Cavalcanti Ana Maria, Kusma Solena Ziemer, Chomatas Eliane Regina da Veiga, Ignácio Sérgio Aparecido, Mendes Eugênio Vilaça, Moysés Simone Tetu, Pecoits-Filho Roberto
School of Medicine, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Paraná, Brazil.
Program in Health Sciences, Epidemiology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Rev Panam Salud Publica. 2018 May 11;42:e57. doi: 10.26633/RPSP.2018.57. eCollection 2018.
To describe the estimated prevalence of noncommunicable diseases and their common risk factors among the adult population of Curitiba, Paraná, Brazil, based on results of the EPIdemiology of CURitiba: EvaluAtion of Noncommunicable diseases (EPICUREAN) study.
This was a cross-sectional, population-based survey of 1 103 residents of Curitiba, grouped by age (18 - 39 years of age, 40 - 59, and ≥ 60 years), conducted in August 2013 - August 2014. Household interviews, anthropometry, blood pressure measurements, and fasting capillary glycemia were performed during two visits to each participant. The analyses included frequency distribution and prevalence estimates of main outcomes. Prevalence estimates, weighted by age and sex, were presented as absolute numbers and percentages.
Prevalence estimates for self-reported depression were 21.2%; hypertension, 31.2%; diabetes, 9.1%; self-reported dyslipidemia, 21.7%; obesity, 21.2%; current smoking, 16.1%; binge drinking, 23.4%; and insufficient physical activity, 35.1%. Prevalences of diabetes and hypertension were higher among individuals with less schooling and the elderly. Binge drinking and leisure-time physical activity were more prevalent in young adults. Men presented higher prevalences of overweight, current smoking, and harmful use of alcohol. Obesity and moderate- to-severe risk of depression were more frequent among women and those with lower income.
The prevalence of NCDs and common risk factors among the adult population of Curitiba are high and reveal a gradient of vulnerabilities by age, sex, education level, and income. To address health inequities and meet the needs of different population groups, the health system should monitor NCDs and risk factors and implement equitable public health policies.
基于库里蒂巴非传染性疾病流行病学评估（EPICUREAN）研究结果，描述巴西巴拉那州库里蒂巴成年人群中非传染性疾病及其常见危险因素的估计患病率。
这是一项基于人群的横断面调查，于2013年8月至2014年8月对1103名库里蒂巴居民进行，按年龄分组（18 - 39岁、40 - 59岁和≥60岁）。对每位参与者进行两次家访，期间进行人体测量、血压测量和空腹毛细血管血糖检测。分析包括主要结果的频率分布和患病率估计。按年龄和性别加权的患病率估计以绝对数和百分比表示。
自我报告的抑郁症患病率为21.2%；高血压为31.2%；糖尿病为9.1%；自我报告的血脂异常为21.7%；肥胖为21.2%；当前吸烟为16.1%；暴饮为23.4%；身体活动不足为35.1%。糖尿病和高血压患病率在受教育程度较低者和老年人中较高。暴饮和休闲时间身体活动在年轻人中更为普遍。男性超重、当前吸烟和有害饮酒的患病率较高。肥胖和中重度抑郁风险在女性和低收入者中更为常见。
库里蒂巴成年人群中非传染性疾病和常见危险因素的患病率很高，并显示出按年龄、性别、教育水平和收入划分的脆弱性梯度。为了解决健康不平等问题并满足不同人群的需求，卫生系统应监测非传染性疾病和危险因素，并实施公平的公共卫生政策。
