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由于饮酒是某些疾病的必要病因,巴西统一卫生系统因这些疾病而产生的疾病负担和费用:一项生态研究。

Burden of disease and costs for the Unified Health System in Brazil due to diseases whose alcohol consumption is a necessary cause: an ecological study.

机构信息

Federal University of Ouro Preto, Postgraduate Program in Health and Nutrition, Ouro Preto, Minas Gerais, Brazil.

School of Medicine, Federal University of Ouro Preto (UFOP), Ouro Preto, Minas Gerais, Brazil.

出版信息

Public Health. 2024 Oct;235:187-193. doi: 10.1016/j.puhe.2024.06.038. Epub 2024 Aug 16.

DOI:10.1016/j.puhe.2024.06.038
PMID:39153382
Abstract

OBJECTIVE

This study aimed to quantify the health and economic impacts of alcohol consumption in Brazil for 2019.

STUDY DESIGN

Ecological study using secondary data sources.

METHODS

We calculated the disease burden using estimates from the Global Burden of Disease study, which incorporated data from health surveys and hospital records. Costs were estimated based on direct expenses recorded in the Hospital and Outpatient Information System of the Unified Health System, with data by sex, age group, cause, and Federative Units.

RESULTS

Alcohol consumption was a necessary cause for 30,355 deaths and approximately 1.69 million disability-adjusted life years in Brazil, representing 2.2% and 2.6% of the national totals, respectively. The impact was more pronounced among men, in the Northeast region and within the 40- to 64-year-old age group. The total costs attributed to these outcomes reached approximately Int$43.1 million, with hospital admissions accounting for 94.16% of these expenses.

CONCLUSION

In 2019, alcohol consumption had a significant impact on both the health of Brazilians and the expenses of the health system. As a preventable risk factor, alcohol consumption necessitates effective intersectoral strategies to mitigate its burden.

摘要

目的

本研究旨在量化 2019 年巴西酒精消费对健康和经济的影响。

研究设计

使用二次数据源进行生态研究。

方法

我们使用全球疾病负担研究的估计值来计算疾病负担,该研究纳入了健康调查和医院记录的数据。根据统一卫生系统的医院和门诊信息系统记录的直接费用,按性别、年龄组、病因和联邦单位对成本进行了估计。

结果

酒精消费是巴西 30355 例死亡和大约 169 万伤残调整生命年的必要原因,分别占全国总数的 2.2%和 2.6%。这种影响在男性、东北部地区和 40 至 64 岁年龄组中更为明显。归因于这些结果的总成本约为 4310 万美元,其中住院治疗占这些费用的 94.16%。

结论

2019 年,酒精消费对巴西人的健康和卫生系统的支出都产生了重大影响。作为一个可预防的风险因素,酒精消费需要采取有效的跨部门策略来减轻其负担。

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