0384/2020 - VULNERABILIDADE SOCIAL E INCIDÊNCIA DE COVID-19 EM UMA METRÓPOLE BRASILEIRA SOCIAL VULNERABILITY AND INCIDENCE OF COVID-19 IN A BRAZILIAN METROPOLIS
A vulnerabilidade é um fator chave no enfrentamento da COVID-19 tendo em vista que pode influenciar no agravamento da doença. Desse modo, ela deve ser considerada no controle da COVID-19, prevenção e promoção da saúde. Objetivo: analisar a distribuição espacial da incidência de casos de COVID-19 em uma metrópole brasileira e sua associação com indicadores de vulnerabilidade social. Método: estudo ecológico. Foi utilizada a análise de varredura espacial (scan) para identificar aglomerados de COVID-19. As variáveis para identificação da vulnerabilidade foram inseridas em um modelo de Regressão Espacial Geograficamente Ponderado (GWR) para identificar sua relação espacial com os casos de COVID-19. Resultados: A incidência de COVID-19 em Fortaleza foi de 74,52/10 mil habitantes, com notificação de 3.554 casos, sendo pelo menos um caso registrado em cada bairro. A regressão espacial GWR mostrou relação negativa entre incidência de COVID-19 e densidade demográfica (?=-0,0002) e relação positiva entre incidência de COVID-19 e percentual de ocupados >18 anos trabalhadores autônomos (?=1,40), assim como, renda domiciliar per capita máxima do quinto mais pobre (?=0,04). Conclusão: A influência dos indicadores de vulnerabilidade sobre a incidência evidenciou áreas que podem ser alvo de políticas públicas a fim de impactar na incidência de COVID-19.
Vulnerability is a key factor in dealing with COVID-19 as it can influence the worsening of the disease. Thus, it should be considered in controlling, preventing the disease, and promoting health. Objective: to analyze the spatial distribution of the incidence of COVID-19 cases in a Brazilian metropolis and its association with indicators of social vulnerability. Method: ecological study. Spatial scan analysis was used to identify clusters of COVID-19. The variables for identifying the vulnerability were ed in a Geographical Weighted Spatial Regression (GWR) model to identify their spatial relationship with COVID-19 cases. Results: The incidence of COVID-19 in Fortaleza was 74.52/10 thousand inhabitants, with notification of 3,554 cases, with at least one case registered in each neighborhood. The GWR spatial regression showed a negative relationship between the incidence of COVID-19 and demographic density (β = -0,0002) and a positive relationship between the incidence of COVID-19 and the percentage of employed> 18 years self-employed (β = 1.40), as well as maximum per capita household income of the poorest fifth (β = 0.04). Conclusion: The influence of vulnerability indicators on incidence showed areas that can be the target of public policies in order to impact the incidence of COVID-19.
Keywords:
Coronavirus. Social Vulnerability. Ecological Studies
SOCIAL VULNERABILITY AND INCIDENCE OF COVID-19 IN A BRAZILIAN METROPOLIS
Resumo (abstract):
Vulnerability is a key factor in dealing with COVID-19 as it can influence the worsening of the disease. Thus, it should be considered in controlling, preventing the disease, and promoting health. Objective: to analyze the spatial distribution of the incidence of COVID-19 cases in a Brazilian metropolis and its association with indicators of social vulnerability. Method: ecological study. Spatial scan analysis was used to identify clusters of COVID-19. The variables for identifying the vulnerability were ed in a Geographical Weighted Spatial Regression (GWR) model to identify their spatial relationship with COVID-19 cases. Results: The incidence of COVID-19 in Fortaleza was 74.52/10 thousand inhabitants, with notification of 3,554 cases, with at least one case registered in each neighborhood. The GWR spatial regression showed a negative relationship between the incidence of COVID-19 and demographic density (β = -0,0002) and a positive relationship between the incidence of COVID-19 and the percentage of employed> 18 years self-employed (β = 1.40), as well as maximum per capita household income of the poorest fifth (β = 0.04). Conclusion: The influence of vulnerability indicators on incidence showed areas that can be the target of public policies in order to impact the incidence of COVID-19.
Palavras-chave (keywords):
Coronavirus. Social Vulnerability. Ecological Studies
Cestari, V. R. F., Florêncio, R. S., Sopusa, G.J.B, Garces, T. S., Maranhão, Thatiana Araújo, Castro, R. R., Cordeiro, L. I., Damasceno, L. L. V., Pessoa, V. L. M. de P., Pereira, M.L.D., Moreira, T. M. M.. VULNERABILIDADE SOCIAL E INCIDÊNCIA DE COVID-19 EM UMA METRÓPOLE BRASILEIRA. Cien Saude Colet [periódico na internet] (2020/dez). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/vulnerabilidade-social-e-incidencia-de-covid19-em-uma-metropole-brasileira/17866?id=17866&id=17866
