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. 2024 Aug 30;19(8):e0309413. doi: 10.1371/journal.pone.0309413

Table 3. Crude and adjusted hazard ratio of the transitioning between individual’s conditions with COVID-19 (hospitalization and death) according to the predictors (southeast of Brazil).

Crude PWP model Adjusted PWP model £ Adjusted PWP fragility model §
Hazard Ratio
Age 1.03*** 1.03*** 1.03***
Elderly 2.27***
Male 0.97*** 1.08*** 1.08***
Race
 White 1 1 1
 Black 1.22*** 1.13*** 1.13***
 Yellow 0.92*** 0.93** 0.93
 Brown 1.01* 1.07*** 1.07***
 Indian 0.76*** 0.93NS 0.93NS
Years of study
 Zero 1 1 1
 Five 0.85*** 0.92*** 0.92***
 Nine 0.71*** 0.90*** 0.90***
 Twelve 0.55*** 0.83*** 0.83***
 More than twelve 0.46*** 0.68*** 0.68***
 Not applicable 0.13*** 0.83** 0.83**
State
 Espírito Santo 1 1
 Minas Gerais 0.62*** 0.82***
 Rio de Janeiro 0.87*** 1.42***
 São Paulo 0.58*** 0.71***
Area
 Urban 1 1 1
 Rural 1.15*** 0.93*** 0.93***
 Peri-urban 1.14*** 0.81*** 0.81***
First symptoms year
 2020 1 1 1
 2021 0.97*** 1.15*** 1.15***
 2022 1.17*** 1.12*** 1.12***
 2023 0.90** 0.87*** 0.87***
Risk factor 1.59*** 1.26*** 1.26***
Immunization for COVID-19 1.07***
 2021 0.81*** 0.80***
 2022 0.86*** 0.88***
 2023 1.04NS 1.01NS
Gamma effect (CI 95%)
State State
 Espírito Santo 1.01(0.98:1.03)
 Minas Gerais 0.83(0.82:0.84)
 Rio de Janeiro 1.44(1.42:1.46)
 São Paulo 0.71(0.71:0.72)
Fit measures
Likelihood ratio test 77705 (df = 20)*** 77705 (df = 20)***
Log-likelihood -2689027 (df = 20) -2689027 (df = 20)
I-likelihood -2689050.4
AIC 5378095 5378095
BIC 5378302 5378302
Variance of random effect 2

*** = p-value < 0.0001,

** = p-value < 0.001,

* = p-value < 0.01,

= p-value < 0.1;

df = degrees of freedom; CI = Confidence Interval; SE = standard error; PWP = Prentice, Williams & Peterson; AIC = Akaike Information Criterion; BIC = Bayesian Information Criterion

£ The PWP-adjusted model included the following predictors: age, sex, race, years of education, state of residence, area, year of first symptoms, and risk factors. To access the estimated effect of COVID-19 immunization, separately adjusted models were used for each year that COVID-19 vaccination occurred in Brazil.

§ The PWP fragility-adjusted model included the following predictors: age, sex, race, years of education, area, first symptoms year, risk factors, and the random effect of the state. To access the estimated effect of COVID-19 immunization, separately adjusted models were used for each year that COVID-19 vaccination occurred in Brazil.