Trends of stroke subtypes mortality in Sao Paulo, Brazil (1996-2003)

Lotufo, Paulo A

doi:10.1590/s0004-282x2005000600009

Cited by 15 publications

(10 citation statements)

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“…In particular, for cerebrovascular disease, problems of classificatory origin prevent discrimination of the most common types: parenchymal hemorrhage and ischemic event of any origin -atherosclerotic, embolism of cardiac or other artery origin, and injury of small vessels. This is due to the exaggerated use of the I-64 code ("stroke, not specified as hemorrhagic or ischemic") 32,33 . It was not possible to adequately compare mortality by cerebrovascular and cardiac causes in the states from the analysis of the impact of the Family Health Strategy Programs 34 and Popular Pharmacy Program 35 .…”

Section: Discussionmentioning

confidence: 99%

Doença cerebrovascular no Brasil de 1990 a 2015: Global Burden of Disease 2015

Lotufo

Goulart

Passos

et al. 2017

Rev. bras. epidemiol.

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The risk of death has been halved across the country, but states in the lower SDI tertile had less significant reductions (-1.23 and -1.84% a year) compared to the middle tertile (-1.94 and -2.22%) and the upper tertile (-2.85 and -2.82%) for men and women, respectively. The years lived with disability also presented a reduction among states, but less expressively. Conclusion: Despite the reduction of age-adjusted mortality rates throughout the country, cerebrovascular disease still presents a high disease burden, especially in states with lower socioeconomic development.

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Section: Discussionmentioning

confidence: 99%

Doença cerebrovascular no Brasil de 1990 a 2015: Global Burden of Disease 2015

Lotufo

Goulart

Passos

et al. 2017

Rev. bras. epidemiol.

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“…The quality of stroke mortality data after the beginning of the 10 th revision of the ICD as well as temporal trends of subtypes were analyzed previously 10,11 . Mortality data from the 1999, 2000 and 2001 were obtained from the city of São Paulo health statistic system (PRO-AIM, "Programa de Aprimoramento das Informações de Mortalidade") and they were categorized by gender, race and 10-year age-strata (from 30-39 years-old to 70-79 years-old).…”

Section: Methodsmentioning

confidence: 99%

Race, gender and stroke subtypes mortality in São Paulo, Brazil

Lotufo

Goulart

Benseñor

2007

Arq. Neuro-Psiquiatr.

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-Stroke mortality rates have a discrepant distribution according to socioeconomic variables as social exclusion in Brazil. Recently, data from race has been available from the official health statistics considering five categories: White, Mixed, Black, Asian and Native. We addressed in the city of São Paulo, Brazil, an analysis of cerebrovascular mortality according to race (excluding Asian and Native due to small number of events) and gender during 1999-2001 for people aged 30 to 79 years-old. For all cerebrovascular diseases, age-adjusted mortality rates (x 100,000) for men were higher for Black (150.2), intermediate for Mixed (124.2) and lower for White (104.5) people. These gradient patterns were similar for all stroke subtypes, except for subarachnoideal hemorrhage in which no differences were detected. For women, the rates were lower compared to men and the same pattern was observed among Black (125.4), Mixed (88.5) and White (64.1) women. Compared to White men, the risk ratio of Black men was 1.4. However, compared to White women, the risk ratio for Black women was 2.0. Concluding, there is a significant gradient of stroke mortality according to race, mainly among women.KEY WORDS: cerebrovascular diseases, race, gender, mortality.Raça, gênero e mortalidade por subtipos da doença cerebrovascular em São paulo, brasil RESUMO -As taxas de mortalidade pela doença cerebrovascular apresentam distribuição diferenciada de acordo com variáveis socioeconômicas. Informação sobre raça é nova no sistema de informação de mortalidade do Ministério da Saúde. Na cidade de São Paulo foi verificada entre três categoria de raça -branca, parda e negra -a taxa específica de mortalidade nos anos de 1999-2001 para pessoas entre 30 e 79 anos. Para o conjunto das doenças cerebrovasculares as taxas de mortalidade ajustadas para idade (x 100.000) para homens foram maiores entre os negros (150,2), intermediária para os pardos (124,2) e menor para brancos (104,5). Esse gradiente foi o mesmo para todos os subtipos, excluindo a hemorragia subaracnoídea. Para as mulheres, as taxas foram menores quando comparada aos homens e, o mesmo padrão foi observado para negras (125,4), pardas (88,5) e brancas (64,1). A razão de risco para homens negros quando comparado aos brancos foi 1.4, mas entre as mulheres negras e as brancas foi o

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“…Further, in the 1960s, the number of CHD deaths exceeded the number of stroke deaths in these cities. A decline in all cardiovascular diseases has been reported since the 1980s, but certainly it is less pronounced in deprived areas where the burden of stroke is higher (8).…”

Section: Poverty and Inequality As The Reason For A Delayed Epidemiolmentioning

confidence: 99%