COVID-19 mortality among international migrants in Brazil: spatio-temporal analysis, 2020-2022.

IF 2.5 Q1 Multidisciplinary

Epidemiologia e Servicos de Saude Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI:10.1590/S2237-96222024V33E2024631.EN

João Roberto Cavalcante, Anete Trajman, Eduardo Faerstein

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Abstract

Objective: To describe the mortality profile and analyze the spatiotemporal distribution of COVID-19 mortality among international migrants residing in Brazil from 2020 to 2022.

Methods: This is a descriptive and ecological cross-sectional study using secondary data. Absolute and relative frequencies of the sociodemographic profile and mortality coefficients (MCs) were analyzed. Excess risk and global and local spatial autocorrelation were calculated.

Results: A total of 7,737 deaths were recorded during the period, with the highest frequency in 2021 (3,952). Brazil's overall MC was 515/100,000, with higher MCs in the Southeast (751/100,000) and Midwest (525/100,000) macroregions. The predominant death profile was for males (5,041); those aged ≥ 81 years (3,612); those of White race/skin color (5,685); married (3,406); born in Portugal (2,437). Global spatial autocorrelation was identified in 2022, and local spatial autocorrelation throughout the period.

Conclusion: The high MC indicates a need for health policy interventions in regions with high migrant population concentrations.

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