COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022)

ABSTRACT Objective: To estimate the prevalence of COVID-19 diagnosis and hospital admissions, and to evaluate their correlates in a nationwide Brazilian sample. Methods: A cross-sectional study was carried out with secondary data from the Telephone Survey of Risk Factors for Chronic Noncommunicabl...

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Main Authors: Renato Teixeira, Sofia Reinach, Fátima Marinho, Pedro Hallal, Fernando César Wehrmeister, Eduardo Ribes Kohn, Érika Carvalho de Aquino, Pedro de Paula, Luciana Monteiro Vasconcelos Sardinha
Format: Article
Language:English
Published: Associação Brasileira de Pós-Graduação em Saúde Coletiva 2024-11-01
Series:Revista Brasileira de Epidemiologia
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2024000100447&lng=en&tlng=en
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author Renato Teixeira
Sofia Reinach
Fátima Marinho
Pedro Hallal
Fernando César Wehrmeister
Eduardo Ribes Kohn
Érika Carvalho de Aquino
Pedro de Paula
Luciana Monteiro Vasconcelos Sardinha
author_facet Renato Teixeira
Sofia Reinach
Fátima Marinho
Pedro Hallal
Fernando César Wehrmeister
Eduardo Ribes Kohn
Érika Carvalho de Aquino
Pedro de Paula
Luciana Monteiro Vasconcelos Sardinha
author_sort Renato Teixeira
collection DOAJ
description ABSTRACT Objective: To estimate the prevalence of COVID-19 diagnosis and hospital admissions, and to evaluate their correlates in a nationwide Brazilian sample. Methods: A cross-sectional study was carried out with secondary data from the Telephone Survey of Risk Factors for Chronic Noncommunicable Diseases in Times of Pandemic – Covitel 2022. The Covitel study uses cluster sampling, carried out through random digit dialing on landlines and cell phones, among people aged 18 years or over. The outcome of the “diagnosis of COVID-19” was based on a self-report of a confirmed case through laboratory tests or medical diagnoses. Those who reported COVID-19 were asked about the need for hospital admission due to COVID-19. Independent variables included sex, age, level of education, region, comorbidity, private health insurance plan, self-rated health, and employment status. The odds ratio was estimated using logistic regression models considering the complex sample design. Results: From the sample of 9000 people, the prevalence of COVID-19 diagnosis was 25.4% (95%CI 23.8–27.1%), ranging from 23.0% (95%CI 20.0–26.3%) in the Northeast region to 28.5% (95%CI 25.3–31.7%) in the South region. Middle-aged adults (35–44 years old) had the highest prevalence of COVID-19 diagnosis. The higher the level of education, the higher the prevalence of COVID-19 diagnosis. Conclusion: The prevalence of COVID-19 diagnosis is markedly different from that of SARS-CoV-2 infection at the population level. Socioeconomic differences in access to testing are the likely explanation. Older adults and people with comorbidities were more likely to be admitted to hospital due to COVID-19 in Brazil.
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spelling doaj-art-fff3db4bc6f54a1aaa9e415024d444c12024-12-17T07:46:13ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972024-11-012710.1590/1980-549720240052COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022)Renato Teixeirahttps://orcid.org/0000-0002-1259-6812Sofia Reinachhttps://orcid.org/0000-0003-1957-8243Fátima Marinhohttps://orcid.org/0000-0003-3287-9163Pedro Hallalhttps://orcid.org/0000-0003-1470-6461Fernando César Wehrmeisterhttps://orcid.org/0000-0001-7137-1747Eduardo Ribes Kohnhttps://orcid.org/0000-0001-9072-4536Érika Carvalho de Aquinohttps://orcid.org/0000-0002-5659-0308Pedro de Paulahttps://orcid.org/0000-0002-6633-368XLuciana Monteiro Vasconcelos Sardinhahttps://orcid.org/0000-0002-3679-3618ABSTRACT Objective: To estimate the prevalence of COVID-19 diagnosis and hospital admissions, and to evaluate their correlates in a nationwide Brazilian sample. Methods: A cross-sectional study was carried out with secondary data from the Telephone Survey of Risk Factors for Chronic Noncommunicable Diseases in Times of Pandemic – Covitel 2022. The Covitel study uses cluster sampling, carried out through random digit dialing on landlines and cell phones, among people aged 18 years or over. The outcome of the “diagnosis of COVID-19” was based on a self-report of a confirmed case through laboratory tests or medical diagnoses. Those who reported COVID-19 were asked about the need for hospital admission due to COVID-19. Independent variables included sex, age, level of education, region, comorbidity, private health insurance plan, self-rated health, and employment status. The odds ratio was estimated using logistic regression models considering the complex sample design. Results: From the sample of 9000 people, the prevalence of COVID-19 diagnosis was 25.4% (95%CI 23.8–27.1%), ranging from 23.0% (95%CI 20.0–26.3%) in the Northeast region to 28.5% (95%CI 25.3–31.7%) in the South region. Middle-aged adults (35–44 years old) had the highest prevalence of COVID-19 diagnosis. The higher the level of education, the higher the prevalence of COVID-19 diagnosis. Conclusion: The prevalence of COVID-19 diagnosis is markedly different from that of SARS-CoV-2 infection at the population level. Socioeconomic differences in access to testing are the likely explanation. Older adults and people with comorbidities were more likely to be admitted to hospital due to COVID-19 in Brazil.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2024000100447&lng=en&tlng=enEpidemiological surveillanceCOVID-19 TestingAdultBrazil
spellingShingle Renato Teixeira
Sofia Reinach
Fátima Marinho
Pedro Hallal
Fernando César Wehrmeister
Eduardo Ribes Kohn
Érika Carvalho de Aquino
Pedro de Paula
Luciana Monteiro Vasconcelos Sardinha
COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022)
Revista Brasileira de Epidemiologia
Epidemiological surveillance
COVID-19 Testing
Adult
Brazil
title COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022)
title_full COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022)
title_fullStr COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022)
title_full_unstemmed COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022)
title_short COVID-19 diagnosis and hospital admissions in Brazil: a countrywide survey (Covitel, 2022)
title_sort covid 19 diagnosis and hospital admissions in brazil a countrywide survey covitel 2022
topic Epidemiological surveillance
COVID-19 Testing
Adult
Brazil
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2024000100447&lng=en&tlng=en
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