1
|
de Oliveira-Figueiredo DST, Silva MPGPC, Feitosa PYDO, Leite BC, Rocha FL, de Andrade LDF. What is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians? Rev Bras Enferm 2024; 77:e20220809. [PMID: 38716903 PMCID: PMC11067935 DOI: 10.1590/0034-7167-2022-0809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 11/25/2023] [Indexed: 05/12/2024] Open
Abstract
OBJECTIVE To estimate the prevalence of multimorbidity in elderly people and its association with sociodemographic characteristics, lifestyle, and anthropometry. METHODS This was a cross-sectional study using data from the National Health Survey, 2019. A total of 22,728 elderly individuals from all 27 Brazilian states were randomly selected. Poisson regression models with robust variance were employed, and a significance level of 5% was adopted. RESULTS The prevalence of multimorbidity was 51.6% (95% CI: 50.4-52.7), with the highest estimates observed in the South and Southeast. Multimorbidity was associated with being female (aPR = 1.33; 95% CI: 1.27-1.39), being 80 years old or older (aPR = 1.12; 95% CI: 1.05-1.19), having low education (aPR = 1.16; 95% CI: 1.07-1.25), past cigarette use (aPR = 1.16; 95% CI: 1.11-1.21), insufficient physical activity (aPR = 1.13; 95% CI: 1.06-1.21), and screen use for 3 hours or more per day (aPR = 1.13; 95% CI: 1.08-1.18). CONCLUSION Multimorbidity affects more than half of the elderly population in Brazil and is associated with social, demographic, and behavioral factors.
Collapse
|
2
|
da Silva MT, Iora PH, Massago M, Dutra ADC, Gabella JL, Silva LL, Carignano FSN, de Souza EM, Obale AM, Vissoci JRN, Joiner AP, Staton CA, Nihei OK, de Andrade L. Built environment influence on the incidence of elderly pedestrian collisions in a medium-large city in southern Brazil: a spatial analysis. Int J Inj Contr Saf Promot 2023; 30:428-438. [PMID: 37126451 DOI: 10.1080/17457300.2023.2204503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 01/26/2023] [Accepted: 04/16/2023] [Indexed: 05/02/2023]
Abstract
Trauma disproportionately affects vulnerable road users, especially the elderly. We analyzed the spatial distribution of elderly pedestrians struck by vehicles in the urban area of Maringa city, from 2014 to 2018. Hotspots were obtained by kernel density estimation and wavelet analysis. The relationship between spatial relative risks (RR) of elderly run-overs and the built environment was assessed through Qualitative Comparative Analysis (QCA). Incidents were more frequent in the central and southeast regions of the city, where the RR was up to 2.58 times higher. The QCA test found a significant association between elderly pedestrian victims and the presence of traffic lights, medical centers/hospitals, roundabouts and schools. There is an association between higher risk of elderly pedestrians collisions and specific elements of built environments in Maringa, providing fundamental data to help guide public policies to improve urban mobility aimed at protecting vulnerable road users and planning an age-friendly city.
Collapse
Affiliation(s)
| | | | - Miyoko Massago
- Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil
| | | | | | - Lincoln Luís Silva
- Postgraduate Program in Biosciences and Physiopathology, State University of Maringá, Maringa, Paraná, Brazil
| | | | - Eniuce Menezes de Souza
- Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil
| | - Armstrong Mbi Obale
- Department of Emergency Medicine, Duke University, Durhan, North Carolina, USA
| | - João Ricardo Nickenig Vissoci
- Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil
- Department of Emergency Medicine, Duke University, Durhan, North Carolina, USA
| | - Anjni Patel Joiner
- Department of Emergency Medicine, Duke University, Durhan, North Carolina, USA
| | | | - Oscar Kenji Nihei
- Center of Education, Literature and Health, Western Paraná State University, Foz do Iguaçu, Parana, Brazil
| | - Luciano de Andrade
- Postgraduate Program in Health Sciences, State University of Maringa, Maringa, Parana, Brazil
- Medicine Department, State University of Maringa, Maringa, Parana, Brazil
| |
Collapse
|
3
|
Barbosa BB, Baltar VT, Horta RL, Lobato JCP, Vieira LJEDS, Gallo CDO, Carioca AAF. Food and Nutrition Surveillance System (SISVAN) coverage, nutritional status of older adults and its relationship with social inequalities in Brazil, 2008-2019: an ecological time-series study. EPIDEMIOLOGIA E SERVIÇOS DE SAÚDE 2023; 32:e2022595. [PMID: 36946834 PMCID: PMC10027046 DOI: 10.1590/s2237-96222023000100003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 11/22/2022] [Indexed: 01/05/2023] Open
Abstract
OBJECTIVE to analyze the temporal trend of Food and Nutrition Surveillance System (Sistema de Vigilância Alimentar e Nutricional - SISVAN) coverage and the nutritional status of older adults, and its correlation with indicators of social inequality in Brazil between 2008-2019. METHODS this was an ecological study using records from SISVAN, related to the population aged 60 years and older; the temporal trend of coverage and the correlation between indicators of social inequality and increment rate of nutritional status were analyzed; slope index of inequality and concentration index were used to measure absolute and relative inequalities. RESULTS 11,587,933 records were identified; national coverage increased from 0.1% (2008) to 2.9% (2019), with a statistically significant upward trend; a moderate inverse correlation with an annual increment rate of overweight between human development index and gross domestic product per capita, was found. CONCLUSION there was an increasing trend in SISVAN coverage; the increase in overweight was associated with social inequality.
