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Journal Article Epublish 2 citations

PubMed: 39440818 DOI: 10.1590/1980-549720230002.supl.1

Premature mortality due to noncommunicable diseases in Brazilian capitals: redistribution of garbage causes and evolution by social deprivation strata.

Rev Bras Epidemiol 26Suppl 1(Suppl 1):e230002

Authors: Deborah Carvalho Malta, Renato Azeredo Teixeira, Laís Santos de Magalhães Cardoso, Juliana Bottoni de Souza, Regina Tomie Ivata Bernal, Pedro Cisalpino Pinheiro, Crizian Saar Gomes, Alastair Leyland, Ruth Dundas, Maurício Lima Barreto

Affiliations

  • Universidade Federal de Minas Gerais, School of Nursing, Department of Maternal and Child Nursing and Public Health - Belo Horizonte (MG), Brazil.
  • Universidade Federal de Minas Gerais, School of Medicine, Graduate Program in Public Health - Belo Horizonte (MG), Brazil.
  • Universidade Federal de Minas Gerais, School of Nursing, Graduate Program in Nursing - Belo Horizonte (MG), Brazil.
  • Universidade Federal de Minas Gerais, School of Nursing, Observatório de Doenças e Agravos Não Transmissíveis - Belo Horizonte (MG), Brazil.
  • University of Glasgow, MRC/CSO Social & Public Health Sciences Unit - Glasgow, United Kingdom.
  • Fundação Oswaldo Cruz, Centro de Integração de Dados e Conhecimentos para Saúde - Salvador (BA), Brazil.
  • Universidade Federal da Bahia, Instituto de Saúde Coletiva - Salvador (BA), Brazil.

Abstract

OBJECTIVE

To analyze premature mortality due to noncommunicable chronic diseases (NCDs) in Brazilian capitals and the Federal District (DF) after redistribution of garbage causes and the temporal evolution according to social deprivation strata in the 2010 to 2012 and 2017 to 2019 triennia.

METHODS

Corrections were applied to the Mortality Information System (Sistema de Informação sobre Mortalidade - SIM) data such as the redistribution of garbage codes (GC). Premature mortality rates due to NCDs were calculated and standardized by age. The differences among NCDs mortality rates were analyzed according to the Brazilian Deprivation Index (Índice Brasileiro de Privação - IBP) categories and between the three-year periods.

RESULTS

In the capitals as a whole, rates increased between 8 and 12% after GC redistribution and the greatest increases occurred in areas of high deprivation: 11.9 and 11.4%, triennia 1 and 2, respectively. 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 triennia, especially in areas of lower social deprivation.

MeSH

Mortality, Epidemiology, Garbage, Noncommunicable Diseases, Mortality, Premature