22/11/2021 - 09:00 - 18:00
PE20 - Epidemiologia das doenças transmissíveis - Covid-19 (TODOS OS DIAS) |
37222 - COVID-19 INFECTION AND HOSPITALIZATION ACCORDING TO THE BURDEN OF CHRONIC NON-COMMUNICABLE
FABIANA FERRAZ - USP, ISABELA VENANCIO - USP, LARISSA NOVAIS DA SILVA LOPES - USP, WOLNEY LISBOA CONDE - USP, CATARINA MACHADO AZEREDO - UFU
Chronic diseases, worse socioeconomic conditions and old age can increase infection and hospitalization rate due to Coronavirus disease (COVID-19). Methods: We assessed the association between the burden of NCDs and the occurrence of infections and hospitalizations of COVID-19 in Brazil in a large COVID-19 national survey data. We analyzed only data collected between July and November 2020 (n = 1,071,782). The frequencies of positive COVID-19 diagnosis and NCD burden were estimated according to age, sex, socioeconomic strata and skin color categories. We estimated hazard ratios and 95% confidence intervals using Cox regression models. Results: There is a non-linear dose-response inverse association between per capita income and the rates of infection and hospitalization due to COVID-19. The presence of NCDs was associated with a higher incidence of COVID-19 infection (HR1NCD = 1.34; 95% CI: 1.26; 1.43; HR2 or more NCD= 1.54 95% CI: 1.39; 1.71) and incidence of hospitalization (HR1NCD = 3.08 95% CI: 2.26; 4.19; HR 2or more NCD= 6.81 95% CI: 4.88; 9.49).The difference between the risks of infection or hospitalization of COVID-19 attributable to the burden of NCDs is non-linearly associated with the income. Conclusion: The burden of NCDs increases the risk of infection and hospitalization by COVID-19. This is troublesome in a context of increasing social and health inequalities as in Brazil.
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