Excess mortality during the COVID-19 pandemic and its spatial distribution in the state of Pernambuco, Brazil: an ecological study.

IF 2.5 Q1 Multidisciplinary
Epidemiologia e Servicos de Saude Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024v33e20231014.en
Letícia Moreira Silva, Amanda Priscila de Santana Cabral Silva, Maria Helena Rodrigues Galvão, Ana Lúcia Andrade da Silva, Lívia Teixeira de Souza Maia
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引用次数: 0

Abstract

Objective: To investigate excess mortality during the COVID-19 pandemic and its spatial distribution in Pernambuco, Brazil.

Methods: This was an ecological, descriptive and analytical study of deaths, by municipality, recorded on the Mortality Information System, in 2020 and 2021. Excess mortality was measured by comparing observed and expected deaths, the latter estimated by calculating standardized mortality ratio (SMR). SMR and respective confidence intervals (95%CI) were calculated. Spatial analysis was performed by calculating the Global and Local Moran Index.

Results: Excess mortality was 20.6% and 27.5%, respectively, in 2020 and 2021, with positive spatial correlation (p-value < 0.05). More populous municipalities (2020: SMR = 1.26; 95%CI 1.24;1.27 and 2021: SMR = 1.34; 95%CI 1.32;1.34), more developed municipalities (2020: SMR = 1.43; 95%CI 1.41;1.44 and 2021: SMR = 1.51;95%CI 1.50;1.53) and municipalities in the Sertão region (2020:SMR = 1.31;95%CI 1.30;1.33 and 2021: SMR = 1.44; 95%CI 1.42;1.46) showed greater excess deaths.

Conclusion: Excess mortality coincided with peak periods of COVID-19 transmission.

COVID-19 大流行期间的超高死亡率及其在巴西伯南布哥州的空间分布:一项生态研究。
目的:调查 COVID-19 大流行期间巴西伯南布哥州的超额死亡率及其空间分布情况:调查 COVID-19 大流行期间巴西伯南布哥州的超额死亡率及其空间分布情况:这是一项生态学、描述性和分析性研究,研究对象是 2020 年和 2021 年死亡率信息系统记录的各市死亡人数。超额死亡率通过比较观察到的死亡人数和预期死亡人数来衡量,后者通过计算标准化死亡率(SMR)来估算。计算了标准死亡率和各自的置信区间(95%CI)。通过计算全球和地方莫兰指数进行空间分析:2020年和2021年的超额死亡率分别为20.6%和27.5%,具有正空间相关性(p值<0.05)。人口较多的城市(2020 年:SMR = 1.26; 95%CI 1.24;1.27 和 2021 年:SMR = 1.34; 95%CI 1.32;1.34)、较发达的城市(2020 年:SMR = 1.43; 95%CI 1.41;1.44 和 2021 年:SMR = 1.51;95%CI 1.50;1.53)和塞尔唐地区的城市(2020:SMR = 1.31;95%CI 1.30;1.33和2021:SMR = 1.44; 95%CI 1.42;1.46)的超额死亡率更高:超额死亡率与 COVID-19 传播的高峰期相吻合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Epidemiologia e Servicos de Saude
Epidemiologia e Servicos de Saude PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.90
自引率
0.00%
发文量
88
审稿时长
21 weeks
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