Mansur A P, Favarato D, Souza M F, Avakian S D, Aldrighi J M, César L A, Ramires J A
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, 05403-000, Brazil.
Arq Bras Cardiol. 2001 Jun;76(6):497-510. doi: 10.1590/s0066-782x2001000600007.
To analyze the trends in mortality due to circulatory diseases in men and women aged > or =30 years in Brazil from 1979 to 1996.
We analyzed population count data obtained from the IBGE Foundation and mortality data obtained from the System of Information on Mortality of the DATASUS of the Ministry of Health.
Circulatory diseases, ischemic heart disease, and cerebrovascular disease were the major causes of death in men and women in Brazil. The standardized age coefficient for circulatory disease in men aged > or =30 years ranged from 620 to 506 deaths/100,000 inhabitants and in women from 483 to 383 deaths/100,000 inhabitants for the years 1979 and 1996, respectively. In men, the mean coefficient for the period was 586.25 deaths with a significant trend towards a decrease (P<0.001) and a decline of 8.25 deaths/year. In women, the mean coefficient for the period was 439.58 deaths, a significant trend towards a decrease (P<0.001) and a rate of decline of 7.53 deaths/year. The same significant trend towards a decrease in death (P<0.001) was observed for ischemic heart disease and cerebrovascular disease. Risk of death from these causes was always higher for men of any age group (P<0.001). Cerebrovascular disease was the primary cause of death in women.
Although circulatory diseases have been the major cause of mortality in men and women in the Brazilian population, with a greater participation by cerebrovascular diseases, a trend towards a decrease in the risk of death from these causes is being observed.
分析1979年至1996年巴西30岁及以上男性和女性循环系统疾病死亡率的变化趋势。
我们分析了从巴西地理与统计研究所(IBGE Foundation)获得的人口计数数据以及从卫生部数据处理系统(DATASUS)的死亡率信息系统获得的死亡率数据。
循环系统疾病、缺血性心脏病和脑血管疾病是巴西男性和女性的主要死因。1979年和1996年,30岁及以上男性循环系统疾病的标准化年龄系数分别为每10万居民620至506例死亡,女性为每10万居民483至383例死亡。在男性中,该时期的平均系数为586.25例死亡,呈显著下降趋势(P<0.001),每年下降8.25例死亡。在女性中,该时期的平均系数为439.58例死亡,呈显著下降趋势(P<0.001),每年下降率为7.53例死亡。缺血性心脏病和脑血管疾病也观察到相同的显著下降趋势(P<0.001)。任何年龄组男性因这些原因导致的死亡风险始终较高(P<0.001)。脑血管疾病是女性的主要死因。
尽管循环系统疾病一直是巴西男性和女性的主要死因,脑血管疾病的占比更大,但目前正观察到这些原因导致的死亡风险呈下降趋势。