tetano
Editor, Senior Moderator
Rev Saude Publica
. 2020;54:50.
doi: 10.11606/s1518-8787.2020054002596. Epub 2020 May 20.
Adults at High-Risk of Severe Coronavirus disease-2019 (Covid-19) in Brazil
Leandro F M Rezende[SUP] 1 [/SUP], Beatriz Thome[SUP] 1 [/SUP], Mariana Cabral Schveitzer[SUP] 1 [/SUP], Paulo Roberto Borges de Souza-J?nior[SUP] 2 [/SUP], C?lia Landmann Szwarcwald[SUP] 2 [/SUP]
Affiliations
Abstract
OBJECTIVE To estimate the proportion and total number of the general adult population who may be at higher risk of severe Covid-19 in Brazil. METHODS We included 51,770 participants from a nationally representative, household-based health survey (PNS) conducted in Brazil. We estimated the proportion and number of adults (≥ 18 years) at risk of severe Covid-19 by sex, educational level, race/ethnicity, and state based on the presence of one or more of the following risk factors: age ≥ 65 years or medical diagnosis of cardiovascular disease, diabetes, hypertension, chronic respiratory disease, cancer, stroke, chronic kidney disease and moderate to severe asthma, smoking status, and obesity. RESULTS Adults at risk of severe Covid-19 in Brazil varied from 34.0% (53 million) to 54.5% (86 million) nationwide. Less-educated adults present a 2-fold higher prevalence of risk factors compared to university graduated. We found no differences by sex and race/ethnicity. S?o Paulo, Rio de Janeiro, Minas Gerais, and Rio Grande do Sul were the most vulnerable states in absolute and relative terms of adults at risk. CONCLUSIONS Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. These findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited.
. 2020;54:50.
doi: 10.11606/s1518-8787.2020054002596. Epub 2020 May 20.
Adults at High-Risk of Severe Coronavirus disease-2019 (Covid-19) in Brazil
Leandro F M Rezende[SUP] 1 [/SUP], Beatriz Thome[SUP] 1 [/SUP], Mariana Cabral Schveitzer[SUP] 1 [/SUP], Paulo Roberto Borges de Souza-J?nior[SUP] 2 [/SUP], C?lia Landmann Szwarcwald[SUP] 2 [/SUP]
Affiliations
- PMID: 32491091
- DOI: 10.11606/s1518-8787.2020054002596
Abstract
OBJECTIVE To estimate the proportion and total number of the general adult population who may be at higher risk of severe Covid-19 in Brazil. METHODS We included 51,770 participants from a nationally representative, household-based health survey (PNS) conducted in Brazil. We estimated the proportion and number of adults (≥ 18 years) at risk of severe Covid-19 by sex, educational level, race/ethnicity, and state based on the presence of one or more of the following risk factors: age ≥ 65 years or medical diagnosis of cardiovascular disease, diabetes, hypertension, chronic respiratory disease, cancer, stroke, chronic kidney disease and moderate to severe asthma, smoking status, and obesity. RESULTS Adults at risk of severe Covid-19 in Brazil varied from 34.0% (53 million) to 54.5% (86 million) nationwide. Less-educated adults present a 2-fold higher prevalence of risk factors compared to university graduated. We found no differences by sex and race/ethnicity. S?o Paulo, Rio de Janeiro, Minas Gerais, and Rio Grande do Sul were the most vulnerable states in absolute and relative terms of adults at risk. CONCLUSIONS Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. These findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited.