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[Balanced cardiovascular disease mortality from 1980 to 1999--Brazil]
Gláucia Maria Moraes Oliveira1, Nelson Albuquerque Souza e Silva, Carlos Henrique Klein
1Universidade Federal do Rio de Janeiro, Escola Nacional de Saúde Pública, Secretaria de Estado de Saúde do Rio de Janeiro, Rio de Janeiro, RJ. glauciam@cardiol.br
Insights
Cardiovascular disease (CVD), ischemic heart disease (IHD), and cerebrovascular disease (CBVD) mortality rates declined in Brazil from 1980 to 1999. These trends were observed across major states and their capitals, indicating improved public health outcomes.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Medicine
Background:
- Cardiovascular diseases (CVD) pose a significant public health challenge globally.
- Understanding regional mortality trends is crucial for targeted interventions.
- Brazil has experienced demographic and epidemiological transitions impacting disease patterns.
Purpose of the Study:
- To compare mortality trends for CVD, ischemic heart disease (IHD), and cerebrovascular disease (CBVD).
- To analyze these trends in the Brazilian states of Rio de Janeiro (RJ), São Paulo (SP), and Rio Grande do Sul (RS) and their capitals.
- To cover the period from 1980 to 1999.
Main Methods:
- Utilized death data from Datasus and population data from IBGE.
- Calculated crude and age-adjusted mortality rates using the direct method.
- Employed linear regression to analyze mortality trends, with adjustments for ill-defined causes.
Main Results:
- Observed annual declines in balanced and adjusted CVD mortality rates across studied regions.
- Rio de Janeiro (state and capital) showed the steepest decline in CVD mortality (-11.3 deaths/100,000).
- IHD mortality was similar in RJ and Porto Alegre, while CBVD mortality declined significantly in RJ and Porto Alegre.
Conclusions:
- A consistent decline in CVD, IHD, and CBVD mortality rates was evident from 1980 to 1999.
- Rio de Janeiro showed clear IHD declines starting in 1990 and sustained CBVD declines.
- These findings highlight regional variations in the reduction of cardiovascular and cerebrovascular disease mortality.
Objective:
To compare trends in mortality rates from cardiovascular diseases (CVD), ischemic heart diseases (IHD) and cerebrovascular diseases (CBVD) in the States of Rio de Janeiro (RJ), São Paulo (SP) and Rio Grande do Sul (RS) and respective capitals from 1980 to 1999.
Methods:
Data regarding CVD deaths were obtained from Datasus, and those regarding populations were obtained from IBGE. Crude and sex and age-adjusted mortality rates were calculated using the direct method (standard population: State of Rio de Janeiro's population twenty years of age or older in 2000). Because of the relevant increase in mortality from ill-defined causes in the city and State of RJ as of 1990, the deaths were balanced prior to adjustments. The trends were analyzed using linear regressions.
Results:
Annual declines of balanced and adjusted mortality ranged from -11.3 CVD deaths/100,000 inhabitants in the city and State of RJ to -7.4 in the city of SP. IHD mortality rates were similar in the State and city of RJ and in Porto Alegre, and lower in the city of SP (-2.5 deaths/100,000 inhabitants). CBVD mortality rates ranged from -6.0 to -2.8 deaths/100,000 inhabitants in the State of RJ and in Porto Alegre, respectively.
Conclusion:
A decline in balanced and adjusted CVD, IHD and CBVD mortality rates was observed from 1980 to 1999 in the three States and capitals. In the State and city of RJ declines in IHD were clear as of 1990, whereas declines in CBVD occurred throughout the period studied.
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