Incidence and mortality rates in children and the relationship with family income

Authors

DOI:

https://doi.org/10.15253/2175-6783.20242593565

Keywords:

COVID-19; Epidemiology; Child; Incidence; Economic Indexes.

Abstract

Objective: to analyze children's COVID-19 incidence and mortality rates and their relationship with family income. Methods: this ecological study looks at COVID-19 cases and outcomes in children aged up to 11 years, 11 months, and 29 days. Data were collected from the State Data Analysis System and the Brazilian Institute of Geography and Statistics. They analyzed using the Bivariate Global Moran's Index and a join point regression model based on Poisson regression. Results: 88,913 cases of COVID-19 in children and 335 deaths were recorded in the period analyzed. There was a weak negative spatial correlation between the COVID-19 incidence coefficient among children and the rate in families with an income of up to half the minimum wage per capita and families with an income above two minimum wages per capita. Conclusion: the clusters with the highest incidence coefficients were found in favored regions, while the mortality coefficient was higher in disadvantaged and vulnerable areas. Contributions to practice: these results contribute to a more equitable nursing and health practice, focused on the reality of the different social and economic contexts faced by families in other regions.

References

Aquino EM, Silveira IH, Pescarini JM, Aqui-no R, Souza-Filho JAD, Rocha ADS, et al. Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil. Ciênc Saúde Coletiva. 2020;25(1):2423-46. doi: https://doi.org/10.1590/1413-81232020256.1.10502020

Bógus LMM, Magalhães LFA. Desigualdades sociais e espacialidades da covid-19 em regiões metropolitanas. Cad CRH. 2022;35:e022033. doi: https://doi.org/10.9771/ccrh.v35i0.50271

Zhang P, Wei M, Jing P, Li Z, Li J, Zhu F. COVID-19 in children: epidemic issues and candidate vaccines. Chin Med J. 2022;135(11):1314-24. doi: https://doi.org/10.1097/CM9.0000000000002169

Kitano T, Kitano M, Krueger C, Jamal H, Al Rawahi H, Lee-Krueger R, et al. The differential impact of pediatric COVID-19 between high-income countries and low- and middle-income countries: a systematic review of fatality and ICU admission in children worldwide. PLoS One. 2021;16(1):e0246326. doi: https://doi.org/10.1371/journal.pone.0246326

Martins-Filho PR, Quintans-Junior LJ, Araújo AAS, Sposato KB, Tavares CSS, Gurgel RQ, et al. Socio-economic inequalities and COVID-19 incidence and mortality in Brazilian children: a nationwide register-based study. Public Health. 2021;190:4-6. doi: https://doi.org/10.1016/j.puhe.2020.11.005

Sousa Filho JF, Silva UM, Lima LL, Paiva ASS, Santos GF, Andrade RFS, et al. Association of urban inequality and income segregation with COVID-19 mortality in Brazil. PLoS One. 2022;17(11):e0277441. doi: https://doi.org/10.1371/journal.pone.0277441

Flaxman S, Whittaker C, Semenova E, Rashid T, Parks RM, Blenkinsop A, Unwin HJT, 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/jamannetworkopen.2022.53590

Ministério da Saúde (BR). Cobertura vacinal de COVID-19. Rede nacional de dados em saúde [Internet]. 2020 [cited June 22, 2024]. Available from: https://www.gov.br/conecta/catalogo/apis/rnds-rede-nacional-de-dados-em-saude

Castagnoli R, Votto M, Licari A, Brambilla I, Bruno R, Perlin S, et al. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in children and adolescents: a systematic review. JAMA Pediatr. 2020;174(9):882-9. doi: https://doi.org/10.1001/jamapediatrics.2020.1467

Barberia LG, Boing A, Gusmão J, Miyajima F, Abud A, Kemp B, et al. An assessment of the public health surveillance strategy based on molecular testing during three major pandemic waves of COVID-19 in Brazil. PLOS Glob Public Health. 2023;3(8):e0002164. doi: https://dx.doi.org/10.1371/journal.pgph.0002164

Medronho RA. Epidemiologia. São Paulo: Editora Atheneu; 2008.

Anselin L, Syabri I, Kho Y. 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

Rouquayrol MZ, Silva MGC. Rouquayrol: epidemiologia e saúde. Rio de Janeiro: MedBook; 2018.

