Coordenação governamental da Política de Controle do Tabaco no Brasil

Portes, Leonardo Henriques; Machado, Cristiani Vieira; Turci, Silvana Rubano Barretto

doi:10.1590/1413-81232018247.22972017

Cited by 8 publications

(7 citation statements)

References 10 publications

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“…22 There was no reduction in deaths from respiratory diseases, a fact also to be found in the Schimitt et al 5 results. The implementation success of other public policies, such as that of smoking, 23 could have changed the outcome. However, it is worth highlighting that, despite the studies 24,25 which demonstrate the harmful effects of environmental pollution, the behavioral changes in our women, who have been smoking less in the past decades, and the smoking cessation campaigns, mortality from respiratory diseases has not decreased.…”

Section: Discussionmentioning

confidence: 99%

National Policy of Comprehensive Women’s Health Care and Mortality in Menopause: Has Anything Changed?

Sorpreso

Figueiredo

Ramos

et al. 2020

Preprint

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Background: The National Policy of Comprehensive Women’s Health Care was implemented more than two decades ago, and the monitoring of potential benefits should be explored. Menopause is a period of life for which there are prevention and health promotion actions carried out by the government’s all-encompassing sole Unify Health System (UHS) and factored into Brazilian policies. It is thus our purpose to identify menopausal women’s main causes of death, as well as the mortality trend of such causes, especially after PNAISM implementation. Methods: This is an ecological study with secondary data analysis conducted by the Setor de Atenção Primária, Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia da Faculdade de Medicina da Universidade de São Paulo from 2018 to 2019. Data were retrieved from the Brazilian Health Department by accessing the mortality information system of the IT Department of SUS between 1996 and 2016, divided in two periods 1996 to 2004 and 2005 to 2006 according to implementation of the National Police. The data included the death records of Brazilian women aged 35 to 64 years who had a precise diagnosis (ICD-10). Trend and differences between periods were evaluated by linear regression. The significance level was set at 5%. Stata 11® (StataCorp, LCC) was used. Results: Menopausal women’s main causes of death were the circulatory system diseases (29.39%, 736,972 deaths), neoplasms (26.17%, 656,385 deaths), respiratory system diseases (7.29%, 182,812 deaths), endocrine (29.39%), nutritional, and metabolic (6.81%, 170,881 deaths) diseases, and external causes of morbidity and mortality (5.49%, 137,674 deaths). Implementation of PNAISM led to increasing reduction in mortality from circulatory system diseases (β=-0.58; 95% CI, -0.68 to -0.48; r²=0.93; p<0.001), but not to any significant changes in neoplasm mortalities (β=0.07; 95% CI, -0.01 to 0.15; r²=0.22; p=0.070). Conclusions: The leading causes of death among menopausal women are circulatory system diseases, neoplasms, respiratory system diseases, nutritional, metabolic, and endocrine diseases, and external causes of morbidity and mortality. The trend of mortality rates among menopausal women, following PNAISM implementation, was a decline in circulatory system diseases and in nutritional, metabolic, and endocrine diseases, with no changes for neoplasms and respiratory system diseases.

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Section: Discussionmentioning

confidence: 99%

National Policy of Comprehensive Women’s Health Care and Mortality in Menopause: Has Anything Changed?

Sorpreso

Figueiredo

Ramos

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…31 There was no reduction in deaths from respiratory diseases, a fact also to be found in the Schimitt et al 8 results. The implementation success of other public policies, such as that of smoking, 32 could have changed the outcome. However, it is worth highlighting that, despite the studies 33,34 which demonstrate the harmful effects of environmental pollution, the behavioral changes in our women, who have been smoking less in the past decades, and the smoking cessation campaigns, mortality from respiratory diseases has not decreased.…”

Section: Discussionmentioning

confidence: 99%

Brazilian National Policy of Comprehensive Women’s Health Care and Mortality in Menopause: Has Anything Changed?

