Malta Deborah Carvalho, Teixeira Renato Azeredo, Cardoso Laís Santos de Magalhães, Souza Juliana Bottoni de, Bernal Regina Tomie Ivata, Pinheiro Pedro Cisalpino, Gomes Crizian Saar, Leyland Alastair, Dundas Ruth, Barreto Maurício Lima
Universidade Federal de Minas Gerais, School of Nursing, Department of Maternal and Child Nursing and Public Health - Belo Horizonte (MG), Brazil.
Universidade Federal de Minas Gerais, School of Medicine, Graduate Program in Public Health - Belo Horizonte (MG), Brazil.
Rev Bras Epidemiol. 2023 Apr 21;26Suppl 1(Suppl 1):e230002. doi: 10.1590/1980-549720230002.supl.1. eCollection 2023.
To analyze premature mortality due to noncommunicable chronic diseases (NCDs) in Brazilian capitals and the Federal District (DF) after redistribution of garbage causes and the temporal evolution according to social deprivation strata in the 2010 to 2012 and 2017 to 2019 triennia.
Corrections were applied to the Mortality Information System (Sistema de Informação sobre Mortalidade - SIM) data such as the redistribution of garbage codes (GC). Premature mortality rates due to NCDs were calculated and standardized by age. The differences among NCDs mortality rates were analyzed according to the Brazilian Deprivation Index (Índice Brasileiro de Privação - IBP) categories and between the three-year periods.
In the capitals as a whole, rates increased between 8 and 12% after GC redistribution and the greatest increases occurred in areas of high deprivation: 11.9 and 11.4%, triennia 1 and 2, respectively. There was variability between the capitals. There was a reduction in rates in all strata of deprivation between the three-year periods, with the greatest decrease in the stratum of low deprivation (-18.2%) and the lowest in the stratum of high deprivation (-7.5%).
The redistribution of GC represented an increase in mortality rates, being higher in the strata of greater social deprivation. As a rule, a positive gradient of mortality was observed with increasing social deprivation. The analysis of the temporal evolution showed a decrease in mortality from NCDs between the triennia, especially in areas of lower social deprivation.
分析在垃圾成因重新分类后，巴西各首府城市及联邦区（DF）因非传染性慢性病（NCDs）导致的过早死亡率，以及2010年至2012年和2017年至2019年这两个三年期内根据社会剥夺分层的时间演变情况。
对死亡率信息系统（Sistema de Informação sobre Mortalidade - SIM）的数据进行校正，如垃圾代码（GC）的重新分类。计算并按年龄标准化因非传染性慢性病导致的过早死亡率。根据巴西剥夺指数（Índice Brasileiro de Privação - IBP）类别以及两个三年期之间分析非传染性慢性病死亡率的差异。
在所有首府城市中，垃圾代码重新分类后死亡率上升了8%至12%，最大增幅出现在高剥夺地区：分别在第一个和第二个三年期，增幅为11.9%和11.4%。各首府城市之间存在差异。在两个三年期之间，所有剥夺分层的死亡率均有所下降，低剥夺分层下降幅度最大（-18.2%）；高剥夺分层下降幅度最小（-7.5%）。
垃圾代码的重新分类导致死亡率上升，在社会剥夺程度较高的分层中更高。通常，随着社会剥夺程度的增加，观察到死亡率呈正梯度变化。对时间演变的分析表明，两个三年期之间非传染性慢性病导致的死亡率有所下降，尤其是在社会剥夺程度较低的地区。
