2026· Epidemiologia e Serviços de Saúde· Vol 35· 0 citations· 29 references
TL;DR
Cardiovascular disease mortality in Brazil showed heterogeneous distribution in time and space, with predominance in males and higher mortality rates among the elderly and people with low levels of education.
Abstract
Abstract Objective: To describe the temporal and spatial distribution of cardiovascular disease mortality in Brazil from 2003 to 2023. Methods: A time series and spatial analysis study was conducted using secondary data from the Mortality Information System run by the Brazilian Unified Health System Department of Information Technology, including all deaths from circulatory system diseases. Sociodemographic characteristics were analyzed and standardized mortality rates per 100,000 inhabitants were calculated. The temporal trend was assessed using joinpoint regression, with estimated annual percentage change. The spatial analysis considered average municipal rates, both unadjusted and also smoothed by the local empirical Bayesian method, in addition to global and local spatial autocorrelation. Results: 7,088,623 cardiovascular disease deaths were recorded in Brazil between 2003 and 2023, with predominance in males and higher mortality rates among the elderly and people with low levels of education. The highest rates were observed in the Southeast (190.14/100,000) and Southern (187.59/100,000) regions, while the Northern (APC 2003-2008 4.38; APC 2008-2023 2.33) and Northeast (APC 2003-2007 8.15; APC 2007-2023 1.11) regions showed an increasing trend over the period (p-value<0.001). Global Moran’s I (0.02; p-value<0.05) indicated weak but statistically significant positive spatial autocorrelation. Local analysis revealed clusters of high mortality concentrated mainly in municipalities of Mato Grosso and Goiás states, while areas of low mortality predominated in the Northern region and on the Northeast coast. Conclusion: Cardiovascular disease mortality in Brazil showed heterogeneous distribution in time and space.
Chronic kidney disease mortality increased in Brazil, with ageing of deaths, persistent male excess mortality, an increasing share among Black and Brown individuals, and regional differences from 2010 to 2024.
Alana Coêlho Maciel, Thiago Emmanuel Araujo dos Santos, Renato Sarmento dos Reis Moreno et al.· Revista de Estudos Interdisc...· 0 citations
Abstract Background Brazil presents regional variations in mortality from cardiomyopathies, influenced by demographic characteristics, socioeconomic inequalities, and differences in access to health services. Between 2001 and 2021, 272,448 deaths from the disease were recorded in the country. Objective To analyze, at the national level, the epidemiological profile and the spatiotemporal distribution of mortality from cardiomyopathies in Brazil, from 2001 to 2021. Methods Epidemiological study based on secondary data from the Mortality Information System (SIM/DATASUS) and population estimates from IBGE. Crude mortality rates were calculated per municipality. Temporal analysis was performed using Joinpoint, estimating the annual percentage change (APC). Spatial analysis used GeoDa, with Bayesian smoothing and evaluation of spatial autocorrelation using the Global Moran’s I and LISA indices. Statistical significance was set at p < 0.05. Results There were 272,448 deaths due to cardiomyopathies, predominantly in men (58.65%), individuals aged 80 or older (25.74%), white individuals (52.18%), married individuals (36.77%), and those with 1 to 3 years of completed schooling (21.91%). The average mortality rate was 6.66 per 100,000 inhabitants, reaching 7.64 per 100,000 in 2004 and falling to 4.15 per 100,000 in 2020. A significant annual reduction of 1.86% was observed (p < 0.05). Spatial analysis revealed clusters of high mortality, mainly in the Midwest, South, and Southeast regions, with Corumbá de Goiás standing out (49.34/100,000). Conclusion There was a significant reduction in mortality from cardiomyopathies, despite the persistence of critical areas that require targeted strategies for surveillance, early diagnosis, and appropriate management.
L. F. Kubrusly, Ana Clara Abdo Lopes, Fernanda Ritt de Souza et al.· Arquivos Brasileiros de Card...· 0 citations
Cancer mortality in Alagoas is increasing steadily, characterized by premature deaths, geographic concentration, and care displacement, and decentralizing the oncology network, expanding screening for preventable tumors, and strengthening home palliative care are priority actions to reduce mortality.
Marianna Victória, C. Rocha, Adriana Martins da Conceição et al.· 0 citations
Investigate spatial and temporal distribution of suicide mortality across the Regional Health Care Networks of São Paulo State, Brazil, from 2012 to 2022, evaluating associations with mental health service availability, psychiatric workforce density, and socioeconomic indicators to emerge as key modifiable factors.
Maria Carolina Vita Nunes, J. Santos, Mirian Matsura Shirassu et al.· Revista Brasileira de Psiqui...· 0 citations
ABSTRACT Objective: To analyze spatiotemporal trends in hospital morbidity indicators for road traffic injuries in the state of Piauí, Brazil, from 2010 to 2023. Methods: This is an ecological, time-series and spatial analysis using data from the Hospital Information System of the Brazilian Unified Health System. Trends in hospitalization rates, according to health regions and sociodemographic characteristics, were analyzed using annual percent change (APC) and 95% confidence intervals (95%CI), estimated by Prais-Winsten regression. Spatial clusters were identified at the municipality level using Local Indicators of Spatial Association (LISA) maps. Results: A total of 80,251 hospitalizations due to road traffic injuries were recorded. The mean hospitalization rate was 176.1/100 thousand inhabitants, showing an increasing trend (APC 5.72; 95%CI 1.04; 10.61), while case fatality (2.3%) remained stable (APC -2.42; 95%CI -5.07; 0.30). The mean hospitalization cost per admission (BRL 1,123.92) showed a decreasing trend (APC -3.17; 95%CI -5.57; -0.71), whereas the mean length of hospital stay (4.9 days) remained stable (APC -1.07; 95%CI -2.96; 0.86). High-high spatial clusters of hospitalization rates were observed in municipalities located in the Northern and Southern regions of the state. Conclusion: Hospitalization rates for road traffic injuries increased in Piauí, followed by a reduction in mean cost and stability in case fatality and length of hospital stay. Higher morbidity was concentrated in the Northern and Southern regions, suggesting a geographic shift of hospital morbidity toward inland areas.
Francisco Gabriel Thomaz Bastos, Gabriel Stumpf Bastos Amorim, Francisco Antônio da Cruz Dos Santos et al.· Revista brasileira de epidem...· 0 citations
Mortality remained high, with ageing of deaths, regional differences, and limited diagnostic specificity, and strengthening tobacco control, early diagnosis, exacerbation management, and death-cause certification is recommended.
Alana Coêlho Maciel, Thiago Emmanuel Araujo dos Santos, Renato Sarmento dos Reis Moreno et al.· Revista de Estudos Interdisc...· 0 citations
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