Sorpreso

Figueiredo

Ramos

et al. 2020

Preprint

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Background: The National Policy for Integral Attention to Women’s Health was implemented more than two decades ago, and the monitoring of potential benefits should be explored. One of the life cycles of women contemplated in this health policy is the importance of health care during the climacteric. In fact, prevention and health promotion actions carried out by the Brazil National Health System - Unified Health System (SUS) and enshrined in health Brazilian policies for women. Thus, our purpose is to identify menopausal women’s main causes of death, as well as the mortality trend of such causes, especially after PNAISM implementation.Methods: Ecological study conducted by Disciplina de Ginecologia da Faculdade de Medicina da Universidade de São Paulo from 2018 to 2019. Data were retrieved from Brazilian Health Department by accessing the mortality information system of National Health Information, divided in periods 1996-2004 and 2005-2006 according to implementation of the National Police. The death records of Brazilian women aged 35 to 64 years who had a diagnosis (ICD-10). Trend and differences between periods were evaluated by linear regression. The significance level was 5%. (Stata 11® -StataCorp, LCC). Results: Main causes of women’s death were the circulatory system diseases (29.39%, 736,972 deaths), neoplasms (26.17%, 656,385 deaths), respiratory system diseases (7.29%, 182,812 deaths), endocrine (29.39%), nutritional, and metabolic (6.81%, 170,881 deaths) diseases, and external causes of morbidity and mortality (5.49%, 137,674 deaths). Implementation of PNAISM led to increasing reduction in mortality from circulatory system diseases (β=-0.58; 95% CI, -0.68 to -0.48; r²=0.93; p<0.001), and any significant changes in neoplasm mortalities (β=0.07; 95% CI, -0.01 to 0.15; r²=0.22; p=0.070). Conclusions: The leading causes of death during climacteric are circulatory system diseases, neoplasms, respiratory system diseases, nutritional, metabolic, and endocrine diseases, and external causes of morbidity and mortality, with no changes for neoplasms and respiratory system diseases. Thus, the analysis of women's health indicators, such as mortality rates, are fundamental in order to enable the monitoring of benefits and results related to PNAISM as well as directing the design and implementation of other new health policies to be developed for the women.

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“…The creation of Anvisa and its legal mandate to regulate tobacco products in the country and oversee national laws in this area was of particular importance. The consolidation of CONICQ as the strategic body for government coordination of the policy is a commitment of mutual accountability of the different government agencies involved in tobacco control 56 .…”

Section: Closing Remarksmentioning

confidence: 99%

A Política de Controle do Tabaco no Brasil: um balanço de 30 anos

Portes

Machado

Turci

et al. 2018

Ciênc. saúde coletiva

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The article presents a review of Brazilian tobacco control policies from 1986 to 2016, based on contributions from political economics and analyses of public policies. The institutionalization of tobacco control in the country was marked by more general changes in health policies and by specific events related to the theme. Brazil's international leadership role, a robust National Tobacco Control Policy, the role of civil society and the media all contributed to the success of tobacco control in this country. However, challenges remain regarding crop diversification in tobacco farms, illegal trade in cigarettes, pressure from the tobacco industry and the sustainability of the Policy. This study reinforces the importance of bearing in mind the relationship between the domestic and international context, and the articulation between different governmental and non-governmental sectors and players when analyzing complex health policies. Continuity and consolidation of the tobacco control policies depend on the persistence of a broad institutional framework to guide the State's actions in social protection, in accordance with Unified Healthcare System guidelines.

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Coordenação governamental da Política de Controle do Tabaco no Brasil

Cited by 8 publications

References 10 publications

National Policy of Comprehensive Women’s Health Care and Mortality in Menopause: Has Anything Changed?

National Policy of Comprehensive Women’s Health Care and Mortality in Menopause: Has Anything Changed?

Brazilian National Policy of Comprehensive Women’s Health Care and Mortality in Menopause: Has Anything Changed?

A Política de Controle do Tabaco no Brasil: um balanço de 30 anos

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