ArticleLancet regional health. Americas2022
Involvement of political and socio-economic factors in the spatial and temporal dynamics of COVID-19 outcomes in Brazil: A population-based study.
Article in Lancet regional health. Americas, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.
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Who cites it
50 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of COVID-19 vaccine hesitancy in Brazil: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Pediatric Use of Off-Label Medicines and Nonevidence-Based Supplements for COVID-19: Findings From the 2015 Pelotas Birth Cohort Study (Brazil).Pharmacoepidemiology and drug safety · 2026Article
- Contextualizing life expectancy losses during the COVID-19 pandemic in Brazil-authors' reply.Lancet regional health. Americas · 2026Article
- Burden of disease and life expectancy decomposition in Brazil and its federated units, 1990-2023: an analysis based on the global burden of disease study 2023.Lancet regional health. Americas · 2026Article
- Article
- Home isolation capacity after Covid-19 diagnosis in vulnerable communities of two Brazilian cities: TQT Covid-19 Study.Revista de saude publica · 2026Article
- "Moments of Clarity": A Qualitative Study to Understand Factors Protecting Patients in Active Drug Rehab from Deaths of Despair.Journal of patient experience · 2026Article
- Social inequalities in the misbelief of chloroquine's protective effect against COVID-19: results from the EPICOVID-19 study in Brazil.PloS one · 2026Article
- History of self-reported COVID-19 cases and hospitalizations in the Brazilian population: a countrywide survey.International journal of epidemiology · 2026Article
- Properties and performance of a questionnaire assessing COVID-19 vaccine knowledge and attitudes in Brazilian pregnant women.BMC public health · 2025Article
- Health and Human Rights: Territories in Dispute.Health and human rights · 2025Article
- Effect of Covid-19 pandemic on azithromycin, chloroquine/hydroxychloroquine and ivermectin outpatient consumption in Brazil: a joinpoint regression analysis.BMC public health · 2025Article
- Socioeconomic determinants potentially underlying differential global SARS-CoV-2 testing capacity: an ecological study.BMJ open · 2025Article
- Clinical outcomes of COVID-19 in patients with liver cirrhosis - a propensity-matched analysis from a multicentric Brazilian cohort.BMC infectious diseases · 2025Article
- Inequities in COVID-19 morbidity in Brazil: the influence of demographic and socioeconomic characteristics and preexisting health conditions.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025Article
- [Decisions of state governments and the impacts on health care for older adults during the COVID-19 pandemic in the Brazilian Northeast].Cadernos de saude publica · 2025Article
- Article
- Spatial and socioeconomic patterns of COVID-19 in transition zones between municipalities in eastern Amazonia.Frontiers in public health · 2025Article
- Impact of emergency financial support program on testing demand, SARS-CoV-2 prevalence, and social isolation during COVID-19 outbreak in Brazil: a quasi-experimental study.BMC public health · 2024Article
- Reckoning with COVID-19 denial: Brazil's exemplary model for global response.World journal of methodology · 2024Article
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7 authors.
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Abstract
Background: Brazil has been severely impacted by COVID-19 pandemics that is aggravated by the absence of a scientifically-driven coordinated informative campaign and the interference in public health management, which ultimately affected health measures to avoid SARS-CoV2 spread. The decentralization and resultant conflicts in disease control activities produced different protection behaviours and local government measures. In the present study, we investigated how political partisanship and socio-economic factors determined the outcome of COVID-19 at the local level in Brazil. Methods: A retrospective study of COVID-19 deaths was carried out using mortality databases between Feb 2020, and Jun 2021 for the 5570 Brazilian municipalities. Socio-economic parameters including city categories, income and inequality indexes, health service quality and partisanship, assessed by the result of the second round of the 2018 Brazilian presidential elections, were included. Regression tree analysis was carried out to identify the statistical significance and conditioning relationships of variables. Findings: Municipalities that supported then-candidate Jair Bolsonaro in the 2018 elections were those that had the worst COVID-19 mortality rates, mainly during the second epidemic wave of 2021. This pattern was observed even considering structural inequalities among cities. Interpretation: In general, the first phase of the pandemic hit large and central cities hardest, while the second wave mostly impacted Bolsonarian municipalities, where scientific denialism among the population was stronger. Negative effects of partisanship towards the right-wing on COVID-19 outcomes counterbalances favourable socioeconomic indexes in affluent Brazilian cities. Our results underscore the fragility of public health policies which were undermined by the scientific denialism of right-wing supporters in Brazil. Funding: International joint laboratories of
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