Collapse
Affiliation(s)
- Brena Barreto Barbosa
- Universidade Estadual do Ceará, Programa de Pós-Graduação em
Nutrição e Saúde, Fortaleza, CE, Brasil
| | - Valéria Troncoso Baltar
- Universidade Federal Fluminense, Departamento de Epidemiologia e
Bioestatística, Niterói, RJ, Brasil
| | - Rogério Lessa Horta
- Universidade FEEVALE, Mestrado Acadêmico em Psicologia, Novo
Hamburgo, RS, Brasil
| | | | | | | | | |
Collapse
|
4
|
Nascimento V, Fonseca C, Pinho LG, Lopes MJ. Person-Centered Health Intervention Programs, Provided at Home to Older Adults with Multimorbidity and Their Caregivers: Protocol for a Systematic Review. J Pers Med 2022; 13:27. [PMID: 36675688 PMCID: PMC9861220 DOI: 10.3390/jpm13010027] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Revised: 12/09/2022] [Accepted: 12/21/2022] [Indexed: 12/25/2022] Open
Abstract
The WHO has been promoting the paradigm shift in health care towards person-centered care, considering this strategy as fundamental for the personalization of care, but globally, the implementation of person-centered health intervention programs is still in an early stage. Older adults have high morbidity rates, which are often precursors to functional dependence on informal caregivers. Person-centered health intervention programs may answer the vulnerability of older adults and their caregivers, but they are not yet intensively implemented. This systematic literature review aims to identify which person-centered health programs exist in-home settings for this population and show the health gains. Methods: A systematic review of the literature will be conducted in the following databases: PubMed, CINAHL, MedicLatina, Scopus, and MEDLINE. The search strategy will contain the following MesH terms or similar: "older adults", "caregivers", "home care", and "patient-centered care." Criteria inclusion: Person-centered health intervention programs performed to older adults and their caregivers' in-home context; scientific articles from 2017 to 2022. For the extraction and synthesis, two independent reviewers will quality analyze the inclusion and exclusion criteria and the data quality analysis. Disagreements will be resolved by a third reviewer.
