Mortality due to noncommunicable diseases in Brazil, 1990 to 2015, according to estimates from the Global Burden of Disease study

Abstract

CONTEXT AND OBJECTIVE: Noncommunicable diseases (NCDs) are the leading health problem globally and generate high numbers of premature deaths and loss of quality of life. The aim here was to describe the major groups of causes of death due to NCDs and the ranking of the leading causes of premature death between 1990 and 2015, according to the Global Burden of Disease (GBD) 2015 study estimates for Brazil. DESIGN AND SETTING: Cross-sectional study covering Brazil and its 27 federal states. METHODS:This was a descriptive study on rates of mortality due to NCDs, with corrections for garbage codes and underreporting of deaths. RESULTS: This study shows the epidemiological transition in Brazil between 1990 and 2015, with increasing proportional mortality due to NCDs, followed by violence, and decreasing mortality due to communicable, maternal and neonatal causes within the global burden of diseases. NCDs had the highest mortality rates over the whole period, but with reductions in cardiovascular diseases, chronic respiratory diseases and cancer. Diabetes increased over this period. NCDs were the leading causes of premature death (30 to 69 years): ischemic heart diseases and cerebrovascular diseases, followed by interpersonal violence, traffic injuries and HIV/AIDS. CONCLUSION: The decline in mortality due to NCDs confirms that improvements in disease control have been achieved in Brazil. Nonetheless, the high mortality due to violence is a warning sign. Through maintaining the current decline in NCDs, Brazil should meet the target of 25% reduction proposed by the World Health Organization by 2025. RESUMO

Tendência de mortalidade por diabetes mellitus

“…22 In Brazil, when the overall burden of NCD was assessed, a 160% increase in mortality by DM in gross numbers and this data also corroborates those of this study. 11 It is confirmed, from the exposure in this research of the general data of DM mortality in Brazil, evidenced by research in all regions of the world: the disease has killed on a large scale. It is known that the challenge is to intensify investments in the care network, with a focus on prevention, diagnosis and treatment of the disease.…”

“…It is perceived that through this information, subsidies are generated so that the Nursing consultation, aimed at the patient with DM, collaborates in solving their needs, improving well-being and creating an environment for education that can decrease the risk factors for the complications of the disease and to promote self-care. [9][10] The United Nations World Health Organization's sustainable development agenda 11 is integrated to ensure healthy lives and promote well-being for all ages at all levels, to monitor and reduce premature mortality from chronic non-communicable diseases (CNCDs) such as DM. It is hoped with this study, to provide subsidies for the planning of health actions at regional and national levels.…”

Tendências de fatores de risco e proteção de doenças crônicas não transmissíveis na população com planos de saúde no Brasil de 2008 a 2015

“…In addition, NCD generate a high level of disability, suffering, and economic impact on global economy 2, 3 . According to the Global Burden of Disease study, NCD represent approximately 75% of mortality in Brazil in 2015 4 .…”

Evolução da notificação de violência sexual no Brasil de 2009 a 2013

“…A violência é um fenômeno social que afeta a saúde coletiva, sendo considerada a quarta causa de morte na população em geral em 2015 1 . Autores como Minayo & Deslandes 2 historicamente apontam que a violência é produzida com base em problema social, advindo de fatos políticos, econômicos e culturais, devendo, portanto, ser encarada sob tal complexidade a fim de sustar seus efeitos deletérios.…”