Chiavegatto Filho Alexandre Dias Porto, Laurenti Ruy
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2013 Jun;29(6):1131-40.
Comparisons between States of Brazil are still rare in public health. The States of Minas Gerais, São Paulo, and Rio de Janeiro have adequate mortality registry coverage and are geographically similar, thus making comparison appropriate for identifying possible interventions in public health. Meanwhile, the three States show important socioeconomic differences, consistently worse for Minas Gerais. The study analyzed the disaggregation of differences in life expectancy in Minas Gerais as compared to São Paulo and Rio de Janeiro for 1996, 2000, and 2010, using the Arriaga methodology. Minas Gerais had a higher life expectancy than the two other States for the entire period, in both men and women. Advanced age and chronic illness, especially cancer and ischemic heart disease, were the most important factors in this difference. Differences in lifestyle and physical exercise (better for Minas Gerais than for São Paulo and Rio de Janeiro) could help explain the apparent inconsistency between socioeconomic indicators and life expectancy.
在公共卫生领域，巴西各州之间的比较仍然很少见。米纳斯吉拉斯州、圣保罗州和里约热内卢州拥有足够的死亡率登记覆盖范围，并且在地理上相似，因此进行比较适合用于确定公共卫生领域可能的干预措施。同时，这三个州表现出重要的社会经济差异，米纳斯吉拉斯州的情况一直更糟。该研究使用阿里亚加方法分析了1996年、2000年和2010年米纳斯吉拉斯州与圣保罗州和里约热内卢州相比预期寿命差异的分解情况。在整个时期内，米纳斯吉拉斯州男性和女性的预期寿命均高于其他两个州。高龄和慢性病，尤其是癌症和缺血性心脏病，是造成这种差异的最重要因素。生活方式和体育锻炼方面的差异（米纳斯吉拉斯州比圣保罗州和里约热内卢州更好）有助于解释社会经济指标与预期寿命之间明显的不一致。