Collapse
Affiliation(s)
- Vânia Nascimento
- Nursing Department, University of Évora, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-811 Évora, Portugal
| | - César Fonseca
- Nursing Department, University of Évora, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-811 Évora, Portugal
| | - Lara Guedes Pinho
- Nursing Department, University of Évora, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-811 Évora, Portugal
| | - Manuel José Lopes
- Nursing Department, University of Évora, 7000-811 Évora, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-811 Évora, Portugal
| |
Collapse
|
5
|
Boccolini PDMM, de Lima Sírio Boclin K, de Sousa IMC, Boccolini CS. Prevalence of complementary and alternative medicine use in Brazil: results of the National Health Survey, 2019. BMC Complement Med Ther 2022; 22:205. [PMID: 35918725 PMCID: PMC9347116 DOI: 10.1186/s12906-022-03687-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 07/28/2022] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND In recent decades, it has been possible to observe an increase in Complementary and Alternative Medicine (CAM) usage globally for both disease prevention and health promotion purposes. we aim to estimate the prevalence of CAM use and analyze associated factors in Brazil. METHODS Observational study with data from the 2019 National Health Survey that evaluated a sample of Brazilian adults. The outcome was CAM use, such as acupuncture, homeopathy, medicinal plants and herbal medicines, meditation, and yoga in the last 12 months. A logistic regression model with a 99% confidence interval was used to assess factors associated with CAM use. RESULTS The prevalence of CAM use in 2019 was 5.2% (CI99% = 4.8-5.6%), the most used modalities: medicinal plants and herbal medicines, with a prevalence of 3.0% (CI99% = 2.7-3.33) followed by: acupuncture 1.4% (CI99% = 1.3-1.6) homeopathy 0.9% (CI99% = 0.7-1.0), meditation 0.7% (CI99% = 0.6-0.8) and yoga 0.4% (CI99% = 0.4-0.5). We observed important geographical differences in CAM use in Brazil, with a higher prevalence in the North Region, 3.7% (CI99% = 2.81-4.75), where herbal medicines were more frequent the in the other regions. After estimating an adjusted model, women, older people, and people with a higher level of education and per capita income were the ones who used all types of CAM the most. The practice of yoga stands out among women 3.6% (CI99% = 2.49-5.28) and among individuals with higher per capita income 7.5% (CI99% = 2.97-18.93); meditation among individuals with higher educational level 13.4% (CI99% = 6.41-28.33) and acupuncture for those who declared regular or poor health 1.9% (CI99% = 1.51-2.39). CONCLUSIONS We recommend that the Ministry of Health expand CAM access to Unified Health System users and promote health professionals' conscious and guided use for the Brazilian population.
Collapse
Affiliation(s)
| | | | | | - Cristiano Siqueira Boccolini
- Fundação Oswaldo Cruz, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Rio de Janeiro, RJ, Brazil
| |
Collapse
|
6
|
Bacurau AGDM, Francisco PMSB. Doenças crônicas em idosos e vacinação contra a influenza. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2022. [DOI: 10.5712/rbmfc17(44)2819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Introdução: As informações sobre a presença de doenças crônicas nos idosos não são registradas durante as campanhas de vacinação contra influenza, o que dificulta sua identificação (proporção) nos idosos vacinados. Objetivo: Descrever a prevalência de doenças crônicas autorreferidas em idosos vacinados contra a influenza; verificar a influência da mídia na decisão de tomar a vacina; e se recebeu orientações sobre a importância dela, segundo o tipo de profissional de saúde. Métodos: Estudo transversal descritivo, com dados coletados por meio de entrevistas com idosos vacinados contra influenza (n=798) em um Centro de Saúde de Campinas (SP) em 2019. Resultados: Na amostra estudada, a maioria eram mulheres (58,0%), indivíduos com ensino médio completo ou ensino superior (53,0%) e com plano de saúde (72,3%). As doenças mais prevalentes foram hipertensão arterial (56,9%; intervalo de confiança — IC95% 53,4–60,3), diabetes (24,7%; IC95% 21,8–27,8), doenças cardíacas (13,6%; IC95% 11,4–16,2) e respiratórias (5,6%; IC95% 4,2–7,5). A maioria (58,0%) considerou que a mídia influenciou sua decisão de tomar a vacina. Receberam orientações sobre a importância da vacinação 21,1% dos idosos, fornecidas principalmente por médicos/as (67,4%), enfermeiros/as (18,2%) e agentes de saúde (7,0%). Conclusões: A investigação mostrou que as principais doenças referidas pelos idosos vacinados foram hipertensão arterial, diabetes, cardiopatias e doenças respiratórias. A orientação de profissionais da saúde foi pouco relatada pelos idosos e a maioria referiu influência da mídia na decisão de vacinar-se. Ressaltam-se a necessidade e a relevância de investir em estratégias de comunicação em saúde, a fim de esclarecer a população sobre a importância da vacinação contra a influenza para as pessoas idosas e com doenças crônicas.
Collapse
|
7
|
Sarmet M, Cavalcanti de Oliveira ERN, Cirne Franco H, Zeredo JL, Mehta AK. The Current State of Neuropalliative Care in Brazil: Trends in Representation and Advocacy. J Palliat Med 2022; 25:343-344. [PMID: 35230899 DOI: 10.1089/jpm.2021.0614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Max Sarmet
- Department of Palliative Care, Hospital de Apoio de Brasília, Brasília, Brazil.,Department of Neurology, Tertiary Referral Center of Neuromuscular Diseases, Hospital de Apoio de Brasília, Brasília, Brazil.,Graduate Department of Health Sciences and Technologies, University of Brasília, Brasília, Brazil
| | | | - Hamilton Cirne Franco
- Department of Neurology, Tertiary Referral Center of Neuromuscular Diseases, Hospital de Apoio de Brasília, Brasília, Brazil
| | - Jorge L Zeredo
- Graduate Department of Health Sciences and Technologies, University of Brasília, Brasília, Brazil
| | - Ambereen K Mehta
- Palliative Care Program, Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| |
Collapse
|
8
|
FERREIRA HG, SUZUKI SM. Older people’s pleasant events and subjective well being. ESTUDOS DE PSICOLOGIA (CAMPINAS) 2022. [DOI: 10.1590/1982-0275202239e200092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract This study aimed to investigate the prevalence and relationships between subjective well being and involvement in pleasant events in a sample of 156 community-dwelling older people without cognitive impairment. The Brazilian version of The California Older Person’s Pleasant Events Schedule assessed the involvement in pleasant events, and subjective well-being was assessed by the Life Satisfaction Scale and the Positive and Negative Affect Scale. The sample showed higher levels of positive affect compared to negative affect, higher frequency of Contemplative activities and lower frequency of Intellectual activities. Significant relationships were observed between the constructs in general, suggesting that the higher the Involvement of older people in Pleasant Events the higher their Subjective Well Being. Social and Competence activities as well as Contemplative activities showed stronger associations with Subjective Well Being. These findings are relevant for the development of interventions and public policies focused on older people’s mental health.
Collapse
Affiliation(s)
| | - Sara Miyuki SUZUKI
- Universidade Federal do Triângulo Mineiro, Brasil; Universidade Federal de São Paulo, Brasil
| |
Collapse
|
9
|
Oliveira EJP, Alves LC, Duarte YADO, Bof de Andrade F. Edentulism-free life expectancy among older Brazilian adults: SABE study, 2006-2016. Gerodontology 2021; 38:429-436. [PMID: 33565129 DOI: 10.1111/ger.12541] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 01/08/2021] [Accepted: 01/17/2021] [Indexed: 12/23/2022]
Abstract
AIM To assess edentulism-free life expectancy (EFLE) and the related inequalities by sex and schooling among older Brazilian adults from 2006 to 2016. BACKGROUND Tooth loss is related to shortened longevity and unhealthy life expectancy in old age. MATERIALS AND METHODS The outcome of the study was EFLE, assessed by age, sex and schooling. EFLE was estimated using the Sullivan method, considering the years and proportion of remaining life and the prevalence of edentulism-assessed in the Health, Well-being, and Aging cohort study, as well as the official mortality data for adults aged 60 years or older living in São Paulo, Brazil. RESULTS EFLE increased from 10.9 (95% CI: 10.4-11.5) to 13.8 (95% CI: 13.2-14.5) years, considering data from 2006 to 2016, among 60-year-old individuals. In relative terms, these individuals expected to live 50.7% (95% CI: 48.1-53.2) of their remaining life free of edentulism in 2006, while this expectation was 62.8% (95% CI: 60.0-65.6) in 2016. Within both years, women and the less educated had lower EFLE than men and the higher educated. CONCLUSION EFLE increased from 2006 to 2016. However, inequalities concerning sex and education remained significant, thereby highlighting the need to continuously address inequalities in tooth loss throughout life to contribute to a healthy ageing.
Collapse
Affiliation(s)
| | - Luciana Correia Alves
- Department of Demography, Institute of Philosophy and Human Sciences, University of Campinas (UNICAMP), Campinas, Brazil
| | | | | |
Collapse
|
10
|
Andrade JM, Andrade FCD, Oliveira EJP, Duarte YADO, de Andrade FB. Life expectancy with poor health-related quality of life among Brazilian older adults. Arch Gerontol Geriatr 2021; 94:104346. [PMID: 33493953 DOI: 10.1016/j.archger.2021.104346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 01/14/2021] [Accepted: 01/14/2021] [Indexed: 10/22/2022]
Affiliation(s)
- Juliana Mara Andrade
- René Rachou Institute, Oswaldo Cruz Foundation (FIOCRUZ), Av. Augusto de Lima, 1715, Barro Preto, Belo Horizonte, Brazil.
| | | | - Eduardo José Pereira Oliveira
- René Rachou Institute, Oswaldo Cruz Foundation (FIOCRUZ), Av. Augusto de Lima, 1715, Barro Preto, Belo Horizonte, Brazil.
