All-cause and cardiovascular diseases mortality in three Brazilian states, 1980 to 2006
All-cause and cardiovascular diseases mortality in three Brazilian states, 1980 to 2006
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DOI：
10.1590/s1020-49892010001000004
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发表时间：
2010-10-01
期刊：
影响因子：
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通讯作者：
Silva, Nelson Albuquerque de Souza e
中科院分区：
文献类型：
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作者：
Soares, Gabriel Porto;Brum, Júlia Dias;Silva, Nelson Albuquerque de Souza e
Objective.评估1980年至2006年里约热内卢、南里奥格兰德、圣保罗及其首府的全因死亡率、循环系统疾病（DCS）、缺血性心脏病（IHD）和脑血管疾病（CVD），同时考虑因不明原因死亡的影响。人口和死亡率数据来自统一卫生系统数据库（DATASUS）。对于20岁以上的成年人，通过直接方法调整了感兴趣的疾病和不明确原因的死亡率。由于1990年后不明原因造成的死亡率显著增加，因此计算了不明原因造成的死亡率比例。采用线性回归模型进行趋势分析。在这三个州和首府，全因死亡率都有相应下降。里约热内卢及其首都的全因死亡率最高。DCS死亡率下降幅度大于全因死亡率。从1990年开始，里约热内卢及其首都的不明原因死亡率高于所有其他州和首都。CVD死亡率在研究期间下降，特别是在里约热内卢及其首都。直到1993年，里约热内卢州的IHD死亡率也是最高的。从1992年开始，在首都中，圣保罗的IHD死亡率最高。全因死亡率的下降主要是由于DCS死亡率的下降。反过来，DCS死亡率的下降部分是由于CVD死亡率的降低，特别是在里约热内卢州。
Objective. To evaluate mortality from all causes, diseases of the circulatory system (DCS), ischemic heart disease (IHD), and cerebrovascular diseases (CVD) from 1980 to 2006 in Rio de Janeiro, Rio Grande do Sul, Sao Paulo, and their capitals, taking into consideration the impact of deaths due to ill-defined causes.Methods. Population and mortality data were obtained from the Unified Health System's Data Bank (DATASUS). Mortality from the diseases of interest and from ill-defined causes was adjusted by the direct method for adults older than 20 years of age. Since the mortality rates from ill-defined causes increased markedly after 1990, proportional mortality rates from ill-defined causes were calculated. Linear regression models were used for analysis of trends.Results. A relevant decline in all-cause mortality was observed in the three states and capitals. Rio de Janeiro and its capital had the highest rates of all-cause mortality. DCS mortality declined more than all-cause mortality. Proportional mortality from ill-defined causes in Rio de Janeiro and its capital was higher than in all other states and capitals starting in 1990. CVD mortality fell in the study period, especially in Rio de Janeiro and its capital. The state of Rio de Janeiro also had the highest IHD mortality rates until 1993. Among the capitals, Sao Paulo presented the highest IHD mortality rates starting in 1992.Conclusions. The decline in all-cause mortality resulted mainly from the decline in DCS mortality. In turn, the decline in DCS mortality was partly due to the reduction in CVD mortality, especially in the state of Rio de Janeiro.