Brazil is getting older: demographic changes and epidemiological challenges

Veras, Renato Peixoto

doi:10.1590/s0034-89101991000600010

Cited by 24 publications

(22 citation statements)

References 36 publications

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“…Brazil has been presenting a new demographic pattern characterized by reduction in the population growth rate and by profound transformation in its age structure, with significant increase of the elderly contingent. Those modifications have caused important changes in the population epidemiological profile (23) . NSAID is increasing its potential as a risk factor for peptic ulcer disease because the widespread consumption.…”

Section: Discussionmentioning

confidence: 99%

Peptic Ulcer Frequency Differences Related to H. Pylori or Aines

Carli

Pires

Rohde

et al. 2015

Arq. Gastroenterol.

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-Background -Peptic ulcer etiology has been changing because of H. pylori decline. Objective -To estimate peptic ulcer prevalence in 10 years-interval and compare the association with H. pylori and use of non-steroidal anti-inflammatory drugs. Non-steroidal anti-inflammatory drugs use was 3.5% in A and 13.3% in B. Neither condition occurred in 10.4% and 20.5% in A and B respectively. Comparing both periods, we observed reduction of peptic ulcer associated to H. pylori (P=0.000), increase of peptic ulcer related to non-steroidal anti-inflammatory drugs (P=0.000) and idiopathic peptic ulcer (P=0.002). The concurrent association of H. pylori and non-steroidal anti-inflammatory drugs was also higher in B (P=0.002). Rates of gastric ulcer were higher and duodenal ulcer lower in the second period. Conclusions -After 10 years, the prevalence of peptic ulcer decreased, as well as ulcers related to H. pylori whereas ulcers associated to non-steroidal anti-inflammatory drugs increased.There was an inversion in the pattern of gastric and duodenal ulcer and a rise of idiopathic peptic ulcer. HEADINGS -Peptic ulcer. Helicobacter pylori. Non-steroidal anti-inflammatory agents. Stomach ulcer. Duodenal ulcer.

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Section: Discussionmentioning

confidence: 99%

Peptic Ulcer Frequency Differences Related to H. Pylori or Aines

Carli

Pires

Rohde

et al. 2015

Arq. Gastroenterol.

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“…In 1950, with 2.1 million older adults, it ranked 16 th in the world. By 2025 it is expected to stand sixth, with 31.8 million older adults, i.e., in 75 years the population over 60 years old will increase fifteen times, while the overall population will grow five-fold 1 . While the population of elderly can be seen to grow steeply (2-4% per year), the younger population is growing more slowly 2 .…”

Section: Introductionmentioning

confidence: 99%

Birth cohort differences in anthropometric measures in the older elderly: the Bambuí cohort study of aging (1997 and 2008)

et al. 2011

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The aim of this study was to evaluate the effect of birth cohort on nutritional status among older elderly (71-81 years old) from the Bambuí Cohort Study of Aging, conducted in Brazil in 1997 and 2008. We compared the two birth cohorts - 1916-1926 (older cohort) and 1927-1937 (recent cohort) - considering body mass index (BMI = weight/height²), waist circumference (WC) and prevalence of overweight (BMI ³ 27kg/m²). BMI (β = 0.09, 95%CI: 0.04, 0.15) and prevalence of overweight (PR = 1.02; 95%CI: 1.01; 1.03) were higher in the recent cohort than the earlier cohort, regardless of sex and schooling. No difference was observed in WC. Stratified by sex, similar overall trends were observed for men, and WC was higher in the recent cohort. Among women there was no difference in BMI and overweight, but WC was lower in the recent cohort. The cohort effect was greater among older men and, in the near future, may result in greater prevalence of overweight in this group.

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“…A oferta de serviços de saúde acompanha essa disparidade regional, que se reflete tanto no acesso da população aos serviços quanto no estado de saúde das pessoas que vão procurar atendimento. Conseqüentemente, o perfil de morbidade, assim como a estrutura de gastos com a saúde, varia, não só com o grau de envelhecimento populacional, mas também de acordo com as condições sócio-econômicas e de oferta de serviços de cada região 16 .…”

Section: Introductionunclassified

Efeitos da estrutura etária nos gastos com internação no Sistema Único de Saúde: uma análise de decomposição para duas áreas metropolitanas brasileiras

Berenstein

Wajnman

2008

Cad. Saúde Pública

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O objetivo deste artigo é examinar a importância da composição etária da população sobre os gastos com internação hospitalar no Brasil. São utilizados dados do Sistema de Informação Hospitalar de Curitiba (Paraná) e Belém (Pará), em 2004, para separar o efeito de diferenças na composição etária sobre os gastos com internação no Sistema Único de Saúde, dos efeitos preço (diferenças nos gastos médios por idade) e taxa (diferenças na taxas de utilização por idade). Além disso, o artigo examina o papel do envelhecimento populacional sobre o efeito de composição com base nas mudanças projetadas para a estrutura etária do Brasil em 2050. Os resultados indicam que as diferenças na composição etária explicam apenas 13% das diferenças atuais dos gastos entre as duas cidades. Aproximadamente 72% das diferenças nos gastos totais devem-se ao efeito preço. No entanto, caso a taxa de utilização e o gasto médio por idade mantenham-se constantes no futuro, o envelhecimento populacional explicará mais da metade da diferença nos gastos totais com internação hospitalar, sugerindo o papel significativo da dinâmica demográfica sobre os gastos futuros com saúde no Brasil.

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Brazil is getting older: demographic changes and epidemiological challenges

Cited by 24 publications

References 36 publications

Peptic Ulcer Frequency Differences Related to H. Pylori or Aines

Peptic Ulcer Frequency Differences Related to H. Pylori or Aines

Birth cohort differences in anthropometric measures in the older elderly: the Bambuí cohort study of aging (1997 and 2008)

Efeitos da estrutura etária nos gastos com internação no Sistema Único de Saúde: uma análise de decomposição para duas áreas metropolitanas brasileiras

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