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ABSTRACT: Background
The Covid-19 pandemic emphasized healthcare inequalities. This study aimed to estimate the spatial effects of socioeconomic factors and healthcare coverage on hospitalizations and hospital mortality rates due to cerebrovascular diseases (CD) according to skin color self-identification before and during the Covid-19 pandemic in São Paulo, Brazil.Methods
This ecological study evaluated CD hospitalizations and hospital deaths (2019-2021) by skin color self-identification in the 63 microregions of the state of São Paulo. To determine spatial autocorrelation, we used the global and local Moran index. We also evaluated the local effects of wealth level (IPRS), the number of hospital beds, health coverage (ESF), and proportions of Black, Brown, Yellow, and Indigenous (B
SUBMITTER: Abbas-Kayano RT
PROVIDER: S-EPMC12647686 | biostudies-literature | 2025 Nov
REPOSITORIES: biostudies-literature