Figueiró Thamara Hubler, Zorzi Viviane Nogueira de, d'Orsi Eleonora, Rech Cassiano Ricardo, Hillesheim Danúbia
Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Ciências Médicas, Florianópolis, SC, Brazil.
Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Educação Física, Florianópolis, SC, Brazil.
Epidemiol Serv Saude. 2024 Dec 9;33:e2024532. doi: 10.1590/S2237-96222024v33e2024532.en. eCollection 2024.
To describe the epidemiological profile and analyze the temporal trend of deaths due to Parkinson's disease among the elderly in Brazil from 2002 to 2021.
Descriptive and temporal trend study using data from the Mortality Information System. Annual percent change (APC) and 95% confidence intervals (95% CI) were estimated using the Prais-Winsten regression model.
Among the 57,723 deaths, there was a higher frequency in males (54.7%), individuals aged ≥ 80 years (57.7%), and White individuals (75.0%). Mortality trends increased in both males (APC = 3.32; 95%CI 2.49; 4.16) and females (APC = 2.81; 95%CI 1.80; 3.82); across all age groups, particularly ages 70-79 (APC = 4.93; 95%CI 2.98; 6.91); and in all Brazilian regions, especially the Northeast (APC = 6.79; 95%CI 4.35; 9.30).
Deaths due to Parkinson's disease were more frequent among males and the oldest age groups, with an increasing mortality trend observed over the period.
An increasing trend in mortality due to Parkinson's disease was found among elderly people of both sexes, of all age groups and in all Brazilian regions in the period.
The increase in mortality due to Parkinson's disease implies greater demand for health care services and, consequently, contributes to the financial burden related to diagnosis and treatment of people with the disease.
Investing in research and technologies for timely diagnosis, treatment and health recovery are crucial. Furthermore, the need exists to promote health policies that guarantee equitable access to specialized services.
描述巴西2002年至2021年老年人帕金森病死亡的流行病学特征并分析其时间趋势。
使用死亡率信息系统的数据进行描述性和时间趋势研究。采用普赖斯-温斯坦回归模型估计年度百分比变化(APC)和95%置信区间(95%CI)。
在57723例死亡病例中,男性(54.7%)、年龄≥80岁的个体(57.7%)和白人个体(75.0%)的死亡频率较高。男性(APC = 3.32;95%CI 2.49;4.16)和女性(APC = 2.81;95%CI 1.80;3.82)的死亡率均呈上升趋势;在所有年龄组中,尤其是70-79岁年龄组(APC = 4.93;95%CI 2.98;6.91);在巴西所有地区,尤其是东北部地区(APC = 6.79;95%CI 4.35;9.30)。
帕金森病导致的死亡在男性和年龄最大的年龄组中更为常见,在此期间观察到死亡率呈上升趋势。
在此期间,巴西所有年龄组的男女老年人以及所有地区帕金森病导致的死亡率均呈上升趋势。
帕金森病死亡率的上升意味着对医疗保健服务的需求增加,因此,会增加与该疾病患者诊断和治疗相关的经济负担。
投资于及时诊断、治疗和健康恢复的研究与技术至关重要。此外,需要推行保障公平获得专科服务的卫生政策。