Burden of non-communicable diseases attributed to alcohol consumption in 2019 for the Brazilian Unified Health System.

Autor: Vegi ASF; Federal University of Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil., Guedes LFF; Federal University of Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil., Felisbino-Mendes MS; Federal University of Minas Gerais, Postgraduate Program in Nursing, Department of Maternal and Child Nursing and Public Health, Belo Horizonte, Minas Gerais, Brazil., Malta DC; Federal University of Minas Gerais, Postgraduate Program in Nursing, Department of Maternal and Child Nursing and Public Health, Belo Horizonte, Minas Gerais, Brazil; Federal University of Minas Gerais, Postgraduate Program in Public Health, Belo Horizonte, Minas Gerais, Brazil., Fernandes EL; School of Medicine, Federal University of Ouro Preto (UFOP) - Ouro Preto, Minas Gerais, Brazil., Machado IE; Federal University of Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil; School of Medicine, Federal University of Ouro Preto (UFOP) - Ouro Preto, Minas Gerais, Brazil. Electronic address: isiseloah@gmail.com.
Jazyk: angličtina
Zdroj: Public health [Public Health] 2024 Aug; Vol. 233, pp. 201-207. Date of Electronic Publication: 2024 Jun 29.
DOI: 10.1016/j.puhe.2024.05.014
Abstrakt: Objective: To estimate the health and economic burden of non-communicable diseases (NCDs) attributed to alcohol consumption in 2019 for the Brazilian Unified Health System (SUS) stratified by states.
Study Design: Observational, descriptive, and ecological study.
Methods: We used population attributable fractions (PAFs) of NCDs due to alcohol consumption from the Global Burden of Disease study. We applied the PAFs to the costs of hospitalizations and outpatient procedures of medium to high complexity paid by SUS for each outcome, obtained from official databases. We also calculated the disability-adjusted life years (DALYs) and mortality caused by alcohol-related NCDs. We converted the costs into international dollars (Int$) using the purchasing parity power in 2019.
Results: Alcohol-related NCDs accounted for 8.48% of deaths and 7.0% of DALYs among men, and 1.33% of deaths and 1.6% of DALYs among women. The main diseases were substance use, digestive, and neoplastic diseases. The SUS spent Int$202.0 million on alcohol-related NCDs, mostly on hospitalizations. The highest health burden was observed in the states of the Northeast region, and the highest expenses in the states from the South. The burden and cost values varied by sex, age group, and state.
Conclusion: The study showed that alcohol consumption has a significant impact on Brazilian population morbidity and mortality and SUS expenditures, especially among men. These results can support policies for the prevention and control of alcohol consumption and health promotion at the subnational level, prioritizing strategies that are more appropriate to local realities.
(Copyright © 2024 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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