Association between COVID-19 diagnosis and economic class, race/skin color and social distancing in Brazilian university students
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2021.185857Keywords:
SARS-CoV-2, Economic status, Ethnicity, RaceAbstract
Purpose: To determine the association between diagnosis of COVID-19 and the economic class, race/skin color, and adherence to social distancing in Brazilian university students. Methods: This is a nationwide cross-sectional study carried out with online questionnaires applied to Brazilian university students, at 94 universities in the public and private education network. Self-reported age, sex, economic class data, race/skin color, COVID-19 diagnosis, and adherence to social distancing measures were collected. Results: 5,984 individuals were evaluated. No significant association was found between the diagnosis of COVID-19 and economic class and race/skin color in the multivariable analysis. However, we observed that there were significant associations between the diagnosis of COVID-19 and partial adherence to social distancing, with leaving home only for going to work (PR: 1.35; 95% CI: 1.10–1.66; p < 0.01) and with non-adherence to social distancing (PR: 1.96; 95% CI: 1.29–2.97; p <0.01). Conclusion: The diagnosis of COVID-19 was associated with age, non-adherence and partial adherence to social distancing measures in Brazilian university students, but was not associated with race/skin color and economic class.
Downloads
References
WHO. Declaration of Public Health Emergency of International Concern, https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen; 2020 [Accessed January 2021].
Teich VD, Klajner S, Almeida FAS, Dantas ACB, Laselva CR, Torritesi, MG, et al. Epidemiologic and clinical features of patients with COVID-19 in Brazil. Einstein 2020;18:1-7.
Mohapatra RK, Pintilie L, Kandi V, Sarangi, AK, Das D, Sahu R, et al. The recent challenges of highly contagious COVID-19, causing respiratory infections: Symptoms, diagnosis, transmission, possible vaccines, animal models, and immunotherapy. Chem Biol Drug Des 2020;96:1187-1208.
Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun 2020;109:102433.
Marson FAL, Ortega MM. COVID-19 in Brazil. Pulmonology 2020;26:241-244.
Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med 2020;27:taaa020.
Bong CL, Brasher C, Chikumba E, McDougall R, Mellin-Olsen J, Enright A. The COVID-19 Pandemic: Effects on Low- and Middle-Income Countries. Anesth Analg 2020;131:86-92.
Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The Socio-Economic Implications of the Coronavirus and COVID-19 Pandemic: A Review. Int J Surg 2020;78:185-193.
Amaral-Prado HM, Borghi F, Mello TMVF, Grassi-Kassisse DM. The impact of confinement in the psychosocial behaviour due COVID-19 among members of a Brazilian university. Int J Soc Psychiatry Published Online First: 8 November 2020. doi: 10.1177/0020764020971318
Carlson ER. COVID-19 and Educational Engagement. J Oral Maxillofac Surg 2020;78:1049-1051.
Brasil. Ministério da Saúde. Painel de casos de doença pelo coronavírus 2019 (COVID-19) no Brasil, 2020 https://covid.saude.gov.br [Accessed January 2021].
Instituto Nacional de Pesquisas Educacionais Anísio Teixeira. Sinopse Estatística da Educação Superior 2018. Brasília: INEP; 2019.
IBGE – Instituto Brasileiro de Geografia e Estatística. Censo Demográfico 2010. Resultados gerais da amostra. Rio de Janeiro: IBGE; 2012.
Associação Brasileira de Empresas de Pesquisas. Critérios de classificação econômica Brasil. São Paulo: ABEP; 2020.
Demenech LM, Dumith SC, Vieira MECD, Neiva-Silva, L. Income inequality and risk of infection and death by COVID-19 in Brazil. Rev Bras Epidemiol Published Online First: 05 October 2020. doi: 10.1590/1980-549720200095
Bambra C, Riordan R, Ford J, Matthews F. The COVID-19 pandemic and health inequalities. J Epidemiol Community Health 2020;74:964-968.
Souza CDF, Machado MF, Carmo RF. Human development, social vulnerability and COVID-19 in Brazil: a study of the social determinants of health. Infect Dis Poverty 2020;9:124.
Papageorge NW, Zahn M, Belot M, Broek-Altenburg EV, Choi S, Jamison JC, et al. Socio-demographic factors associated with self-protecting behavior during the Covid-19 pandemic. J Popul Econ Published Online First: 14 January 2021. doi: 10.1007/s00148-020-00818-x
Koo JR, Cook AR, Park M, Sun Y, Sun H, Lim JT, et al. Interventions to mitigate early spread of SARS-CoV-2 in Singapore: a modelling study. Lancet Infect Dis 2020;20:678-688.
Lewnard JA, Lo NC. Scientific and ethical basis for social-distancing interventions against COVID-19. Lancet Infect Dis 2020;20:631-633.
Villela EFM, López, RVM, Sato APS, Oliveira FM, Waldman EA, Van den Bergh R, et al. COVID-19 outbreak in Brazil: adherence to national preventive measures and impact on people’s lives, an online survey. BMC Public Health 2020;21:152.
Hallal PC, Hartwig FP, Horta BL, Silveira MF, Struchiner CJ, Vidaletti, LP, et al. SARS-CoV-2 antibody prevalence in Brazil: results from two successive nationwide serological household surveys. Lancet Glob Health 2020;8:1390-1398.
Mathur R, Rentsch CT, Morton CE, Hulme WJ, Schultze A, MacKenna B et al. Ethnic differences in SARS-CoV-2 infection and COVID-19-related hospitalisation, intensive care unit admission, and death in 17 million adults in England: an observational cohort study using the OpenSAFELY platform. Lancet 2021;397(10286):1711–1724.
Ditekemena JD, Nkamba DM, Muhindo HM, Siewe JNF, Luhata C, Van der Bergh R et al. Factors associated with adherence to COVID-19 prevention measures in the Democratic Republic of the Congo (DRC): results of an online survey. BMJ Open 2021;11:e043356.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 André Eduardo da Silva Júnior, Mateus de Lima Macena, Isabele Rejane de Oliveira Maranhão Pureza, Ana Debora Santos de Oliveira, Dafiny Rodrigues Silva Praxedes, Telma Maria Toledo de Menezes Florêncio, Ana Paula Grotti Clemente, Nassib Bezerra Bueno

This work is licensed under a Creative Commons Attribution 4.0 International License.
How to Cite
Funding data
-
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Grant numbers 88887.480702/2020-00;23065.005919/2021-75;88887.465281/2019-00