Add wos sample results library

02-data/intermediate/wos_sample/e380555079bc5bfd50e53f4075a21c8b-rocha-rudi-and-atun/info.yaml

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+abstract: 'Background COVID-19 spread rapidly in Brazil despite the country''s well
+
+  established health and social protection systems. Understanding the
+
+  relationships between health-system preparedness, responses to COVID-19,
+
+  and the pattern of spread of the epidemic is particularly important in a
+
+  country marked by wide inequalities in socioeconomic characteristics
+
+  (eg, housing and employment status) and other health risks (age
+
+  structure and burden of chronic disease).
+
+  Methods From several publicly available sources in Brazil, we obtained
+
+  data on health risk factors for severe COVID-19 (proportion of the
+
+  population with chronic disease and proportion aged >= 60 years),
+
+  socioeconomic vulnerability (proportions of the population with housing
+
+  vulnerability or without formal work), health-system capacity (numbers
+
+  of intensive care unit beds and physicians), coverage of health and
+
+  social assistance, deaths from COVID-19, and state-level responses of
+
+  government in terms of physical distancing policies. We also obtained
+
+  data on the proportion of the population staying at home, based on
+
+  locational data, as a measure of physical distancing adherence. We
+
+  developed a socioeconomic vulnerability index (SVI) based on household
+
+  characteristics and the Human Development Index. Data were analysed at
+
+  the state and municipal levels. Descriptive statistics and correlations
+
+  between state-level indicators were used to characterise the
+
+  relationship between the availability of health-care resources and
+
+  socioeconomic characteristics and the spread of the epidemic and the
+
+  response of governments and populations in terms of new investments,
+
+  legislation, and physical distancing. We used linear regressions on a
+
+  municipality-by-month dataset from February to October, 2020, to
+
+  characterise the dynamics of COVID-19 deaths and response to the
+
+  epidemic across municipalities.
+
+  Findings The initial spread of COVID-19 was mostly affected by patterns
+
+  of socioeconomic vulnerability as measured by the SVI rather than
+
+  population age structure and prevalence of health risk factors. The
+
+  states with a high (greater than median) SVI were able to expand
+
+  hospital capacity, to enact stringent COVID-19-related legislation, and
+
+  to increase physical distancing adherence in the population, although
+
+  not sufficiently to prevent higher COVID-19 mortality during the initial
+
+  phase of the epidemic compared with states with a low SVI. Death rates
+
+  accelerated until June, 2020, particularly in municipalities with the
+
+  highest socioeconomic vulnerability. Throughout the following months,
+
+  however, differences in policy response converged in municipalities with
+
+  lower and higher SVIs, while physical distancing remained relatively
+
+  higher and death rates became relatively lower in the municipalities
+
+  with the highest SVIs compared with those with lower SVIs.
+
+  Interpretation In Brazil, existing socioeconomic inequalities, rather
+
+  than age, health status, and other risk factors for COVID-19, have
+
+  affected the course of the epidemic, with a disproportionate adverse
+
+  burden on states and municipalities with high socioeconomic
+
+  vulnerability. Local government responses and population behaviour in
+
+  the states and municipalities with higher socioeconomic vulnerability
+
+  have helped to contain the effects of the epidemic. Targeted policies
+
+  and actions are needed to protect those with the greatest socioeconomic
+
+  vulnerability. This experience could be relevant in other low-income and
+
+  middle-income countries where socioeconomic vulnerability varies
+
+  greatly.Copyright (C) 2021 The Author(s). Published by Elsevier Ltd.'
+affiliation: 'Atun, R (Corresponding Author), Harvard TH Chan Sch Publ Hlth, Dept
+  Global Hlth \& Populat, Boston, MA 02115 USA.
+
+  Rocha, Rudi; Massuda, Adriano, Fundacao Getulio Vargas, Sao Paulo Sch Business Adm,
+  Sao Paulo, Brazil.
+
+  Rocha, Rudi; Rache, Beatriz; Nunes, Leticia, Inst Estudos Polit Saude, Sao Paulo,
+  Brazil.
+
+  Atun, Rifat; Castro, Marcia C., Harvard TH Chan Sch Publ Hlth, Dept Global Hlth
+  \& Populat, Boston, MA 02115 USA.
+
+  Spinola, Paula, UCL, Ctr Global Hlth Econ, London, England.
+
+  Lago, Miguel, Inst Estudos Polit Saude, Rio De Janeiro, Brazil.'
+author: Rocha, Rudi and Atun, Rifat and Massuda, Adriano and Rache, Beatriz and Spinola,
+  Paula and Nunes, Leticia and Lago, Miguel and Castro, Marcia C.
+author-email: ratun@hsph.harvard.edu
+author_list:
+- family: Rocha
+  given: Rudi
+- family: Atun
+  given: Rifat
+- family: Massuda
+  given: Adriano
+- family: Rache
+  given: Beatriz
+- family: Spinola
+  given: Paula
+- family: Nunes
+  given: Leticia
+- family: Lago
+  given: Miguel
+- family: Castro
+  given: Marcia C.
+da: '2023-09-28'
+doi: 10.1016/S2214-109X(21)00081-4
+earlyaccessdate: MAY 2021
+esi-highly-cited-paper: Y
+esi-hot-paper: N
+files: []
+issn: 2214-109X
+journal: LANCET GLOBAL HEALTH
+keywords-plus: COMMUNICATION
+language: English
+month: JUN
+number: '6'
+number-of-cited-references: '38'
+orcid-numbers: 'Spinola, Paula/0000-0002-4554-4250
+
+  Castro, Marcia/0000-0003-4606-2795'
+pages: E782-E792
+papis_id: 226fc75d3a4c55779118d4e972112da8
+ref: Rocha2021effectsocioeconomic
+researcherid-numbers: 'Spinola, Paula/HKW-4879-2023
+
+  Castro, Marcia/S-2681-2019'
+times-cited: '131'
+title: 'Effect of socioeconomic inequalities and vulnerabilities on health-system
+  preparedness and response to COVID-19 in Brazil: a comprehensive analysis'
+type: Article
+unique-id: WOS:000652845500025
+usage-count-last-180-days: '5'
+usage-count-since-2013: '35'
+volume: '9'
+web-of-science-categories: Public, Environmental \& Occupational Health
+year: '2021'