Evidence map›Paper›PMID 33278610›Full record

ArticleTravel medicine and infectious disease

Spatiotemporal ecological study of COVID-19 mortality in the city of São Paulo, Brazil: Shifting of the high mortality risk from areas with the best to those with the worst socio-economic conditions.

Patricia Marques Moralejo Bermudi, Camila Lorenz, Breno Souza de Aguiar, Marcelo Antunes Failla, Ligia Vizeu Barrozo, Francisco Chiaravalloti-Neto

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In one paragraph

Article in Travel medicine and infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Methods Used in the Spatial and Spatiotemporal Analysis of COVID-19 Epidemiology: A Systematic Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Patricia Marques Moralejo BermudiDepartamento de Epidemiologia, Faculdade de Saúde Pública da Universidade de São Paulo, São Paulo, SP, Brazil.
Camila LorenzDepartamento de Epidemiologia, Faculdade de Saúde Pública da Universidade de São Paulo, São Paulo, SP, Brazil. Electronic address: camilalorenz@usp.br.
Breno Souza de AguiarGerência de Geoprocessamento e Informações Socioambientais (GISA), da Coordenação de Epidemiologia e Informação (CEInfo) da Secretaria Municipal de Saúde de São Paulo, SP, Brazil.
Marcelo Antunes FaillaGerência de Geoprocessamento e Informações Socioambientais (GISA), da Coordenação de Epidemiologia e Informação (CEInfo) da Secretaria Municipal de Saúde de São Paulo, SP, Brazil.
Ligia Vizeu BarrozoDepartamento de Geografia, Faculdade de Filosofia, Letras e Ciências Humanas e Instituto de Estudos Avançados da Universidade de São Paulo, São Paulo, SP, Brazil.
Francisco Chiaravalloti-NetoDepartamento de Epidemiologia, Faculdade de Saúde Pública da Universidade de São Paulo, São Paulo, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, Brazil is experiencing one of the fastest increasing coronavirus disease (COVID-19) mortality rates worldwide, with a minimum of 158,000 confirmed deaths presently. The city of São Paulo is particularly vulnerable because it is the most populated city in Brazil. Thus, this study aimed to analyse COVID-19 mortality in a spatiotemporal context in São Paulo, with respect to socio-economic levels.

methodWe modelled the deaths using spatiotemporal architectures and Poisson probability distributions using a latent Gaussian Bayesian model approach.

resultsBoth total deaths and confirmed deaths showed similar spatial patterns. Mortality was higher in men and increased with age. The most critical period regarding mortality occurred between the 20th and 23rd epidemiological weeks, followed by an apparent stabilisation of the epidemiological trend. The risk of death was greater in areas with the worst social conditions during the study period. However, this pattern was not uniform over time, since we identified a shift of high risk from the areas with the best socio-economic conditions to those with the worst conditions.

conclusionsOur study corroborated the relationship between COVID-19 mortality and socio-economic conditions, revealing the importance of geographic screening in the integration of better actions to face the pandemic.

Indexed as

BrazilCitiesCOVID-19FemaleHumansMaleMortalityRisk FactorsSARS-CoV-2Socioeconomic FactorsSpatio-Temporal AnalysisHealth inequityIntegrated nested laplace approximationMortalityPandemicsSpatio-temporal analysis

Identifiers

PMID33278610
PMCPMC7709594

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.