转向癌症死亡率在巴西超过心血管疾病死亡率的过渡,2000-2019:基于人口的研究研究
Beatriz Rache1, Rudi Rocha2,3, Luciana Alves de Medeiros4
1University of California, Los Angeles (UCLA), Anderson School of Management, Los Angeles, CA, USA.
Lancet regional health. Americas
|October 21, 2024
概括
在巴西,癌症死亡率越来越超过心血管疾病 (CVD) 死亡率,特别是在更富裕的地区. 这种流行病学转变凸显了巴西公共卫生的关键转型.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 人口统计学 人口统计学
背景情况:
- 心血管疾病 (CVD) 和癌症是全球主要的死亡原因.
- 在许多国家,正在发生流行病学转型,癌症死亡率超过心血管疾病死亡率.
- 巴西正在经历这种转变,需要进行全国性的分析.
研究的目的:
- 分析巴西的流行病学转变,以致于癌症死亡率占比于心血管疾病死亡率.
- 为了确定癌症与心血管疾病死亡率的区域和时间趋势.
- 调查与这种死亡率转移相关的社会经济因素.
主要方法:
- 通过死亡信息系统利用了来自巴西5570个市镇的数据.
- 使用ICD-10代码对死亡原因进行分类.
- 从2000年到2019年计算的年龄标准化死亡率和死亡率比率 (MRRs),可视化使用choropleth地图.
主要成果:
- 心血管疾病死亡率在25个州下降,2000-2019年间,癌症死亡率在15个州增加.
- 2000年,癌症死亡率超过了CVD死亡率的7%的市政当局,到2019年增加到13%.
- 较高的家庭收入与较高的癌症死亡率相对心血管疾病死亡率相关.
结论:
- 巴西正在经历流行病学转型,癌症死亡率超过心血管疾病死亡率.
- 这种转变在家庭收入较高的市政当局中尤为明显.
- 研究结果为巴西的政策制定者和公共卫生从业者提供了关键的见解.
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