Estimativas do grau de cobertura e da mortalidade adulta (45q15) para as unidades da federação no Brasil entre 1980 e 2010

Queiroz, Bernardo Lanza; Freire, Flávio Henrique Miranda de Araújo; Gonzaga, Marcos Roberto; Lima, Everton Emanuel Campos de

doi:10.1590/1980-5497201700050003

Cited by 61 publications

(62 citation statements)

References 22 publications

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“…On the other hand, analysis of the period 2001-2015 found an increase in the crude mortality rate from cardiovascular disease (CMRCVD). As these are less developed regions, the increase in CVD mortality rates might be related to the population's increased life expectancy and an increased prevalence of cardiovascular risk factors such as educational level, health conditions, institutional factors, the environment, and the socioeconomic situation to which the population is exposed Borges 2017;França et al 2017;Lotufo 2019), as well as improvements in death registration and vital statistics (Mathers et al 2005;França et al 2008;Luy 2010;Queiroz et al 2017;Schmertmann and Gonzaga 2018).…”

Section: Resultsmentioning

confidence: 99%

The relation between cardiovascular mortality and development: Study for small areas in Brazil, 2001–2015

Baptista¹,

Queiroz²

2019

DemRes

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BACKGROUND Cardiovascular disease (CVD) is one of the most serious health issues and the leading cause of death in Brazil, accounting for 30% of all deaths. Previous research shows that CVD mortality rates are not uniformly distributed across Brazil and have been changing over time. There is also previous evidence from other countries that economic development and improvements in the educational level have important effects in reducing CVD mortality. OBJECTIVE The goal of this paper is to contribute to this discussion by investigating the relation between CVD mortality and economic development over time and space, measured by gross domestic product (GDP) per capita, in Brazilian micro-regions from 2001 to 2015. METHODS We used data from the Mortality Information System (SIM-DATASUS) from 2001 to 2015. GDP data by micro-region were extracted from the Sistema IBGE de Recuperação Automática (SIDRA). Bivariate maps were used to establish the relationship between CVD mortality and GDP per capita. RESULTS The results show that GDP per capita increased in all micro-regions between 2001 and 2015. The results also suggest a rapid decline in CVD mortality in the South and Southeast micro-regions and a slower decline in the Central-West region. Meanwhile, the less developed North and Northeast regions showed an increase in CVD mortality over time. This spatial heterogeneity over the examined period appears to be associated with access to proper healthcare and strongly related to socioeconomic factors. In Baptista & Queiroz: The relation between cardiovascular mortality and development 1438 http://www.demographic-research.org addition, males have higher mortality rates than females in approximately 72% of micro-regions. CONTRIBUTION This study provides useful clues for policymakers establishing public health planning and effective measures for the prevention of deaths from cardiovascular disease. The reduction of CVD mortality can positively impact GDP growth because it can increase life expectancy and consequently enable people to contribute to the Brazilian economy for a longer time.

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Section: Resultsmentioning

confidence: 99%

The relation between cardiovascular mortality and development: Study for small areas in Brazil, 2001–2015

Baptista¹,

Queiroz²

2019

DemRes

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“…While adult mortality data in Brazil are assessed to be complete for the period of this analysis, child mortality data are estimated to be < 95% complete in the vital registration system [50]. Other national-level analyses have included additional data sources at a different spatial resolution such as household surveys [51].…”

Section: Discussionmentioning

confidence: 99%

Progress toward eliminating TB and HIV deaths in Brazil, 2001–2015: a spatial assessment

