Projeções populacionais por sexo e idade para pequenas áreas no Brasil

Freire, Flávio Henrique Miranda de Araújo; Gonzaga, Marcos Roberto; Gomes, Marília Miranda Forte

doi:10.31406/relap2020.v14.i1.n26.6

Cited by 21 publications

(21 citation statements)

References 13 publications

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“…Mortality rates per 100 000 inhabitants were calculated dividing the number of deaths of a specific condition by the estimated population of each capital in the same year. 13 14 Mortality rates herein reported were not age-standardised.…”

Section: Methodsmentioning

confidence: 99%

Excess of cardiovascular deaths during the COVID-19 pandemic in Brazilian capital cities

Brant

Nascimento

Teixeira

et al. 2020

Heart

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IntroductionDuring the COVID-19 pandemic, excess mortality has been reported, while hospitalisations for acute cardiovascular events reduced. Brazil is the second country with more deaths due to COVID-19. We aimed to evaluate excess cardiovascular mortality during COVID-19 pandemic in 6 Brazilian capital cities.MethodsUsing the Civil Registry public database, we evaluated total and cardiovascular excess deaths, further stratified in specified cardiovascular deaths (acute coronary syndromes and stroke) and unspecified cardiovascular deaths in the 6 Brazilian cities with greater number of COVID-19 deaths (São Paulo, Rio de Janeiro, Fortaleza, Recife, Belém, Manaus). We compared observed with expected deaths from epidemiological weeks 12–22 of 2020. We also compared the number of hospital and home deaths during the period.ResultsThere were 65 449 deaths and 17 877 COVID-19 deaths in the studied period and cities for 2020. Cardiovascular mortality increased in most cities, with greater magnitude in the Northern capitals. However, while there was a reduction in specified cardiovascular deaths in the most cities, the Northern capitals showed an increase of these events. For unspecified cardiovascular deaths, there was a marked increase in all cities, which strongly correlated to the rise in home deaths (r=0.86, p=0.01).ConclusionExcess cardiovascular mortality was greater in the less developed cities, possibly associated with healthcare collapse. Specified cardiovascular deaths decreased in the most developed cities, in parallel with an increase in unspecified cardiovascular and home deaths, presumably as a result of misdiagnosis. Conversely, specified cardiovascular deaths increased in cities with a healthcare collapse.

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Section: Methodsmentioning

confidence: 99%

Excess of cardiovascular deaths during the COVID-19 pandemic in Brazilian capital cities

Brant

Nascimento

Teixeira

et al. 2020

Heart

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“…Considering the legal deadlines for sending information 7 , the set of deaths between March 1 to May 31, 2019 and 2020 was considered, with data obtained on June 30, 2020. Municipal population projections by gender and age range calculated by Freire et al 8 were employed.…”

Section: Methodsmentioning

confidence: 99%

Excesso de mortalidade no Brasil em tempos de COVID-19

Silva

Jardim

Santos

2020

Ciênc. saúde coletiva

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Resumo Tendo em vista o crescente número de óbitos pela pandemia de COVID-19 no país, o presente trabalho apresenta análise descritiva inicial e exploratória sobre o excesso de mortalidade observado nos meses de março a maio de 2020 nas capitais e nos demais municípios do país. A fonte de dados utilizada foi o registro de óbitos pelos Cartórios de Registro Civil. Os dados foram desagregados por capitais e demais municípios das 26 unidades federativas e do Distrito Federal segundo sexo. A razão de mortalidade ajustada para o ano de 2020 foi calculada tendo como padrão os coeficientes de mortalidade do ano de 2019. Os resultados indicaram excesso de 39.146 óbitos para o período estudado, sendo maior entre homens do que nas mulheres. Esse aumento foi maior nas capitais das regiões Norte, Nordeste e Sudeste. Nos demais municípios dessas regiões o incremento foi observado em maio, indicando possível interiorização da transmissão da COVID-19. Evidencia-se a necessidade de se aprimorar a detecção e o registro de casos para viabilizar o monitoramento eficiente da pandemia.

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“…Data on population count, income, race, and age distribution are gathered at the census tract level. Population counts are then updated based on municipal-level demographic projections for 2020, published by Freire et al (2020) . The total projected population of each city in 2020 was distributed across census tracts assuming that the population's relative distribution by district and age cohort of each sector remained constant between 2010 and 2020.…”

Section: Datamentioning

confidence: 99%

Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach

Pereira

Braga

Servo

et al. 2021

Social Science & Medicine

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The rapid spread of COVID-19 across the world has raised concerns about the responsiveness of cities and healthcare systems during pandemics. Recent studies try to model how the number of COVID-19 infections will likely grow and impact the demand for hospitalization services at national and regional levels. However, less attention has been paid to the geographic access to COVID-19 healthcare services and to hospitals’ response capacity at the local level, particularly in urban areas in the Global South. This paper shows how transport accessibility analysis can provide actionable information to help improve healthcare coverage and responsiveness. It analyzes accessibility to COVID-19 healthcare at high spatial resolution in the 20 largest cities of Brazil. Using network-distance metrics, we estimate the vulnerable population living in areas with poor access to healthcare facilities that could either screen or hospitalize COVID-19 patients. We then use a new balanced floating catchment area (BFCA) indicator to estimate spatial, income, and racial inequalities in access to hospitals with intensive care unit (ICU) beds and mechanical ventilators while taking into account congestion effects. Based on this analysis, we identify substantial social and spatial inequalities in access to health services during the pandemic. The availability of ICU equipment varies considerably between cities, and it is substantially lower among black and poor communities. The study maps territorial inequalities in healthcare access and reflects on different policy lessons that can be learned for other countries based on the Brazilian case.

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Projeções populacionais por sexo e idade para pequenas áreas no Brasil

Cited by 21 publications

References 13 publications

Excess of cardiovascular deaths during the COVID-19 pandemic in Brazilian capital cities

Excess of cardiovascular deaths during the COVID-19 pandemic in Brazilian capital cities

Excesso de mortalidade no Brasil em tempos de COVID-19

Geographic access to COVID-19 healthcare in Brazil using a balanced float catchment area approach

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