Higher mortality during the COVID-19 pandemic in socially vulnerable areas in Belo Horizonte : implications for vaccine prioritization
OBJECTIVE: To assess mortality during the COVID-19 pandemic according to social vulnerability by areas of Belo Horizonte (BH), aiming at strategies for vaccination.
METHODS: Ecological study with mortality analysis according to census tracts classified by the Health Vulnerability Index, a composite indicator that includes socioeconomic and sanitation variables. Deaths by natural causes and by COVID-19 were obtained from the "Mortality Information System", between the 10th and 43rd epidemiological weeks (EW) of 2020. Excess mortality was calculated in a time series model, considering observed and expected deaths per EW, between 2015 and 2019, per census tracts. Mortality rates (MR) were calculated and age-standardized using population estimates from the 2010 census, by the Brazilian Institute of Geography and Statistics (IBGE).
RESULTS: Excess mortality in BH was 16.1% (n = 1,524): 11, 18.8 and 17.3% in low, intermediate and high vulnerability areas, respectively. The differences between observed and expected age-standardized MR by natural causes were equal to 59/100,000 inhabitants in BH, increasing from 31 to 77 and 95/100,000 inhabitants in the areas of low, intermediate and high vulnerability, respectively. There was an aging gradient in MR by COVID-19, ranging from 4 to 611/100,000 inhabitants among individuals aged 20-39 years and 75+ years. The COVID-19 MR per 100,000 older adults (60+ years) was 292 in BH, increasing from 179 to 354 and 476, in low, intermediate and high vulnerability areas, respectively.
CONCLUSION: Inequalities in mortality, particularly among older adults, combined with the limited supply of doses, demonstrate the importance of prioritizing socially vulnerable areas during vaccination against COVID-19.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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| Enthalten in: |
Revista brasileira de epidemiologia = Brazilian journal of epidemiology - 24(2021) vom: 02., Seite e210025 |
| Sprache: |
Portugiesisch |
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| Weiterer Titel: |
Maior mortalidade durante a pandemia de COVID-19 em áreas socialmente vulneráveis em Belo Horizonte: implicações para a priorização da vacinação |
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| Beteiligte Personen: |
Passos, Valéria Maria de Azeredo [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 08.07.2021 Date Revised 24.04.2022 published: Electronic-eCollection Citation Status MEDLINE |
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| doi: |
10.1590/1980-549720210025 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM327778989 |
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| 245 | 1 | 0 | |a Higher mortality during the COVID-19 pandemic in socially vulnerable areas in Belo Horizonte |b implications for vaccine prioritization |
| 246 | 3 | 3 | |a Maior mortalidade durante a pandemia de COVID-19 em áreas socialmente vulneráveis em Belo Horizonte: implicações para a priorização da vacinação |
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| 500 | |a Date Revised 24.04.2022 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To assess mortality during the COVID-19 pandemic according to social vulnerability by areas of Belo Horizonte (BH), aiming at strategies for vaccination | ||
| 520 | |a METHODS: Ecological study with mortality analysis according to census tracts classified by the Health Vulnerability Index, a composite indicator that includes socioeconomic and sanitation variables. Deaths by natural causes and by COVID-19 were obtained from the "Mortality Information System", between the 10th and 43rd epidemiological weeks (EW) of 2020. Excess mortality was calculated in a time series model, considering observed and expected deaths per EW, between 2015 and 2019, per census tracts. Mortality rates (MR) were calculated and age-standardized using population estimates from the 2010 census, by the Brazilian Institute of Geography and Statistics (IBGE) | ||
| 520 | |a RESULTS: Excess mortality in BH was 16.1% (n = 1,524): 11, 18.8 and 17.3% in low, intermediate and high vulnerability areas, respectively. The differences between observed and expected age-standardized MR by natural causes were equal to 59/100,000 inhabitants in BH, increasing from 31 to 77 and 95/100,000 inhabitants in the areas of low, intermediate and high vulnerability, respectively. There was an aging gradient in MR by COVID-19, ranging from 4 to 611/100,000 inhabitants among individuals aged 20-39 years and 75+ years. The COVID-19 MR per 100,000 older adults (60+ years) was 292 in BH, increasing from 179 to 354 and 476, in low, intermediate and high vulnerability areas, respectively | ||
| 520 | |a CONCLUSION: Inequalities in mortality, particularly among older adults, combined with the limited supply of doses, demonstrate the importance of prioritizing socially vulnerable areas during vaccination against COVID-19 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Vaccines |2 NLM | |
| 700 | 1 | |a Brant, Luisa Campos Caldeira |e verfasserin |4 aut | |
| 700 | 1 | |a Pinheiro, Pedro Cisalpino |e verfasserin |4 aut | |
| 700 | 1 | |a Correa, Paulo Roberto Lopes |e verfasserin |4 aut | |
| 700 | 1 | |a Machado, Isis Eloah |e verfasserin |4 aut | |
| 700 | 1 | |a Santos, Mayara Rocha |e verfasserin |4 aut | |
| 700 | 1 | |a Ribeiro, Antonio Luiz Pinho |e verfasserin |4 aut | |
| 700 | 1 | |a Paixão, Lucia Maria Miana |e verfasserin |4 aut | |
| 700 | 1 | |a Pimenta Junior, Fabiano Geraldo |e verfasserin |4 aut | |
| 700 | 1 | |a Souza, Maria de Fatima Marinho de |e verfasserin |4 aut | |
| 700 | 1 | |a Malta, Deborah Carvalho |e verfasserin |4 aut | |
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