Stopa Sheila Rizzato, Cesar Chester Luiz Galvão, Segri Neuber José, Alves Maria Cecilia Goi Porto, Barros Marilisa Berti de Azevedo, Goldbaum Moisés
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.
Universidade Federal de Mato Grosso, Cuiabá, Brasil.
Cad Saude Publica. 2018 Oct 22;34(10):e00198717. doi: 10.1590/0102-311X00198717.
The objective was to compare the estimates for prevalence of diabetes, hypertension, and behavioral measures to control these diseases. Data were analyzed for the adult population from Health Surveys in the city of São Paulo, Brazil, in 2003, 2008, and 2015. Prevalence rates and 95% confidence intervals (95%CI) were calculated for the following: hypertension, diabetes, and practices to control these diseases (diet, physical activity, oral medication, insulin, nothing). Estimates were compared by age and sex-adjusted Poisson regression and analyzed according to the 20-59-years and 60-and-older age brackets. The data were presented comparing 2008 to 2003 and 2015 to 2003. Among persons 20 to 59 years of age, there was an increase in the prevalence rates for: hypertension in 2003-2015 (PR = 1.27; 95%CI: 1.03-1.60) and diet for both periods (2003-2008, PR = 2.04; 95%CI: 1.42-2.91; and 2003-2015, PR = 1.51; 95%CI: 1.05-2.15). Among persons 60 years and older: diabetes (PR = 1.29; 95%CI: 1.08-1.56) and oral medication to control diabetes (PR = 1.38; 95%CI: 1.17-1.63), both in 2003-2015; hypertension in 2003-2015 (PR = 1.19; 95%CI:1.05-1.39); and diet and oral medication to control hypertension in 2003-2008 (PR = 1.20; 95%CI: 0.95-1.51 and PR = 1.02; 95%CI: 0.95-1.09, respectively). The results are important for surveillance and monitoring of the target indicators and provide backing for planning health care activities in the city of São Paulo. Linking and aligning effective and integrated interventions is indispensable for reducing and controlling these chronic noncommunicable diseases.
目的是比较糖尿病、高血压的患病率估计值以及控制这些疾病的行为指标。对巴西圣保罗市2003年、2008年和2015年健康调查中的成年人口数据进行了分析。计算了以下各项的患病率及95%置信区间(95%CI):高血压、糖尿病以及控制这些疾病的措施(饮食、体育活动、口服药物、胰岛素、未采取任何措施)。通过年龄和性别调整的泊松回归比较估计值,并根据20至59岁和60岁及以上年龄组进行分析。数据呈现了2008年与2003年以及2015年与2003年的对比情况。在20至59岁人群中,以下各项的患病率有所上升:2003 - 2015年的高血压(PR = 1.27;95%CI:1.03 - 1.60)以及两个时期的饮食(2003 - 2008年,PR = 2.04;95%CI:1.42 - 2.91;2003 - 2015年,PR = 1.51;95%CI:1.05 - 2.15)。在60岁及以上人群中:2003 - 2015年的糖尿病(PR = 1.29;95%CI:1.08 - 1.56)以及控制糖尿病的口服药物(PR = 1.38;95%CI:1.17 - 1.63);2003 - 2015年的高血压(PR = 1.19;95%CI:1.05 - 1.39);以及2003 - 2008年控制高血压的饮食和口服药物(PR分别为1.20;95%CI:0.95 - 1.51和PR = 1.02;95%CI:0.95 - 1.09)。这些结果对于目标指标的监测很重要,并为圣保罗市的医疗保健活动规划提供了支持。关联和协调有效的综合干预措施对于减少和控制这些慢性非传染性疾病必不可少。