Evolution of inequalities in the coronavirus pandemics in Portugal

Detalhes bibliográficos
Autor(a) principal: Alves, Joana
Data de Publicação: 2021
Outros Autores: Soares, Patrícia, Rocha, João Victor, Santana, Rui, Nunes, Carla
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: http://hdl.handle.net/10362/114862
Resumo: © The Author(s) (2021). Published by Oxford University Press on behalf of the European Public Health Association.
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spelling Evolution of inequalities in the coronavirus pandemics in Portugalan ecological studySDG 3 - Good Health and Well-being© The Author(s) (2021). Published by Oxford University Press on behalf of the European Public Health Association.BACKGROUND: Previous literature shows systematic differences in health according to socioeconomic status (SES). However, there is no clear evidence that the SARS-CoV-2 infection might be different across SES in Portugal. This work identifies the COVID-19 worst-affected municipalities at four different time points in Portugal measured by prevalence of cases, and seeks to determine if these worst-affected areas are associated with SES. METHODS: The worst-affected areas were defined using the spatial scan statistic for the cumulative number of cases per municipality. The likelihood of being in a worst-affected area was then modelled using logistic regressions, as a function of area-based SES and health services supply. The analyses were repeated at four different time points of the COVID-19 pandemic: 1st of April, 1st of May, 1st of June, and 1st of July, corresponding to two moments before and during the confinement period and two moments thereafter. RESULTS: Twenty municipalities were identified as worst-affected areas in all four time points, most in the coastal area in the Northern part of the country. The areas of lower unemployment were less likely to be a worst-affected area on the 1st of April [AOR = 0.36 (0.14; 0.91)], on the 1st of May [AOR = 0.03 (0.00; 0.41)], and on the 1st of July [AOR = 0.40 (0.16; 1.05)]. CONCLUSION: This study shows a relationship between being in a worst-affected area and unemployment. Governments and public health authorities should formulate measures and be prepared to protect the most vulnerable groups.Escola Nacional de Saúde Pública (ENSP)Centro de Investigação em Saúde Pública (CISP/PHRC)Comprehensive Health Research Centre (CHRC) - Pólo ENSPRUNAlves, JoanaSoares, PatríciaRocha, João VictorSantana, RuiNunes, Carla2021-04-01T22:18:20Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/114862eng1101-1262PURE: 28939193https://doi.org/10.1093/eurpub/ckab036info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-22T17:51:37Zoai:run.unl.pt:10362/114862Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T17:22:43.881767Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Evolution of inequalities in the coronavirus pandemics in Portugal
an ecological study
title Evolution of inequalities in the coronavirus pandemics in Portugal
spellingShingle Evolution of inequalities in the coronavirus pandemics in Portugal
Alves, Joana
SDG 3 - Good Health and Well-being
title_short Evolution of inequalities in the coronavirus pandemics in Portugal
title_full Evolution of inequalities in the coronavirus pandemics in Portugal
title_fullStr Evolution of inequalities in the coronavirus pandemics in Portugal
title_full_unstemmed Evolution of inequalities in the coronavirus pandemics in Portugal
title_sort Evolution of inequalities in the coronavirus pandemics in Portugal
author Alves, Joana
author_facet Alves, Joana
Soares, Patrícia
Rocha, João Victor
Santana, Rui
Nunes, Carla
author_role author
author2 Soares, Patrícia
Rocha, João Victor
Santana, Rui
Nunes, Carla
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Escola Nacional de Saúde Pública (ENSP)
Centro de Investigação em Saúde Pública (CISP/PHRC)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
RUN
dc.contributor.author.fl_str_mv Alves, Joana
Soares, Patrícia
Rocha, João Victor
Santana, Rui
Nunes, Carla
dc.subject.por.fl_str_mv SDG 3 - Good Health and Well-being
topic SDG 3 - Good Health and Well-being
description © The Author(s) (2021). Published by Oxford University Press on behalf of the European Public Health Association.
publishDate 2021
dc.date.none.fl_str_mv 2021-04-01T22:18:20Z
2021
2021-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/114862
url http://hdl.handle.net/10362/114862
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1101-1262
PURE: 28939193
https://doi.org/10.1093/eurpub/ckab036
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dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
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