Geographic Information System (QGIS). QGIS overview [Internet]. 2024 [cited June 22, 2024]. Available from: https://www.qgis.org/project/overview/

Silva MHA, Procópio IM. The fragility of the Brazilian health system and social vulnerability in front of COVID-19. Rev Bras Promoç Saúde. 2020;33:10724. doi: https://dx.doi.org/10.5020/18061230.2020.10724

Darsie C, Tosta GF, Weber DL, Somavilla VEC, Souza MS, Schroeder DF. A covid-19, os determinantes sociais da saúde e as iniquidades dos territórios de saúde brasileiros. SANARE. 2022;21(2):6-14. doi: https://doi.org/10.36925/sanare.v21i2.1659

Silva SA. A pandemia de Covid-19 no Brasil: a pobreza e a vulnerabilidade social como determinantes sociais. Confins. 2021;(52). doi: https://doi.org/10.4000/confins.40687

Arrais TA, Oliveira AR, Viana JL, Alencar DP, Salgado TR, Morais Neto J, et al. Urban poverty barns: income supplementation and social isolation in metropolitan environments in pandemic times. Vigil Sanit Debate. 2020;8(3):11-25. doi: https://doi.org/10.22239/2317-269x.01609

Martins TCF, Guimarães RM. Distanciamento social durante a pandemia da Covid-19 e a crise do Estado federativo: um ensaio do contexto brasileiro. Saúde Debate. 2022;46(spe1):265-80. doi: http://doi.org/10.1590/0103-11042022E118

Silva GDM, Souza AA, Castro MSM, Miranda WD, Jardim LL, Sousa RP. Influence of socioeconomic inequality on the distribution of COVID-19 hospitalizations and deaths in Brazilian municipalities, 2020: an ecological study. Epidemiol Serv Saúde. 2023;32(1):e2022303. doi: https://doi.org/10.1590/S2237-96222023000100021

Lorenz C, Ferreira PM, Masuda ET, Lucas PCC, Palasio RGS, Nielsen L, et al. COVID-19 in the state of São Paulo: the evolution of a pandemic. Rev Bras Epidemiol. 2021;24:E210040. doi: https://doi.org/10.1590/1980-549720210040

Silva ACCAC, Luiz RR, Moraes JR, Rocha PHV, Zeitoune RCG, Barbosa AP, et al. Hospital mortality from covid-19 in children and adolescents in Brazil in 2020–2021. Rev Saúde Pública. 2023;57:56. doi: https://doi.org/10.11606/s1518-8787.2023057005172

Lima EJF, Faria SM, Kfouri RA. Reflections on the use of COVID-19 vaccines in children and adolescents. Epidemiol Serv Saúde. 2021;30(4):e2021957. doi:https://dx.doi.org/10.1590/S1679-49742021000400028

Santos VS, Siqueira TS, Atienzar AIC, Santos MARR. Spatial clusters, social determinants of health and risk of COVID-19 mortality in Brazilian children and adolescents: a nationwide population-based ecological study. Lancet Public Health. 2022;2014(13):38-41. doi: https://dx.doi.org/10.1016/j.lana.2022.100311

Faria NR, Mellan TA, Whittaker C, Claro IM, Cândido DS, Mishra S, et al. Genomics and epidemiology of the P.1 SARS-CoV-2 lineage in Manaus, Brazil. Science. 2021;372(6544):815-21. doi: https://doi.ogr/10.1126/science.abh2644

Pronunciate M, Fortaleza CMCB. Incidência e mortalidade por covid-19 no estado de são paulo: onde estão os municípios mais atingidos pela pandemia?. Braz J Infect Dis. 2022;26(Suppl1):102033. doi: https://doi.org/10.1016/j.bjid.2021.102033

Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic?. Lancet. 2020;395(10228):931-4. doi: http://doi.org/10.1016/S0140-6736(20)30567-5

Christoffel MM, Gomes ALM, Souza TV, Ciuffo LL. Children’s (in)visibility in social vulnerability and the impact of the novel coronavirus (COVID-19). Rev Bras Enferm. 2020;73(Suppl2):e20200302. doi: https://doi.org/10.1590/0034-7167-2020-0302

Bispo Junior JP, Santos DB. COVID-19 como sindemia: modelo teórico e fundamentos para a abordagem abrangente em saúde. Cad Saúde Pública 2021;37(10):e00119021. doi: https://doi.org/10.1590/0102-311X00119021

Published

2024-10-04

How to Cite

Silva, B. C. da, & Uehara, S. C. S. A. (2024). Incidence and mortality rates in children and the relationship with family income. Rev Rene, 25, e93565. https://doi.org/10.15253/2175-6783.20242593565

Issue

Section

Research Article

Most read articles by the same author(s)