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Premature mortality due to noncommunicable diseases in Brazilian capitals: redistribution of garbage causes and evolution by social deprivation strata / Mortalidade prematura por doenças crônicas não transmissíveis em capitais brasileiras: redistribuição de causas garbage e evolução por estratos de privação social
Preprint
in Portuguese
| SciELO Preprints
| ID: pps-5262
Responsible library:
BR1.1
ABSTRACT
Objectives:
To analyze premature mortality due to noncommunicable diseases (NCDs) in Brazilian capitals and the Federal District (DF) according to the redistribution of garbage causes and the temporal evolution according to social deprivation strata in the trienniums 2010 to 2012 and 2017 to 2019.Methods:
Corrections were applied to the Mortality Information System (SIM) such as proportional redistribution of ignored and blank data and garbage causes (GC). Municipal premature mortality rates from NCDs were calculated using the local empirical Bayesian estimator and standardized by age. Differences between NCD mortality rates according to the Brazilian Deprivation Index (IBP) categories and between the three-year periods were analyzed.Results:
In the capitals as a whole, rates increased between 8 and 12% after the GC redistribution and the greatest increases occurred in areas of high deprivation 11.9% and 11.4%, triennia 1 and 2. There was variability between the capitals. There was a reduction in rates in all strata of deprivation between the three-year periods, with the greatest decrease in the stratum of low deprivation (-18.2%) and the lowest in the stratum of high deprivation (-7.5%).Conclusion:
The redistribution of GC represented an increase in mortality rates, being higher in the strata of greater social deprivation. As a rule, a positive gradient of mortality was observed with increasing social deprivation. The analysis of the temporal evolution showed a decrease in mortality from NCDs between the three years, especially in areas of less social deprivation.RESUMO
Objetivos:
Analisar a mortalidade prematura por doenças crônicas não transmissíveis (DCNT) nas capitais brasileiras e Distrito Federal (DF) segundo redistribuição das causas garbage e a evolução temporal segundo estratos de privação social nos triênios 2010 a 2012 e 2017 a 2019.Métodos:
Foram aplicadas correções ao Sistema de Informação sobre Mortalidade (SIM) como redistribuição proporcional de dados ignorados e em branco, e das causas garbage (CG). As taxas municipais de mortalidade prematura por DCNT foram calculadas pelo estimador bayesiano empírico local e padronizadas por idade. Foram analisadas diferenças entre as taxas de mortalidade por DCNT segundo categorias do Índice Brasileiro de Privação (IBP) e entre os triênios.Resultados:
No conjunto das capitais, as taxas aumentaram entre 8 a 12% após a redistribuição de CG e os maiores acréscimos ocorreram em áreas de alta privação 11,9% e 11,4%, triênios 1 e 2. Houve variabilidade entre as capitais. Observou-se redução das taxas em todos os estratos de privação entre os triênios, sendo maior decréscimo no estrato de baixa privação (-18,2%) e menor no estrato de alta privação (-7,5%).Conclusão:
A redistribuição de CG representou aumento das taxas de mortalidade, sendo maior nos estratos de maior privação social. Via de regra, observou-se gradiente positivo de mortalidade com o aumento da privação social. A análise da evolução temporal evidenciou decréscimo da mortalidade por DCNT entre os triênios, sobretudo em áreas de menor privação social.
Full text:
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Collection:
Preprints
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Goal 1 Equitable access to health services
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Goal 6: Information systems for health
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Target 3.8 Achieve universal access to health
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Target 3.3: End transmission of communicable diseases
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Target 3.4: Reduce premature mortality due to noncommunicable diseases
Database:
SciELO Preprints
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Year:
2022
Document type:
Preprint