巴西慢性病死亡率趋势:一项生态研究
Ellen de Cassia Dutra Pozzetti Gouvêa1, Alex Mussoi Ribeiro2, Erika Carvalho de Aquino1
1Ministério da Saúde, Secretaria de Vigilância em Saúde e Ambiente, Brasília, DF, Brazil.
概括
巴西的慢性病死亡率正在上升,特别是在男性,老年人以及北部和东北部地区. 这突显了病结果的显著社会人口学差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 慢性病 (CKD) 构成了全球重大健康负担.
- 了解死亡率趋势对于有针对性的公共卫生干预至关重要.
研究的目的:
- 分析巴西慢性病死亡率的趋势.
- 从2009年到2020年,根据性别,年龄和地区对CKD死亡率的差异进行研究.
主要方法:
- 从巴西的死亡率信息系统 (2009-2020) 获取的死亡率数据的时间序列分析.
- 使用直接方法的标准化死亡率.
- 使用普莱斯-温斯顿方法进行时间趋势分析.
主要成果:
- 慢性瘤死亡率呈现出持续的上升趋势,在2009年至2020年期间,每人口单位的死亡人数从2.82人增加到3.24人.
- 在男性,75岁及以上的个体以及北方和东北地区,死亡率的增加更大.
- 虽然死亡率在各个地区都增加,但中西部地区始终呈现出最高的死亡率.
结论:
- 巴西的慢性病死亡率一直在增加,有显著的社会人口统计学变化.
- 调查结果强调需要以初级卫生保健 (PHC) 为重点的公共卫生政策来解决CKD.
- 建议采取包括扩大获得医疗服务,健康教育和综合护理模式在内的战略,以有效管理CKD.
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