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10.1093/eurpub/ckab036

http://scihub22266oqcxt.onion/10.1093/eurpub/ckab036
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33723606!7989252!33723606
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suck abstract from ncbi


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pmid33723606      Eur+J+Public+Health 2021 ; 31 (5): 1069-1075
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  • Evolution of inequalities in the coronavirus pandemics in Portugal: an ecological study #MMPMID33723606
  • Alves J; Soares P; Rocha JV; Santana R; Nunes C
  • Eur J Public Health 2021[Oct]; 31 (5): 1069-1075 PMID33723606show ga
  • BACKGROUND: Previous literature shows systematic differences in health according to socioeconomic status (SES). However, there is no clear evidence that the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection might be different across SES in Portugal. This work identifies the coronavirus disease 2019 (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: 1 April, 1 May, 1 June, and 1 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 1 April [adjusted odds ratio (AOR) = 0.36 (0.14-0.91)], 1 May [AOR = 0.03 (0.00-0.41)] and 1 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.
  • |*COVID-19[MESH]
  • |*Pandemics[MESH]
  • |Humans[MESH]
  • |Portugal/epidemiology[MESH]
  • |Prevalence[MESH]


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