Premature mortality due to noncommunicable diseases in Brazilian capitals: redistribution of garbage causes and evolution by social deprivation strata.

Autor: Malta DC; Universidade Federal de Minas Gerais, School of Nursing, Department of Maternal and Child Nursing and Public Health - Belo Horizonte (MG), Brazil., Teixeira RA; Universidade Federal de Minas Gerais, School of Medicine, Graduate Program in Public Health - Belo Horizonte (MG), Brazil., Cardoso LSM; Universidade Federal de Minas Gerais, School of Nursing, Graduate Program in Nursing - Belo Horizonte (MG), Brazil., Souza JB; Universidade Federal de Minas Gerais, School of Nursing, Observatório de Doenças e Agravos Não Transmissíveis - Belo Horizonte (MG), Brazil., Bernal RTI; Universidade Federal de Minas Gerais, School of Nursing, Graduate Program in Nursing - Belo Horizonte (MG), Brazil., Pinheiro PC; Universidade Federal de Minas Gerais, School of Nursing, Observatório de Doenças e Agravos Não Transmissíveis - Belo Horizonte (MG), Brazil., Gomes CS; Universidade Federal de Minas Gerais, School of Medicine, Graduate Program in Public Health - Belo Horizonte (MG), Brazil., Leyland A; University of Glasgow, MRC/CSO Social & Public Health Sciences Unit - Glasgow, United Kingdom., Dundas R; University of Glasgow, MRC/CSO Social & Public Health Sciences Unit - Glasgow, United Kingdom., Barreto ML; Fundação Oswaldo Cruz, Centro de Integração de Dados e Conhecimentos para Saúde - Salvador (BA), Brazil.; Universidade Federal da Bahia, Instituto de Saúde Coletiva - Salvador (BA), Brazil.
Jazyk: English; Portuguese
Zdroj: Revista brasileira de epidemiologia = Brazilian journal of epidemiology [Rev Bras Epidemiol] 2023 Apr 21; Vol. 26Suppl 1 (Suppl 1), pp. e230002. Date of Electronic Publication: 2023 Apr 21 (Print Publication: 2023).
DOI: 10.1590/1980-549720230002.supl.1
Abstrakt: Objective: To analyze premature mortality due to noncommunicable chronic diseases (NCDs) in Brazilian capitals and the Federal District (DF) after redistribution of garbage causes and the temporal evolution according to social deprivation strata in the 2010 to 2012 and 2017 to 2019 triennia.
Methods: Corrections were applied to the Mortality Information System (Sistema de Informação sobre Mortalidade - SIM) data such as the redistribution of garbage codes (GC). Premature mortality rates due to NCDs were calculated and standardized by age. The differences among NCDs mortality rates were analyzed according to the Brazilian Deprivation Index (Índice Brasileiro de Privação - IBP) categories and between the three-year periods.
Results: In the capitals as a whole, rates increased between 8 and 12% after GC redistribution and the greatest increases occurred in areas of high deprivation: 11.9 and 11.4%, triennia 1 and 2, respectively. There was variability between the capitals. There was a reduction in rates in all strata of deprivation between the three-year periods, with the greatest decrease in the stratum of low deprivation (-18.2%) and the lowest in the stratum of high deprivation (-7.5%).
Conclusion: The redistribution of GC represented an increase in mortality rates, being higher in the strata of greater social deprivation. As a rule, a positive gradient of mortality was observed with increasing social deprivation. The analysis of the temporal evolution showed a decrease in mortality from NCDs between the triennia, especially in areas of lower social deprivation.
Databáze: MEDLINE