Influência dos indicadores socioeconômicos na pandemia de COVID-19 na população infantojuvenil

Ana Cristina Ribeiro; Isa Milene Vansan Falciroli; Rodrigo das Neves Cano; Sílvia Carla da Silva André Uehara

doi:10.15253/2175-6783.20242593486

Authors

Ana Cristina Ribeiro Universidade Federal de São Carlos https://orcid.org/0000-0002-0493-8376
Isa Milene Vansan Falciroli Universidade Federal de São Carlos https://orcid.org/0000-0003-0183-2055
Rodrigo das Neves Cano Universidade Federal de São Carlos https://orcid.org/0009-0002-5570-8279
Sílvia Carla da Silva André Uehara Universidade Federal de São Carlos https://orcid.org/0000-0002-0236-5025

DOI:

https://doi.org/10.15253/2175-6783.20242593486

Keywords:

COVID-19; Socioeconomic Factors; Child; Adolescent.

Abstract

Objective: to analyze the influence of socioeconomic indicators on the COVID-19 pandemic in the child and youth population. Methods: this is an ecological study, considering all reported cases of COVID-19 infection and deaths in children and adolescents. Secondary data was collected and analyzed using the Global Moran's Index, both univariate and bivariate. Results: the highest incidence rate of COVID-19 in the child and youth population was recorded in the Midwest; the highest mortality rate was found in the North; and the highest lethality rate was reported in the Northeast. There was also a negative correlation between COVID-19 mortality in the child and youth population and the Human Development Index, per capita income, and education level of the head of the household. Conclusion: Socioeconomic indicators related to the Human Development Index (HDI), nominal per capita income, and education level of the head of the family may have influenced the increase in incidence and mortality from COVID-19 in the child and youth population in Brazil. Contributions to practice: knowledge of regional socioeconomic inequalities helps to plan and implement public policies aimed at minimizing Brazil's regional inequalities in the face of health crises such as those experienced during the COVID-19 pandemic.

References

Chiotos K, Fitzgerald JC. COVID-19 in children-learning from the past, planning for the future. JAMA Pediatr. 2023;177(9):885-7. doi: https://doi.org/10.1001/jamapediatrics.2023.2354

Oliveira EA, Colosimo EA, Silva ACS, Mak RH, Martelli DB, Silva LR, et al. Clinical characteristics and risk factors for death among hospitalised children and adolescents with COVID-19 in Brazil: an analysis of a nationwide database. Lancet Child Adolesc Health. 2021;5(8):559-68. doi: https://doi.org/10.1016/S2352-4642(21)00134-6

Flaxman S, Whittaker C, Semenova E, Rashid T, Parks RM, Blenkinsop A, et al. Assessment of COVID-19 as the underlying cause of death among children and young people aged 0 to 19 years in the US. JAMA Netw Open. 2023;6(1):e2253590. doi: https://doi.org/10.1001/jamanetworkopen.2022.53590

Bhopal SS, Bagaria J, Olabi B, Bhopal R. Children and young people remain at low risk of COVID-19 mortality. Lancet Child Adolesc Health. 2021;5(5):e12-e13. doi: https://dx.doi.org/10.1016/s2352-4642(21)00066-3

Santos AAL, Silva JP, Silva TCL, Souza TA, Miranda FAN, Torres GV. Influence of social indicators on the occurrence and mortality of COVID-19 in Brazil in June 2020. Saúde Pesq. 2022;15(1):e-9559. doi: https://doi.org/10.17765/2176-9206.2022v15n1.e9559

Fabrin C, Boing AC, Garcia LP, Boing AF. Socioeconomic inequality in hospital case fatality rate and care among children and adolescents hospitalized for COVID-19 in Brazil. Rev Bras Epidemiol. 2023;26:e230015. doi: https://dx.doi.org/10.1590/1980-549720230015

Ahmed S, Mvalo T, Akech S, Agweyu A, Baker K, Bar-Zeev N, et al. Protecting children in low-income and middle-income countries from COVID-19. BMJ Glob Health. 2020;5(5):e002844. doi: https://doi.org/10.1136/bmjgh-2020-002844

Orellana JDY, Marrero L, Horta BL. Mortalidade por COVID-19 no Brasil em distintos grupos etários: diferenciais entre taxas extremas de 2021 e 2022. Cad Saúde Pública. 2022;38(7):e00041922. doi: https://doi.org/10.1590/0102-311XPT041922

Lima EJF, Leite RD. COVID-19 vaccination in children: a public health priority. J Pediatr (Rio J). 2023;99(Suppl 1):28-36. doi: https://dx.doi.org/10.1016/j.jped.2022.11.006

Ministério da saúde (BR). OpenDataSUS. SRAG 2020 - Banco de dados de síndrome respiratória aguda grave - incluindo dados da COVID-19 [Internet]. 2023 [cited Jan 30, 2024]. Available from: https://opendatasus.saude.gov.br/dataset/srag-2020/resource/06c835a6-cf33-448a-aeb1-9dbc34065fea

Instituto Brasileiro de Geografia e Estatística (IBGE). Áreas territoriais [Internet]. 2021 [cited Jan 30, 2024]. Available from: https://www.ibge.gov.br/geociencias/organizacao-do-territorio/estrutura-territorial/15761-areas-dos-municipios.html?=&t=acesso-ao-produto

