Inequities in intraurban areas in the distribution of risk factors for non communicable diseases, Belo Horizonte, 2010

Malta, Déborah Carvalho; Bernal, Regina; Almeida, Maria Cristina de Mattos; Ishitani, Lenice Harumi; Girodo, Anne Marielle; Paixão, Lucas; Oliveira, Maria Tereza da Costa; Pimenta, Fernando Martins; Júnior, Jarbas Barbosa da Silva

doi:10.1590/1809-4503201400030005

Cited by 9 publications

(8 citation statements)

References 17 publications

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“… 8 9 Recent studies have found that socioeconomic characteristics of the neighbourhoods (such as income inequality, violence and median income) are associated with risk of mortality in developing countries. 10 11 Contextual characteristics have also been found to be associated with other health outcomes, such as the association of income inequality with exposure to chronic diseases risk factors 12 and risk for depression. 13 However, studies that analysed the association of characteristics of the neighbourhood and risk for CVD are still scarce in Brazil, a country with a wide range of socioeconomic and environmental factors that could significantly impact health.…”

Section: Introductionmentioning

confidence: 99%

Environmental factors and cardiovascular diseases: the association of income inequality and green spaces in elderly residents of São Paulo, Brazil

et al. 2016

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ObjectiveWe aimed to analyse the individual and contextual determinants associated with cardiovascular diseases (CVDs) morbidity among the elderly.MethodsThe sample consisted of 1333 individuals aged 60 or older residing in the city of São Paulo, from the Health, Welfare and Aging (SABE) study survey performed in 2010. The association between CVD with both income inequality and green spaces was analysed using Bayesian multilevel models, controlling for individual and contextual factors.ResultsWe found a significant association between income inequality and green spaces, and risk of CVD. In comparison to elderly residents in areas with low-income inequality, there was an increased risk for CVD among those residing in the medium–low (OR=1.35, 95% CI 1.15 to 1.59), medium–high (OR=2.71, 95% CI 2.18 to 3.36) and high (OR=1.43, 95% CI 1.14 to 1.79) quartiles of income inequality. Those living in medium–low (OR=0.44, 95% CI 0.39 to 0.49), medium–high (OR=0.56, 95% CI 0.48 to 0.65) and high (OR=0.48, 95% CI 0.43 to 0.55) green spaces levels had lower risk of CVD.ConclusionsThese findings highlight the importance of area-level characteristics on CVD risk and the need to develop healthcare policies focused on the effect of individual and contextual characteristics.

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Section: Introductionmentioning

confidence: 99%

Environmental factors and cardiovascular diseases: the association of income inequality and green spaces in elderly residents of São Paulo, Brazil

et al. 2016

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“…These findings are in agreement with the results of a study that investigated intra-urban differentials in the distribution of risk factors for NCDs in Belo Horizonte. This study identified that the cluster with the worst sociodemographic indicators concentrated more risk factors, such as low regular consumption of FV and less LTPA, and the cluster with the best sociodemographic indicators showed a higher percentage of alcohol abuse 19 .…”

Section: Discussionmentioning

confidence: 87%

Fruit and vegetable consumption, leisure-time physical activity and binge drinking in Belo Horizonte, Brazil, according to the Health Vulnerability Index

Cardoso

Gomes

Moreira

et al. 2021

Rev. bras. epidemiol.

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Objective: To estimate the prevalence of fruit and vegetable consumption, practice of leisure time physical activity (LTPA) and binge drinking for small areas of Belo Horizonte, Minas Gerais. Methods: Ecological study conducted with data from the Surveillance System for Risk and Protection Factors for Noncommunicable Diseases by Telephone Survey (Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico – Vigitel). The prevalence of risk and protection factors from 2006 to 2013 were estimated and the 95% confidence intervals calculated. “Small areas” corresponded to the municipality division into four strata of health risk classification given by the Health Vulnerability Index 2012 (Índice de Vulnerabilidade à Saúde – IVS). Results: The mean prevalences for the period were: about 42% of regular intake of fruit and vegetable, 34.7% of leisure time activity and 20.4% of binge drinking. The prevalence of fruit and vegetable consumption was higher in low-risk areas (58.5%; 95%CI 56.8 – 60.2) and lower in very high-risk areas (32.3%; 95%CI 27.7 – 36.9). The practice of LTPA was higher in low-risk areas (40.8%; 95%CI 38.9 – 42.8) and lower in very high risk (25.2%; 95%CI 20.6 – 29.9). Binge drinking was higher in low-risk areas (22.9%; 95%CI 21.7 – 24.2) compared to very high-risk areas (14.3%; 95%CI 11.4 – 17.3). Conclusion: It was identified a gradient in the distribution of risk and protection factors for noncommunicable diseases in Belo Horizonte according to the risk classification. This information can support programs aimed at reducing health inequalities, especially in the most vulnerable areas.

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“…And the recognition of these realities can be useful in the definition of healthcare priorities. 23 Thus, the classic panorama of regional inequalities in Brazil mentioned in other studies is configures. 10,21 A research 21 highlighted a group of eight federation units -seven states in the South/Southeast and the Federal District -with high levels of healthcare development, characterized by the best infrastructure of healthcare resources to provide specialized and more complex care.…”

Section: Discussionmentioning

confidence: 92%

Hypertension bearers with high risk/big risk of cardiovascular diseases and socioeconomic and health indicators

Costa

Lima

Nobre³

et al. 2018

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE To correlate the number of hypertensive patients with high and very high risk for cardiovascular diseases with socioeconomic and health indicators. METHODS An ecological study carried out from the National Registry of Hypertension and Diabetes (SisHiperDia). The variable “hypertensive patients with high and very high risk” was correlated with the Human Development Index, health care costs and services, average household income per capita, per capita municipal income, number of hospital admissions in SUS, number of medical consultations in the SUS and specific mortality due to diseases of the circulatory system, considering the 27 federative units of Brazil. The data was processed in software IBM Statistical Package for the Social Sciences (SPSS) Statistics, version 22.00. The statistical analysis considered the level of significance p<0.05. RESULTS Brazilian states with more hypertensive registries in high/very high risk spend more on public health, fewer people reach the elderly age group and more deaths from diseases of the circulatory system (p<0.05). The very high risk stratum correlated with more physicians per population (p<0.05). CONCLUSION: Systemic arterial hypertension has a direct impact on life expectancy and also on the economic context, since when it evolves to high and very high risk for cardiovascular diseases, it generates more expenses in health and demand more professionals, burdening the public health system. Monitoring is necessary in order to consolidate public policies to promote the health of hypertensive individuals.

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Inequities in intraurban areas in the distribution of risk factors for non communicable diseases, Belo Horizonte, 2010

Abstract: Intra-urban differences were found in the distribution of risk and protection factors or non transmissible diseases, these differences can support planning aimed at actions for greater equity in health.

Cited by 9 publications

References 17 publications

Environmental factors and cardiovascular diseases: the association of income inequality and green spaces in elderly residents of São Paulo, Brazil

Environmental factors and cardiovascular diseases: the association of income inequality and green spaces in elderly residents of São Paulo, Brazil

Fruit and vegetable consumption, leisure-time physical activity and binge drinking in Belo Horizonte, Brazil, according to the Health Vulnerability Index

Hypertension bearers with high risk/big risk of cardiovascular diseases and socioeconomic and health indicators

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