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Coronary heart disease and stroke mortality trends in Brazil 2000-2018
Patrícia Vasconcelos Leitão Moreira1, Adélia da Costa Pereira de Arruda Neta1, Sara Silva Ferreira1
1Department of Nutrition, Federal University of Paraiba, João Pessoa, Paraíba, Brazil.
Insights
Mortality rates from coronary heart disease (CHD) and stroke declined in Brazil between 2000 and 2018. Public health efforts likely contributed, but continued vigilance is necessary.
Area of Science:
- Cardiovascular epidemiology
- Public health research
- Brazilian population studies
Background:
- Coronary heart disease (CHD) and stroke are leading causes of mortality globally.
- Understanding mortality trends is crucial for public health policy and intervention strategies.
Purpose of the Study:
- To analyze the mortality rate trends for coronary heart disease (CHD) and stroke in the adult population of Brazil from 2000 to 2018.
Main Methods:
- A time trend study utilizing joinpoint regression analysis.
- Inclusion of Brazilian men and women aged 35 years and over.
- Measurement of age-adjusted and age/sex-specific mortality rates for CHD and stroke.
Main Results:
- Overall age-adjusted mortality rates for both CHD and stroke showed a significant downward trend in both sexes.
- Crude CHD mortality rates decreased across most age groups, with notable declines in younger demographics.
- Stroke mortality rates also decreased significantly, with the most substantial changes observed in specific periods between 2008 and 2018.
Conclusions:
- The declining trend in CHD and stroke mortality in Brazil is ongoing.
- Policy interventions focusing on healthcare, diet, and lifestyle are potential contributors to this progress.
- Despite positive trends, continued efforts and monitoring are essential to prevent complacency.
Objective:
To analyse the mortality rate trend due to coronary heart disease (CHD) and stroke in the adult population in Brazil.
Methods:
From 2000 to 2018, a time trend study with joinpoint regression was conducted among Brazilian men and women aged 35 years and over. Age-adjusted and age, sex specific CHD and stroke trend rate mortality were measured.
Results:
Crude mortality rates from CHD decreased in both sexes and in all age groups, except for males over 85 years old with an increase of 1.78%. The most accentuated declining occurred for age range 35 to 44 years for both men (52.1%) and women (53.2%) due to stroke and in men (33%) due to CHD, and among women (32%) aged 65 to 74 years due to CHD. Age-adjusted mortality rates for CHD and stroke decreased in both sexes, in the period from 2000 to 2018. The average annual rate for CHD went from 97.09 during 2000-2008 to 78.75 during 2016-2018, whereas the highest percentage of change was observed during 2008 to 2013 (APC -2.5%; 95% CI). The average annual rate for stroke decreased from 104.96 to 69.93, between 2000-2008 and 2016-2018, and the highest percentage of change occurred during the periods from 2008 to 2013 and 2016 to 2018 (APC 4.7%; 95% CI).
Conclusion:
The downward trend CHD and stroke mortality rates is continuing. Policy intervention directed to strengthen care provision and improve population diets and lifestyles might explain the continued progress, but there is no room for complacency.
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