Association of urban inequality and income segregation with COVID-19 mortality in Brazil

Salud Urbana en América Latina ((SALURBAL). Wellcome Trust

Detalhes bibliográficos
Autores: Sousa Filho, J. Firmino de, Silva, Uriel M., Lima, Larissa L., Paiva, Aureliano S. S., Santos, Gervásio F., Andrade, Roberto F. S., Gouveia, Nelson, Silveira, Ismael H., Friche, Amélia A. de Lima, Barreto, Mauricio L., Caiaffa, Waleska Teixeira
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2022
País:Brasil
Recursos:Fundação Oswaldo Cruz (FIOCRUZ)
Repositório:Repositório Institucional da FIOCRUZ (ARCA)
Idioma:inglês
OAI Identifier:oai:arca.fiocruz.br:icict/56979
Acesso em linha:https://arca.fiocruz.br/handle/icict/56979
Access Level:Acceso aberto
Palavra-chave:Desigualdade urbana
Segregação de renda
COVID 19
Mortalidade
Brasil
Urban inequality
Income segregation
COVID-19
Mortality
Brazil
Fatores Socioeconômicos
03 Saúde e Bem-Estar
10 Redução das desigualdades
11 Cidades e comunidades sustentáveis
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dc.title.none.fl_str_mv Association of urban inequality and income segregation with COVID-19 mortality in Brazil
title Association of urban inequality and income segregation with COVID-19 mortality in Brazil
spellingShingle Association of urban inequality and income segregation with COVID-19 mortality in Brazil
Sousa Filho, J. Firmino de
Desigualdade urbana
Segregação de renda
COVID 19
Mortalidade
Brasil
Urban inequality
Income segregation
COVID-19
Mortality
Brazil
Fatores Socioeconômicos
COVID 19
Mortalidade
Brasil
03 Saúde e Bem-Estar
10 Redução das desigualdades
11 Cidades e comunidades sustentáveis
title_short Association of urban inequality and income segregation with COVID-19 mortality in Brazil
title_full Association of urban inequality and income segregation with COVID-19 mortality in Brazil
title_fullStr Association of urban inequality and income segregation with COVID-19 mortality in Brazil
title_full_unstemmed Association of urban inequality and income segregation with COVID-19 mortality in Brazil
title_sort Association of urban inequality and income segregation with COVID-19 mortality in Brazil
dc.creator.none.fl_str_mv Sousa Filho, J. Firmino de
Silva, Uriel M.
Lima, Larissa L.
Paiva, Aureliano S. S.
Santos, Gervásio F.
Andrade, Roberto F. S.
Gouveia, Nelson
Silveira, Ismael H.
Friche, Amélia A. de Lima
Barreto, Mauricio L.
Caiaffa, Waleska Teixeira
author Sousa Filho, J. Firmino de
author_facet Sousa Filho, J. Firmino de
Silva, Uriel M.
Lima, Larissa L.
Paiva, Aureliano S. S.
Santos, Gervásio F.
Andrade, Roberto F. S.
Gouveia, Nelson
Silveira, Ismael H.
Friche, Amélia A. de Lima
Barreto, Mauricio L.
Caiaffa, Waleska Teixeira
author_role author
author2 Silva, Uriel M.
Lima, Larissa L.
Paiva, Aureliano S. S.
Santos, Gervásio F.
Andrade, Roberto F. S.
Gouveia, Nelson
Silveira, Ismael H.
Friche, Amélia A. de Lima
Barreto, Mauricio L.
Caiaffa, Waleska Teixeira
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.other.none.fl_str_mv Desigualdade urbana
Segregação de renda
COVID 19
Mortalidade
Brasil
topic Desigualdade urbana
Segregação de renda
COVID 19
Mortalidade
Brasil
Urban inequality
Income segregation
COVID-19
Mortality
Brazil
Fatores Socioeconômicos
COVID 19
Mortalidade
Brasil
03 Saúde e Bem-Estar
10 Redução das desigualdades
11 Cidades e comunidades sustentáveis
dc.subject.en.none.fl_str_mv Urban inequality
Income segregation
COVID-19
Mortality
Brazil
dc.subject.decs.none.fl_str_mv Fatores Socioeconômicos
COVID 19
Mortalidade
Brasil
dc.subject.ods.none.fl_str_mv 03 Saúde e Bem-Estar
10 Redução das desigualdades
11 Cidades e comunidades sustentáveis
description Salud Urbana en América Latina ((SALURBAL). Wellcome Trust
publishDate 2022
dc.date.issued.fl_str_mv 2022
dc.date.accessioned.fl_str_mv 2023-02-09T17:34:07Z
dc.date.available.fl_str_mv 2023-02-09T17:34:07Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv SOUSA FILHO, J. Firmino de et al. Association of urban inequality and income segregation with COVID-19 mortality in Brazil. Plos One, v. 17, n. 11, n. 1-12, 2022.
dc.identifier.uri.fl_str_mv https://arca.fiocruz.br/handle/icict/56979
dc.identifier.issn.none.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0277441
identifier_str_mv SOUSA FILHO, J. Firmino de et al. Association of urban inequality and income segregation with COVID-19 mortality in Brazil. Plos One, v. 17, n. 11, n. 1-12, 2022.
