrazilProgram of Computational Modelling, Federal University of Tocantins, Palmas, BrazilProgram of Computational Modelling, Federal University of Tocantins, Palmas, BrazilProgram of Institute of Regional Development, Federal University of Tocantins, Palmas, BrazilInsper—Institute of Education and Research, São Paulo, BrazilOn May 10, 2021, Brazil ranked second in the world in COVID-19 deaths. Understanding risk factors, or social and ethnic inequality in health care according to a given city population and political or economic weakness is of paramount importance. Brazil had a seriousness COVID-19 outbreak in light of social and economic factors and its complex racial demographics. The objective of this study was to verify the odds of mortality of hospitalized patients during COVID-19 infection based on their economic, social, and epidemiological characteristics. We found that odds of death are greater among patients with comorbidities, neurological (1.99) and renal diseases (1.97), and immunodeficiency disorders (1.69). While the relative income (2.45) indicates that social factors have greater influence on mortality than the comorbidities studied. Patients living in the Northern macro-region of Brazil face greater chance of mortality compared to those in Central-South Brazil. We conclude that, during the studied period, the chances of mortality for COVID-19 in Brazil were more strongly influenced by socioeconomic poverty conditions than by natural comorbidities (neurological, renal, and immunodeficiency disorders), which were also very relevant. Regional factors are relevant in mortality rates given more individuals being vulnerable to poverty conditions.https://www.frontiersin.org/articles/10.3389/fpubh.2022.856137/fullsocial factorseconomic factorsregional factorsmortality in hospitalizedCOVID-19 |
| spellingShingle | Waldecy Rodrigues Waldecy Rodrigues Humberto da Costa Frizzera Daniela Mascarenhas de Queiroz Trevisan David Prata Geovane Rossone Reis Raulison Alves Resende Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With COVID-19 in Brazil Frontiers in Public Health social factors economic factors regional factors mortality in hospitalized COVID-19 |
| title | Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With COVID-19 in Brazil |
| title_full | Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With COVID-19 in Brazil |
| title_fullStr | Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With COVID-19 in Brazil |
| title_full_unstemmed | Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With COVID-19 in Brazil |
| title_short | Social, Economic, and Regional Determinants of Mortality in Hospitalized Patients With COVID-19 in Brazil |
| title_sort | social economic and regional determinants of mortality in hospitalized patients with covid 19 in brazil |
| topic | social factors economic factors regional factors mortality in hospitalized COVID-19 |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.856137/full |
| work_keys_str_mv | AT waldecyrodrigues socialeconomicandregionaldeterminantsofmortalityinhospitalizedpatientswithcovid19inbrazil AT waldecyrodrigues socialeconomicandregionaldeterminantsofmortalityinhospitalizedpatientswithcovid19inbrazil AT humbertodacostafrizzera socialeconomicandregionaldeterminantsofmortalityinhospitalizedpatientswithcovid19inbrazil AT danielamascarenhasdequeiroztrevisan socialeconomicandregionaldeterminantsofmortalityinhospitalizedpatientswithcovid19inbrazil AT davidprata socialeconomicandregionaldeterminantsofmortalityinhospitalizedpatientswithcovid19inbrazil AT geovanerossonereis socialeconomicandregionaldeterminantsofmortalityinhospitalizedpatientswithcovid19inbrazil AT raulisonalvesresende socialeconomicandregionaldeterminantsofmortalityinhospitalizedpatientswithcovid19inbrazil |