de Souza Orivaldo Florencio, Araújo Alexandre Castelo Branco, Vieira Lorenna Baião, Bachur José Alexandre, Lopez Alberto Grover Prado, Gonçalves Thiago Gomes, de Abreu Luiz Carlos
Postgraduate Program in Nutrition and Health, Federal University of Espírito Santo, Vitoria 29043-900, Brazil.
Postgraduate Program in Health Sciences, Federal University of Acre, Rio Branco 69915-900, Brazil.
Epidemiologia (Basel). 2024 Jul 17;5(3):402-410. doi: 10.3390/epidemiologia5030029.
The disparity between the sexes in stroke mortality has been demonstrated in people from different locations. The objective of this study was to analyze the disparity between sexes in stroke mortality in adults in the metropolitan area of Greater Vitoria between 2000 and 2021. Ecological time series design was conducted with a database of the Brazilian Health System Informatics Department. The annual percentage change and average annual percentage change were calculated through joinpoint regression. Pairwise comparisons using parallelism and coincidence tests were applied to compare temporal trends between men and women. Men had higher mortality rates in most years between 2000 and 2021. In contrast, women had higher proportional mortality values in all years evaluated from 2000 to 2021. The paired comparison revealed a disparity between the sexes in the proportional mortality time series (parallelism test: = 0.003; coincidence test: < 0.001). However, the time series of the mortality rates showed no disparity between the sexes (parallelism test: = 0.114; coincidence test: = 0.093). From 2000 to 2021, there was a disparity in proportional mortality from stroke between the sexes of the population in the metropolitan area of Greater Vitoria, Brazil. However, the time series of mortality rates between the sexes did not reveal any disparity in the study period.
不同地区人群的中风死亡率存在性别差异。本研究的目的是分析2000年至2021年大维多利亚都会区成年人中风死亡率的性别差异。采用巴西卫生系统信息部的数据库进行生态时间序列设计。通过连接点回归计算年度百分比变化和平均年度百分比变化。使用平行性和一致性检验进行成对比较，以比较男性和女性的时间趋势。在2000年至2021年的大多数年份中，男性的死亡率较高。相比之下，在2000年至2021年评估的所有年份中，女性的比例死亡率值较高。成对比较显示，比例死亡率时间序列存在性别差异（平行性检验：=0.003；一致性检验：<0.001）。然而，死亡率时间序列未显示出性别差异（平行性检验：=0.114；一致性检验：=0.093）。2000年至2021年，巴西大维多利亚都会区人群中风比例死亡率存在性别差异。然而，研究期间两性的死亡率时间序列未显示出任何差异。
