Morbidity trend and space-time clusters of COVID-19 occurrence in children and adolescents.

Autor: da Rocha CBA; Universidade Federal de Mato Grosso (UFMT), Programa de Pós-Graduação em Enfermagem, Cuiabá, MT, Brazil. Electronic address: camila.rocha@sou.ufmt.br., Machado LMG; Universidade Federal de Mato Grosso (UFMT), Programa de Pós-Graduação em Saúde Coletiva, Cuiabá, MT, Brazil., Silva PRS; Universidade Federal de Mato Grosso (UFMT), Programa de Pós-Graduação em Enfermagem, Cuiabá, MT, Brazil., de Freitas BHBM; Universidade Federal de Mato Grosso (UFMT), Faculdade de Enfermagem, Cuiabá, MT, Brazil., Battisti IDE; Universidade Federal da Fronteira Sul (UFFS), Programa de Pós-Graduação em Desenvolvimento e Políticas Públicas, Cerro Largo, RS, Brazil., Soares Dos Santos E; Universidade Federal de Mato Grosso (UFMT), Departamento de Geografia, Cuiabá, MT, Brazil., Ferreira SMB; Universidade Federal de Mato Grosso (UFMT), Programa de Pós-Graduação em Enfermagem, Cuiabá, MT, Brazil.
Jazyk: angličtina
Zdroj: Jornal de pediatria [J Pediatr (Rio J)] 2024 Mar-Apr; Vol. 100 (2), pp. 196-203. Date of Electronic Publication: 2023 Nov 10.
DOI: 10.1016/j.jped.2023.10.004
Abstrakt: Objective: To analyze the morbidity trend and space-time distribution clusters of confirmed COVID-19 cases in children and adolescents.
Method: An ecological study of COVID-19 cases confirmed in the Information System from 2020 to 2022 in the age group from 0 to 19 years old, residents in Mato Grosso municipalities, Brazilian Midwest region. A trend analysis of the monthly morbidity rate of cases/100,000 inhabitants was used, following Prais-Winsten's regression. A space-time distribution of the Bayesian incidence rate per 100,000 inhabitants was performed, in addition to a space-time scan to identify high-risk clusters.
Results: Of all 79,592 COVID-19 cases studied, 51.6% were in females and 44.21% in people aged 15-19 years old. The mean monthly rate was 265.87 cases per 100,000 inhabitants, with a stationary trend in the period analyzed (Monthly Percentage Variation [MPV]) = 12.15; CI 95%[MPV] : -0.73;26.70). The morbidity rate due to COVID-19 was higher in the female gender (283.14/100,000 inhabitants) and in the age group from 15 to 19 years old (485.90/100,000 inhabitants). An increasing trend was observed with a greater monthly time variation of 14.42% (CI 95%[MPV] : 1.28;29.28)] among those aged from 10 to 14 years old. The primary cluster, which was also the one with the highest Relative Risk (RR = 5,16, p-value = 0.001), included 19 municipalities located in the North health macro-region.
Conclusion: The findings indicated a monthly stationary trend in the study population, an increase in the age group from 10 to 14 years old, and areas at a higher risk for the disease in the North health macro-region of the state.
Competing Interests: Conflicts of interest The authors declare no conflicts of interest.
(Copyright © 2023. Published by Elsevier Editora Ltda.)
Databáze: MEDLINE
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