| | | | - Fabíola Bof de Andrade
- René Rachou Institute, Oswaldo Cruz Foundation (FIOCRUZ), Av. Augusto de Lima, 1715, Barro Preto, Belo Horizonte, Brazil.
| |
Collapse
|
11
|
Moreno X, Lera L, Albala C. Disability-free life expectancy and life expectancy in good self-rated health in Chile: Gender differences and compression of morbidity between 2009 and 2016. PLoS One 2020; 15:e0232445. [PMID: 32353089 PMCID: PMC7192428 DOI: 10.1371/journal.pone.0232445] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 04/10/2020] [Indexed: 12/03/2022] Open
Abstract
Background Chile has one of the highest life expectancies at 60 years in South America. This study was aimed to determine healthy life expectancies among Chilean older people, according to self-rated health and disability, and to explore gender differences. Methods Data from the National Survey of Health (2009 and 2016) were used to estimate prevalence of less than good self-rated health and disability among people aged 60 years and above. Health expectancies were calculated with the Sullivan method. Results In both years, women expected to live a lower proportion of their life expectancy in good self-rated health (54.5% [95% CI 50.0–58.8] for men and 37.6% [95% CI 34.3–40.8] for women in 2009; 46.1% [95% CI 42.6–49.7] for men and 38.5% [95% CI 35.6–41.4] for women in 2016). Life expectancy in less than good self-rated health increased for men (9.4 years [95% CI 8.4–10.3] in 2009; 11.5 years [95% CI 10.7–12.2]). Women expected to live a lower proportion of their remaining life without disabilities (65.3% [95% CI 61.2–69.4] for men and 44.9% [95% CI 41.9–47.9] for women in 2009; 71.9% [95% CI 68.7–75.0] for men and 61.1% [95% CI 58.5–63.8] for women in 2016). In 2016, disability-free life expectancy increased among women, but they still had a higher life expectancy with mild disability (2.8 years [95% CI 2.3–3.4] for men and 6.0 years [95% CI 5.4–6.7] for women). Conclusions Women expected to spend more years in less than good self-rated health and disabled. There was an expansion of life expectancy in less than good SRH among men and a compression of disability in both sexes. The high proportion of years expected to be lived in less than good self-rated health and gender differences in disability-free life expectancy of older adults should be addressed by public health policies in Chile.
Collapse
Affiliation(s)
- Ximena Moreno
- Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile
- * E-mail:
| | - Lydia Lera
- Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile
| | - Cecilia Albala
- Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile
| |
Collapse
|
12
|
Barbosa IR, Galvão MHR, Souza TAD, Gomes SM, Medeiros ADA, Lima KCD. Incidence of and mortality from COVID-19 in the older Brazilian population and its relationship with contextual indicators: an ecological study. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2020. [DOI: 10.1590/1981-22562020023.200171] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Objective: to analyze the incidence of and mortality caused by COVID-19 in the older population in Brazil and its relationship with contextual variables. Methods: the 22 Brazilian states (including the Federal District) with 50 deaths or more due to COVID-19 by May 25th, 2020 were included. The rates of accumulated incidence, accumulated mortality and accumulated lethality among older adults were considered as dependent variables. Among the contextual variables, the provision of health services and professionals, and demographic, income and development indicators were included. The variables were analyzed in a descriptive and bivariate manner using Spearman’s correlation. Results: the state of Pará had the highest incidence and mortality rate among older adults. The highest accumulated lethality rates among this population were observed in Bahia (56.46%), Rio de Janeiro (48.10%) and Pernambuco (40.76%). There was a significant negative moderate correlation between the accumulated incidence rate and the aging index (rho=-0.662; p=0.001) and the proportion of older adults (rho=-0.659; p=0.002); and between the mortality rate and the aging index (rho=-0.520; p=0.013) and the proportion of older adults (rho=-0.502; p=0.017). The accumulated incidence rate and mortality rate also revealed, respectively, a significant positive correlation with the proportion of black (Afro-Brazilian) and brown (mixed race) skinned people (rho=0.524; p=0.018 and rho=0.558; p=0.007) and with the income ratio (rho=0.665; p=0.0001 and rho=0.683; p<0.001). Conclusions: the Brazilian epidemiological situation shows that the mortality of older adults due to COVID-19 in Brazil is related to demographic and income distribution aspects.
Collapse
Affiliation(s)
| | | | | | | | | | - Kenio Costa de Lima
- Universidade Federal do Rio Grande do Norte, Brazil; Universidade Federal do Rio Grande do Norte, Brazil
| |
Collapse
|