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[Association between schooling and mortality rate from dengue in Brazil]
Lucas Melo Guimarães1, Geraldo Marcelo da Cunha2, Iuri da Costa Leite2
1Fundação Municipal de Saúde, Teresina, Brasil.
Cadernos De Saude Publica
|October 4, 2023
Summary
Dengue mortality in Brazil disproportionately affects less educated individuals, with disparities widening between 2010-2018. Educational improvements did not reduce dengue deaths, particularly impacting younger, less educated populations.
Area of Science:
- Epidemiology
- Public Health
Context:
- Dengue fever poses a significant public health challenge globally.
- Socioeconomic factors, including education level, are suspected to influence dengue risk and outcomes.
- Brazil has experienced notable dengue outbreaks between 2010 and 2018.
Purpose:
- To investigate disparities in dengue mortality based on educational attainment in Brazil from 2010 to 2018.
- To analyze how dengue mortality rates differ between the least and most educated populations.
- To examine age, sex, and regional variations in these educational disparities.
Summary:
- This retrospective ecological study analyzed dengue mortality data in Brazil (2010-2018) using multilevel Poisson models.
- Despite overall educational improvements, dengue mortality rates increased, and the gap between less and more educated individuals widened.
- Higher dengue mortality was consistently observed among less educated populations, with a pronounced effect on younger individuals.
Impact:
- Findings highlight persistent educational disparities in dengue mortality, indicating that educational level is a critical social determinant of health.
- The study underscores the need for targeted public health interventions addressing educational inequalities to mitigate dengue's impact.
- Results suggest that educational attainment influences vulnerability to severe dengue outcomes, especially in younger demographics.
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