Effects of primary health care and socioeconomic aspects on the dispersion of COVID-19 in the Brazilian Northeast: Ecological study of the first pandemic wave.

Autor: Cangussú LR; Paulo Afonso Campus, Federal University of Vale do São Francisco, Paulo Afonso, Bahia, Brazil., Do Nascimento JAS; Campus Central, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., de Barros IRP; Serra Talhada Campus, University of Pernambuco, Pernambuco, Brazil., Cavalcanti RL; Capim Macio Campus, Uninassau Natal, Natal, Rio Grande do Norte, Brazil., Dantas FG; Central Campus, State University of Paraíba, Campina Grande, Paraíba, Brazil., Araujo DN; Federal University of Alagoas, Arapiraca, Alagoas, Brazil., Silva JFCD; Campus Central, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., Rodrigues Guedes TS; Campus Central, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil., Lopes MR; Paulo Afonso Campus, Federal University of Vale do São Francisco, Paulo Afonso, Bahia, Brazil., Lopes JM; Paulo Afonso Campus, Federal University of Vale do São Francisco, Paulo Afonso, Bahia, Brazil., Guedes MBOG; Campus Central, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Mar 27; Vol. 19 (3), pp. e0296837. Date of Electronic Publication: 2024 Mar 27 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0296837
Abstrakt: Background: The COVID-19 pandemic has had a negative impact on socioeconomic and public health conditions of the population.
Aim: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Cangussú et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje