2000年から2019年のブラジルにおける慢性C型肝炎の死亡率:複数の死因の分析
Larissa Festa1, Gerusa Maria Figueiredo1, Fatima Mitiko Tengan1
1Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
Clinics (Sao Paulo, Brazil)
|September 6, 2025
まとめ
ブラジルの慢性C型肝炎 (CHC) による死亡率は過小評価されています. 多くの死者は,死因ではなく,関連原因としてCHCを記載し,死亡証明書のコード化に問題があることを強調しています.
科学分野:
- ヘパトロジー
- 公衆衛生
- 流行病学について
背景:
- 従来の死亡統計では,慢性C型肝炎 (CHC) の影響を完全に過小評価している可能性があります.
- 死亡率の正確なデータは 病気の負担を理解し,公衆衛生戦略に情報を提供するために不可欠です.
研究 の 目的:
- 2000年から2019年の間にブラジルでCHCに起因する死亡を分析する.
- CHCを根本的な死因と複数の死因として評価する.
- CHCによる死亡率の過小評価を定量化する.
主な方法:
- ブラジルの死亡情報システムデータ (2000年−2019年) を利用した生態学的研究.
- 死因と社会統計学的変数の記述分析
- 死因と関連した原因としてのCHCの比較
主要な成果:
- 33,115人の死者はCHCを挙げ,25,390人 (76.67%) はそれを根本的な原因として挙げました.
- CHCによる死亡率は30.42%少なく,7,725例が関連因子 (しばしば肝臓がん) として挙げられた.
- CHCによる死亡は 主に男性,白人,年齢60歳以上,教育歴12年以上.
結論:
- 2000年から2019年にかけて,ブラジルではCHCによる死亡率が著しく減少した.
- 不適切な死亡証明書分類とコーディングの慣行は,過小評価に寄与しています.
- C型肝炎の死亡率の正確な指標のために,死亡証明書の完成と死因のコーディングの改善が推奨されています.
キーワード:
C型肝炎 死亡率 死因について ブラジル
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