1932-6203
10.1371/journal.pone.0277441
url https://arca.fiocruz.br/handle/icict/56979
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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spelling 2023-02-09T17:34:07Z2023-02-09T17:34:07Z2022SOUSA FILHO, J. Firmino de et al. Association of urban inequality and income segregation with COVID-19 mortality in Brazil. Plos One, v. 17, n. 11, n. 1-12, 2022.1932-6203https://arca.fiocruz.br/handle/icict/5697910.1371/journal.pone.0277441Salud Urbana en América Latina ((SALURBAL). Wellcome TrustFundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Economia. Salvador, BA, Brasil.Universidade Federal de Minas Gerais. Observatório de Saúde Urbana de Belo Horizonte. Belo Horizonte, MG, Brasil.Universidade Federal de Minas Gerais. Observatório de Saúde Urbana de Belo Horizonte. Belo Horizonte, MG, Brasil / Centro Federal de Educação Tecnológica de Minas Gerais. Programa de Pós-Graduação em Modelagem Matemática e Computacional. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Economia. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Física. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Pública. Salvador, BA, Brasil.Universidade Federal de Minas Gerais. Observatório de Saúde Urbana de Belo Horizonte. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Pública. Salvador, BA, Brasil.Universidade Federal de Minas Gerais. Observatório de Saúde Urbana de Belo Horizonte. Belo Horizonte, MG, Brasil.Socioeconomic factors have exacerbated the impact of COVID–19 worldwide. Brazil, already marked by significant economic inequalities, is one of the most affected countries, with one of the highest mortality rates. Understanding how inequality and income segregation contribute to excess mortality by COVID–19 in Brazilian cities is essential for designing public health policies to mitigate the impact of the disease. This paper aims to fill in this gap by analyzing the effect of income inequality and income segregation on COVID–19 mortality in large urban centers in Brazil. We compiled weekly COVID–19 mortality rates from March 2020 to February 2021 in a longitudinal ecological design, aggregating data at the city level for 152 Brazilian cities. Mortality rates from COVID-19 were compared across weeks, cities and states using mixed linear models. We estimated the associations between COVID-19 mortality rates with income inequality and income segregation using mixed negative binomial models including city and week-level random intercepts. We measured income inequality using the Gini index and income segregation using the dissimilarity index using data from the 2010 Brazilian demographic census. We found that 88.2% of COVID–19 mortality rates variability was between weeks, 8.5% between cities, and 3.3% between states. Higher-income inequality and higher-income segregation values were associated with higher COVID–19 mortality rates before and after accounting for all adjustment factors. In our main adjusted model, rate ratios (RR) per 1 SD increases in income inequality and income segregation were associated with 17% (95% CI 9% to 26%) and 11% (95% CI 4% to 19%) higher mortality. Income inequality and income segregation are long-standing hallmarks of large Brazilian cities. Risk factors related to the socioeconomic context affected the course of the pandemic in the country and contributed to high mortality rates. Pre-existing social vulnerabilities were critical factors in the aggravation of COVID–19, as supported by the observed associations in this study.engPublic Library of ScienceDesigualdade urbanaSegregação de rendaCOVID 19MortalidadeBrasilUrban inequalityIncome segregationCOVID-19MortalityBrazilFatores SocioeconômicosCOVID 19MortalidadeBrasil03 Saúde e Bem-Estar10 Redução das desigualdades11 Cidades e comunidades sustentáveisAssociation of urban inequality and income segregation with COVID-19 mortality in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZSousa Filho, J. Firmino deSilva, Uriel M.Lima, Larissa L.Paiva, Aureliano S. S.Santos, Gervásio F.Andrade, Roberto F. S.Gouveia, NelsonSilveira, Ismael H.Friche, Amélia A. de LimaBarreto, Mauricio L.Caiaffa, Waleska TeixeiraLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://arca.fiocruz.br/bitstreams/5954856c-eff5-4a04-a6d5-67a6da84a9e4/download5a560609d32a3863062d77ff32785d58MD51falseAnonymousREADORIGINALSousa Filho,J.F. Association of urban...2022.pdfSousa Filho,J.F. Association of urban...2022.pdfapplication/pdf520181https://arca.fiocruz.br/bitstreams/95e9cc9c-2821-4dc5-b028-0878661bb120/download8531cafa1a31d13ef111992c79a9e0bfMD52trueAnonymousREADTEXTSousa Filho,J.F. Association of urban...2022.pdf.txtSousa Filho,J.F. Association of urban...2022.pdf.txtExtracted texttext/plain50518https://arca.fiocruz.br/bitstreams/8761927f-6a33-4d54-b756-a8558855d4dd/downloaddf1c5a1dcdad475370e2935c01c6bca8MD57falseAnonymousREADTHUMBNAILSousa Filho,J.F. 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