Anselin L, Ibnu S, Youngihn K. GeoDa: An introduction to spatial data analysis. Geogr Anal. 2006;38(1):5-22. doi: https://doi.org/10.1111/j.0016-7363.2005.00671.x

Liu B, Kim HJ, Feuer EJ, Graubard BI. Joinpoint regression methods of aggregate outcomes for complex survey data. J Surv Stat Methodol. 2023;11(4):967-89. doi: http://doi.org/10.1093/jssam/smac014

Mercolini F, Cesaro S. COVID-19 in children and adolescents: Characteristics and specificities in immunocompetent and oncohematological patients. Mediterr J Hematol Infect Dis. 2022;14(1):e2022009. doi: http://dx.doi.org/10.4084/mjhid.2022.009

Williams PCM, Howard-Jones AR, Hsu P, Palasanthiran P, Gray PE, McMullan BJ, et al. SARS-CoV-2 in children: spectrum of disease, transmission and immunopathological underpinnings. Pathology. 2020;52(7):801-8. doi: https://dx.doi.org/10.1016/j.pathol.2020.08.001

Dhochak N, Singhal T, Kabra SK, Lodha R. Pathophysiology of COVID-19: why children fare better than adults? Indian J Pediatr. 2020;87(7):537-46. doi: https://dx.doi.org/10.1007/s12098-020-03322-y

Michelon CM. Principais variantes do SARS-CoV-2 notificadas no Brasil. Rev Bras Anal Clin. 2021;53(2):109-16. doi: https://dx.doi.org/10.21877/2448-3877.202100961

Shimizu HE, Lima LD, Carvalho ALB, Brígida Carvalho BG, D’Ávila Viana AL. Regionalization and the federative crisis in the context of the Covid-19 pandemic: deadlocks and perspectives. Saúde Debate. 2021;45(131):945-57. doi: https://dx.doi.org/10.1590/0103-1104202113101I

Castilho M, Pero V, Razafindrakoto M, Roubaud F, Saboia J. Negacionismo e o papel dos fatores políticos para a mortalidade por Covid-19 no Brasil. Nova Econ. 2023;33(1):65-93. doi: https://doi.org/10.1590/0103-6351/7528

Lui L, Albert CE, Santos RM, Vieira LC. Disparidades e heterogeneidades das medidas adotadas pelos municípios brasileiros no enfrentamento à pandemia de Covid-19. Trab Educ Saúde. 2021;19:e00319151. doi: https://doi.org/10.1590/1981-7746-sol00319

Sousa BLA, Silva CA, Ferraro AA. An update on the epidemiology of pediatric COVID-19 in Brazil. Rev Paul Pediatr. 2022;40:e2021367. doi: https://doi.org/10.1590/1984-0462/2022/40/2021367

Kerr L, Kendall C, Silva AAM, Aquino EML, Pescarini J, Almeida RLF, et al. COVID-19 in Northeast Brazil: achievements and limitations in the responses of the state governments. Ciênc Saúde Coletiva. 2020;25(2):4099-120. doi: https://doi.org/10.1590/1413-812320202510.2.28642020

Royce JB. The effects of poverty on childhood development. J Ment Health Soc Behav. 2021;3(1):132. doi: https://doi.org/10.33790/jmhsb110032

Mirahmadizadeh A, Ghelichi-Ghojogh M, Vali M, Jokari K, Ghaem H, Hemmati A, et al. Correlation between human development index and its components with COVID-19 indices: a global level ecologic study. BMC Public Health. 2022;22(1):1549. doi: http://dx.doi.org/10.1186/s12889-022-13698-5

Liu K, He M, Zhuang Z, He D, Li H. Unexpected positive correlation between human development index and risk of infections and deaths of COVID-19 in Italy. One Health. 2020;10:100174. doi: https://doi.org/10.1016/j.onehlt.2020.100174

Concepción-Zavaleta MJ, Coronado-Arroyo JC, Zavaleta-Gutiérrez FE, Concepción-Urteaga LA. Does level of education influence mortality of SARS-CoV-2 in a developing country? Int J Epidemiol. 2021;49(6):2091-93. doi: https://dx.doi.org/10.1093/ije/dyaa193

Miguez FGG, Oliveira G, Enriquez-Martinez OG, Fonseca MJMD, Griep RH, Barreto SM, et al. Fatores associados à adesão a comportamentos preventivos da COVID-19 em participantes do ELSA-Brasil. Cad Saúde Pública. 2023;39(8):e00188322. doi: https://doi.org/10.1590/0102-311xpt188322

Majam M, Fischer A, Phiri J, Venter F, Lalla-Edward ST. International citizen project to assess early stage adherence to public health measures for COVID-19 in South Africa. PLoS One. 2021;16(3):e0248055. doi: https://dx.doi.org/10.1371/journal.pone.0248055

Santos VS, Siqueira TS, Silva JRS, Gurgel RQ. Spatial clustering of low rates of COVID-19 vaccination among children and adolescents and their relationship with social determinants of health in Brazil: a nationwide population-based ecological study. Public Health. 2023;214:38-41. doi: https://doi.org/10.1016/j.puhe.2022.10.024

Silva GM, Sousa AAR, Almeida SMC, Sá IC, Barros FR, Sousa Filho JES, et al. COVID-19 vaccination challenges: from fake news to vaccine hesitancy. Ciênc Saúde Coletiva. 2023;28(3):739-48. doi: https://dx.doi.org/10.1590/1413-81232023283.09862022EN