Skip to main content Skip to main navigation menu Skip to site footer
Highlight
Published: 18-12-2021

Analysis of the racial profile of women with COVID-19: a cross-sectional study about evolution to death of black women in the southeast region of Brazil

UNIRIO - Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
UNIRIO - Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
UNIRIO - Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
UNIRIO - Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
UNIRIO - Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
UNIRIO - Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
UNIRIO - Federal University of the State of Rio de Janeiro, Rio de Janeiro, Brazil
COVID-19 Women Brazil Deaths Health Status Disparities

Abstract

Introduction: The first coronavirus disease (COVID-19) case in Brazil was registered in December 2019. Since then, an important social situation has been highlighted. Black women correspond to the highest death rate, by group, in the Southeast even not occupying the highest percentage of diagnosis. This scenario was also experienced in other places around the world. Therefore, some questions must be highlighted, such as social and economic vulnerability of black population in brazilian territory, less access to health service and testing for Covid-19. Objective: This study analyzed the clinical picture and evolution - cure or death-of black women with COVID-19 in the Southeast region. In addition, consolidating knowledge about the factors that precede death in black women and comparing them with other race groups. Methods:  Cross-sectional study with data from the Ministry of Health's Severe Acute Respiratory Syndrome (SARS) from March to November 23, 2020, with a total number of women classified as level 5, with SARS caused by the virus SARS-Cov-2, equal to 33,991, being 21,551 white and 12,063 black. Results and Conclusion: Therefore, black women present themselves as a vulnerable group in relation to COVID-19. This group was less present in the ICU, but both groups, white and black women, had dyspnea as an aggravating factor. Considering those facts, it's possible that black women had less access, this would explain a greater number of deaths among this group compared to white women, which could signify a failure in the health care of this population. When analyzing deaths by age group, it is evident that white women followed the literature pattern - severe forms occur in patients over 65 years of age with comorbidities, while there was a rejuvenation of deaths among black women. It is a limitation of our study not to include comorbidities in the analysis. This situation becomes relevant for directing public policies that aim to reverse the factors associated with this situation. More studies are needed to elucidate the socioeconomic issues that support this outcome, seeking to reduce the number of deaths from COVID-19 in black women.

Metrics

Metrics Loading ...

References

  1. Li QH. Military Medical Research [Internet]. SARS-CoV-2: vaccines in the pandemic era - Military Medical Research; 6 jan 2021 [citado 11 set 2021]. Disponível em: https://doi.org/10.1186/s40779-020-00296-y
  2. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet [Internet]. Fev 2020 [citado 11 set 2021];395(10223):497-506. Disponível em: https://doi.org/10.1016/s0140-6736(20)30183-5
  3. Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo E, Villamizar-Peña R, Holguin-Rivera Y, Escalera-Antezana JP et al. Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis. Travel Medicine and Infectious Disease [Internet]. Mar 2020 [citado 11 set 2021];34:101623. Disponível em: https://doi.org/10.1016/j.tmaid.2020.101623
  4. Luis Petruccelli J, Lucia Saboia A. Características Étnico-Raciais Da População Classificações e Identidades [Internet]. Rio de Janeiro: IBGE; 2013 [citado 11 set 2021]. Disponível em: https://biblioteca.ibge.gov.br/visualizacao/livros/liv63405.pdf
  5. Milam AJ, Furr-Holden D, Edwards-Johnson J, Webb B, Patton JW, Ezekwemba NC, Porter L, Davis T, Chukwurah M, Webb AJ, Simon K, Franck G, Anthony J, Onuoha G, Brown IM, Carson JT, Stephens BC. Are Clinicians Contributing to Excess African American COVID-19 Deaths? Unbeknownst to Them, They May Be. Health Equity [Internet]. 1 abr 2020 [citado 11 set 2021];4(1):139-41. Disponível em: https://doi.org/10.1089/heq.2020.0015
  6. Einhorn E. African Americans may be dying from COVID-19 at a higher rate. Better data is essential, experts say [Internet]. NBC News. 2020 April [cited 2021 Sept]. Available from: https://www.nbcnews.com/news/nbcblk/african-americans-may-be-dying-covid-19-higher-rate-better-n1178011
  7. França DSN. Segregação racial em São Paulo: residências, redes pessoais e trajetórias urbanas de negros e brancos no século XXI [tese]. São Paulo: , Faculdade de Filosofia, Letras e Ciências Humanas; 2017 [citado 2021-09-11]. doi:10.11606/T.8.2018.tde-07022018-130452.
  8. Oliveira BM, Kubiak F. Racismo institucional e a saúde da mulher negra: uma análise da produção científica brasileira. Saúde em Debate [Internet]. Set 2019 [citado 11 set 2021];43(122):939-48. Disponível em: https://doi.org/10.1590/0103-1104201912222
  9. Prestes CR, Paiva VS. Abordagem psicossocial e saúde de mulheres negras: vulnerabilidades, direitos e resiliência. Saúde e Sociedade [Internet]. Set 2016 [citado 11 set 2021];25(3):673-88. Disponível em: https://doi.org/10.1590/s0104-129020162901
  10. Gautret P, Million M, Jarrot PA, Camoin-Jau L, Colson P, Fenollar F, Leone M, La Scola B, Devaux C, Gaubert JY, Mege JL, Vitte J, Melenotte C, Rolain JM, Parola P, Lagier JC, Brouqui P, Raoult D. Natural history of COVID-19 and therapeutic options. Expert Review of Clinical Immunology [Internet]. 1 dez 2020 [citado 11 set 2021];16(12):1159-84. Disponível em: https://doi.org/10.1080/1744666x.2021.1847640

How to Cite

Fonseca, M. S. R. da ., Almeida, F. D. G., Guimarães, G. M. M. O., Lima, F. H. P. C. de, Amaral, S. J. M., Tokumoto, T., & Belmonte, T. de S. A. (2021). Analysis of the racial profile of women with COVID-19: a cross-sectional study about evolution to death of black women in the southeast region of Brazil. MedNEXT Journal of Medical and Health Sciences, 2(6). https://doi.org/10.54448/mdnt21636