Ross

Henry

Dwyer-Lindgren

et al. 2018

BMC Med

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BackgroundBrazil has high burdens of tuberculosis (TB) and HIV, as previously estimated for the 26 states and the Federal District, as well as high levels of inequality in social and health indicators. We improved the geographic detail of burden estimation by modelling deaths due to TB and HIV and TB case fatality ratios for the more than 5400 municipalities in Brazil.MethodsThis ecological study used vital registration data from the national mortality information system and TB case notifications from the national communicable disease notification system from 2001 to 2015. Mortality due to TB and HIV was modelled separately by cause and sex using a Bayesian spatially explicit mixed effects regression model. TB incidence was modelled using the same approach. Results were calibrated to the Global Burden of Disease Study 2016. Case fatality ratios were calculated for TB.ResultsThere was substantial inequality in TB and HIV mortality rates within the nation and within states. National-level TB mortality in people without HIV infection declined by nearly 50% during 2001 to 2015, but HIV mortality declined by just over 20% for males and 10% for females. TB and HIV mortality rates for municipalities in the 90th percentile nationally were more than three times rates in the 10th percentile, with nearly 70% of the worst-performing municipalities for male TB mortality and more than 75% for female mortality in 2001 also in the worst decile in 2015. The same municipality ranking metric for HIV was observed to be between 55% and 61%. Within states, the TB mortality rate ratios by sex for municipalities in the worst decile versus the best decile varied from 1.4 to 2.9, and HIV varied from 1.4 to 4.2. The World Health Organization target case fatality rate for TB of less than 10% was achieved in 9.6% of municipalities for males versus 38.4% for females in 2001 and improved to 38.4% and 56.6% of municipalities for males versus females, respectively, by 2014.ConclusionsMortality rates in municipalities within the same state exhibited nearly as much relative variation as within the nation as a whole. Monitoring the mortality burden at this level of geographic detail is critical for guiding precision public health responses.Electronic supplementary materialThe online version of this article (10.1186/s12916-018-1131-6) contains supplementary material, which is available to authorized users.

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“…The quality of information and coverage of SIM/DATASUS death records has improved in recent decades; However, there are significant disparities between regions according to socioeconomic development. In fact, between the 1990s and 2000s, there was a significant improvement in the information coverage and quality for all geographic regions of Brazil [19,[37][38][39][40]. However, states in the northern and northeastern regions with the lowest socioeconomic development still present significant problems in their Mortality Information Systems [37][38][39][40].…”

Section: Study Variablesmentioning

confidence: 99%

Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast

et al. 2020

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Cervical cancer (CC) is a public health problem with a high disease burden and mortality in developing countries. In Brazil, areas with low human development index have the highest incidence rates of Brazil and upward temporal trend for this disease. The Northeast region has the second highest incidence of cervical cancer (20.47 new cases / 100,000 women). In this region, the mortality rates are similar to rates in countries that do not have a health system with a universal access screening program, as in Brazil. Thus, this study aimed to analyze the effects of age, period and birth cohorts on mortality from cervical cancer in the Northeast region of Brazil. Estimable functions predicted the effects of age, period and birth cohort. The average mortality rate was 10.35 deaths per 100,000 women during the period analyzed (1980-2014). The highest mortality rate per 100,000 women was observed in Maranhão (24.39 deaths), and the lowest mortality rate was observed in Bahia (11.24 deaths). According to the period effects, only the state of Rio Grande do Norte showed a reduction in mortality risk in the five years of the 2000s. There was a reduction in mortality risk for birth cohorts of women after the 1950s, except in Maranhão State, which showed an increasing trend in mortality risk for younger generations. We found that the high rates of cervical cancer mortality in the states of northeastern Brazil remain constant over time. Even after an increase in access to health services in the 2000s, associated with increased access to the cancer care network, which includes early detection (Pap Test), cervical cancer treatment and palliative care. However, it is important to note that the decreased risk of death and the mortality rates from CC among women born after the 1960s may be correlated with increased screening coverage, as well as increased access to health services for cancer treatment observed in younger women.

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Estimativas do grau de cobertura e da mortalidade adulta (45q15) para as unidades da federação no Brasil entre 1980 e 2010

Abstract: The observed improvements seem to be related to investments in the public health care system and administrative procedures to improve the recording of vital events.

Cited by 61 publications

References 22 publications

The relation between cardiovascular mortality and development: Study for small areas in Brazil, 2001–2015

The relation between cardiovascular mortality and development: Study for small areas in Brazil, 2001–2015

Progress toward eliminating TB and HIV deaths in Brazil, 2001–2015: a spatial assessment

Analysis of the effects of the age-period-birth cohort on cervical cancer mortality in the Brazilian Northeast

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