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巴西的疟疾死亡率:年龄-时期-队列效应、社会人口学因素及可持续发展指标

Malaria Mortality in Brazil: Age-Period-Cohort Effects, Sociodemographic Factors, and Sustainable Development Indicators.

作者信息

Farias Mariusa Fernandes de, Figueiredo Eric Renato Lima, Silva Raimundo Nelson Souza da, Galhardo Deizyane Dos Reis, da Silva Cleide Laranjeira, Moreira Evelyn Myelle Farias, Azevedo Yury Souza de, Furtado Emilly Cassia Soares, Castelhano Janielly Reis, Melo-Neto João Simão de, Gomes Fabiana de Campos

机构信息

The Institute of Health Sciences (ICS), Federal University of Pará (UFPA), Belém 66075-110, PA, Brazil.

The Institute of Animal Health and Production (ISPA), Federal Rural University of Amazonia (UFRA), Belém 66077-830, PA, Brazil.

出版信息

Trop Med Infect Dis. 2025 Jan 31;10(2):41. doi: 10.3390/tropicalmed10020041.

Abstract

INTRODUCTION

Human malaria is a zoonosis considered a serious global public health problem caused by five species of protozoa of the genus spp., which are transmitted by mosquito vectors belonging to the genus spp.

OBJECTIVE

To verify whether there is a relationship between the age-standardized malaria mortality rate in Brazil and age-period-cohort effect variables, sociodemographic differences, and indicators of sustainable development.

METHODS

Data on malaria mortality in Brazil from 2000 to 2022 were analyzed using sociodemographic factors such as ethnicity, region of residence, and sustainable development indicators.

RESULTS

Statistical data demonstrated that from 2000 to 2022, there was a reduction in malaria mortality; the 0-4 years age group was more susceptible to death, and the infection affected more men, Indigenous people, and residents of the North Region. Environmental factors such as CO emissions and sanitation predict mortality in specific regions. The North and Northeast Regions had higher mortality rates. In the North, low CO emissions, deforestation, weak urban sanitation, a lower GDP, and a higher Gini index were related to high mortality; the latter was also a factor in high rates of deforestation and solid waste collection in the Central West and Northeast Regions. The number of consultations and professionals was a predictive factor for high rates in the three regions mentioned. The Southeast Region had the lowest mortality rate and lowest health expenditure, while the Northeast and Midwest Regions had the highest expenditure in this sector.

CONCLUSIONS

This study can contribute to the direction of public policy due to the specificities of each region in Brazil.

摘要

引言

人类疟疾是一种人畜共患病,被认为是一个严重的全球公共卫生问题,由疟原虫属的五种原生动物引起,这些原生动物通过按蚊属的蚊媒传播。

目的

验证巴西年龄标准化疟疾死亡率与年龄-时期-队列效应变量、社会人口差异和可持续发展指标之间是否存在关系。

方法

利用种族、居住地区等社会人口因素和可持续发展指标,分析了巴西2000年至2022年的疟疾死亡率数据。

结果

统计数据表明,2000年至2022年期间,疟疾死亡率有所下降;0-4岁年龄组更容易死亡,感染对男性、原住民和北部地区居民的影响更大。一氧化碳排放和卫生设施等环境因素可预测特定地区的死亡率。北部和东北部地区的死亡率较高。在北部,低一氧化碳排放、森林砍伐、城市卫生设施薄弱、低国内生产总值和高基尼指数与高死亡率有关;后者也是中西部和东北部地区森林砍伐率高和固体废物收集率高的一个因素。会诊次数和专业人员数量是上述三个地区高发病率的预测因素。东南部地区的死亡率最低,卫生支出也最低,而东北部和中西部地区在该部门的支出最高。

结论

由于巴西各地区的特殊性,本研究可为公共政策的制定提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d3a/11860777/b009612a424b/tropicalmed-10-00041-g001.jpg

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