Factors associated with COVID-19 mortality in municipalities in the state of São Paulo (Brazil): an ecological study.

Autor:	Souza RC; Faculdade de Medicina de Botucatu, Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, Botucatu, SP, Brasil., Almeida ERM; Faculdade de Medicina de Botucatu, Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, Botucatu, SP, Brasil., Fortaleza CMCB; Faculdade de Medicina de Botucatu, Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, Botucatu, SP, Brasil., Miot HA; Faculdade de Medicina de Botucatu, Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, Botucatu, SP, Brasil.
Jazyk:	angličtina
Zdroj:	Revista da Sociedade Brasileira de Medicina Tropical [Rev Soc Bras Med Trop] 2022 Apr 08; Vol. 55, pp. e04472021. Date of Electronic Publication: 2022 Apr 08 (Print Publication: 2022).
DOI:	10.1590/0037-8682-0447-2021
Abstrakt:	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.
Databáze:	MEDLINE
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