ArticlePublic health2021
Socio-economic inequalities and COVID-19 incidence and mortality in Brazilian children: a nationwide register-based study.
Article in Public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- What Makes Urban Communities More Resilient to COVID-19? A Systematic Review of Current Evidence.International journal of environmental research and public health · 2022Pooled it
- Risk Factors of COVID-19 Severity and Related Death in Children in the Post-Pandemic Era.Microorganisms · 2026Article
- Nationwide decline in psychiatric hospitalizations and costs in Brazil, 2008-2022: a retrospective descriptive study evidencing reform-driven community mental health gains.Lancet regional health. Americas · 2026Article
- An ecological study of COVID-19 outcomes among Florida counties.BMC public health · 2025Article
- Risk Factors for Severe COVID-19 Among Children and Adolescents Enrolled in Acute Respiratory Infection Sentinel Surveillance in South Africa, 2020-2022.Influenza and other respiratory viruses · 2024Article
- Analysis of factors associated with admission to the intensive care unit of children and adolescents with COVID-19: application of a multilevel model.Critical care science · 2024Article
- COVID-19-related adolescent mortality and morbidity in nineteen European countries.European journal of pediatrics · 2023Article
- Seroepidemiological and Molecular Survey for the Detection of SARS-CoV-2 Infection among Children in Iran, September 2020 to June 2021: 1-Year Cross-Sectional Study.Microorganisms · 2023Article
- Severity and mortality associated with COVID-19 among children hospitalised in tertiary care centres in India: a cohort study.The Lancet regional health. Southeast Asia · 2023Article
- Neighborhood Socioeconomic Characteristics Associated with the COVID-19 Incidence in Elementary School Children: An Ecological Study in Osaka City, Japan.Children (Basel, Switzerland) · 2023Article
- Geographical Distribution and Social Justice of the COVID-19 Pandemic: The Case of Palma (Balearic Islands).GeoHealth · 2023Article
- Socio-economic inequalities in health-related quality of life among Iranian young people in the middle stage of adolescence: application of Health Equity Assessment Toolkit.BMC pediatrics · 2023Article
- Hospitalizations and deaths of children and adolescents with Severe Acute Respiratory Infection due to COVID-19 during the epidemiological year of 2020.Revista do Instituto de Medicina Tropical de Sao Paulo · 2023Article
- ICU Admission, Invasive Mechanical Ventilation, and Mortality among Children and Adolescents Hospitalized for COVID-19 in a Private Healthcare System.International journal of pediatrics · 2023Article
- Seroprevalence of SARS-CoV-2 antibodies in schoolchildren in the city of São Paulo, 2020.Revista de saude publica · 2023Article
- Socioeconomic inequality in hospital case fatality rate and care among children and adolescents hospitalized for COVID-19 in Brazil.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Community vulnerability to the COVID-19 pandemic: A narrative synthesis from an ecological perspective.Journal of global health · 2022Article
- Protective measures feasibility for infants of low-income SARS-CoV-2 positive breastfeeding mothers: A prospective multicentre cohort study.Journal of nursing management · 2022Article
- Association of Household Deprivation, Comorbidities, and COVID-19 Hospitalization in Children in Germany, January 2020 to July 2021.JAMA network open · 2022Article
- Covid-19 in children aged 5-11: Examining the issues surrounding vaccination and public health policy.Paediatric respiratory reviews · 2022Review
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to estimate the incidence and mortality rates of coronavirus disease 2019 (COVID-19) in Brazilian children and to analyze its relationship with socio-economic inequalities in a state-level analysis. STUDY
designThis is a nationwide register-based study.
methodsTo estimate the incidence and mortality rates of COVID-19 in Brazilian children aged 0-19 years, we extracted data of confirmed cases and deaths from the de-identified microdata catalog and official bulletins of the 27 Brazilian states' health department websites until September 3, 2020. Social and economic inequalities were evaluated using the Social Vulnerability Index and Gini coefficient, respectively. The relationship between COVID-19 rates in Brazilian children and socio-economic vulnerability at the state level was analyzed using Spearman's rank correlation.
resultsOf the 3,998,055 individuals with COVID-19 included in our database, 335,279 (8.4%) were children aged 0-19 years. Eight hundred deaths in children were registered, which accounts for about 0.7% of the deaths related to COVID-19 in the country. There were important differences in the incidence and mortality rates among Brazilian regions, and a correlation between mortality rates and social (ρ = 0.519; P-value = 0.007; effect magnitude: moderate) and economic (ρ = 0.615; P-value < 0.001; effect magnitude: strong) inequalities was found in a state-level analysis.
conclusionsThis population-based study showed important regional differences in COVID-19 estimates for children in Brazil and a relationship between mortality rates and socio-economic inequalities. The knowledge of sociogeographic differences in the estimates of COVID-19 is crucial to planning societal strategies and local decision-making to mitigate the effects of disease in the pediatric population.
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