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Evolution of Cardiovascular Diseases Mortality in the Counties of the State of Rio de Janeiro from 1979 to 2010

BACKGROUND: Cardiovascular Diseases (CVD) are the leading cause of death in Brazil. OBJECTIVE: To estimate total CVD, cerebrovascular disease (CBVD), and ischemic heart disease (IHD) mortality rates in adults in the counties of the state of Rio de Janeiro (SRJ), from 1979 to 2010. METHODS: The count...

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Autores principales: Soares, Gabriel Porto, Klein, Carlos Henrique, Silva, Nelson Albuquerque de Souza e, de Oliveira, Glaucia Maria Moraes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cardiologia 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495450/
https://www.ncbi.nlm.nih.gov/pubmed/25789882
http://dx.doi.org/10.5935/abc.20150019
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author Soares, Gabriel Porto
Klein, Carlos Henrique
Silva, Nelson Albuquerque de Souza e
de Oliveira, Glaucia Maria Moraes
author_facet Soares, Gabriel Porto
Klein, Carlos Henrique
Silva, Nelson Albuquerque de Souza e
de Oliveira, Glaucia Maria Moraes
author_sort Soares, Gabriel Porto
collection PubMed
description BACKGROUND: Cardiovascular Diseases (CVD) are the leading cause of death in Brazil. OBJECTIVE: To estimate total CVD, cerebrovascular disease (CBVD), and ischemic heart disease (IHD) mortality rates in adults in the counties of the state of Rio de Janeiro (SRJ), from 1979 to 2010. METHODS: The counties of the SRJ were analysed according to their denominations stablished by the geopolitical structure of 1950, Each new county that have since been created, splitting from their original county, was grouped according to their former origin. Population Data were obtained from the Brazilian Institute of Geography and Statistics (IBGE), and data on deaths were obtained from DataSus/MS. Mean CVD, CBVD, and IHD mortality rates were estimated, compensated for deaths from ill-defined causes, and adjusted for age and sex using the direct method for three periods: 1979–1989, 1990–1999, and 2000–2010, Such results were spatially represented in maps. Tables were also constructed showing the mortality rates for each disease and year period. RESULTS: There was a significant reduction in mortality rates across the three disease groups over the the three defined periods in all the county clusters analysed, Despite an initial mortality rate variation among the counties, it was observed a homogenization of such rates at the final period (2000–2010). The drop in CBVD mortality was greater than that in IHD mortality. CONCLUSION: Mortality due to CVD has steadily decreased in the SRJ in the last three decades. This reduction cannot be explained by greater access to high technology procedures or better control of cardiovascular risk factors as these facts have not occurred or happened in low proportion of cases with the exception of smoking which has decreased significantly. Therefore, it is necessary to seek explanations for this decrease, which may be related to improvements in the socioeconomic conditions of the population.
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spelling pubmed-44954502015-07-08 Evolution of Cardiovascular Diseases Mortality in the Counties of the State of Rio de Janeiro from 1979 to 2010 Soares, Gabriel Porto Klein, Carlos Henrique Silva, Nelson Albuquerque de Souza e de Oliveira, Glaucia Maria Moraes Arq Bras Cardiol Original Article BACKGROUND: Cardiovascular Diseases (CVD) are the leading cause of death in Brazil. OBJECTIVE: To estimate total CVD, cerebrovascular disease (CBVD), and ischemic heart disease (IHD) mortality rates in adults in the counties of the state of Rio de Janeiro (SRJ), from 1979 to 2010. METHODS: The counties of the SRJ were analysed according to their denominations stablished by the geopolitical structure of 1950, Each new county that have since been created, splitting from their original county, was grouped according to their former origin. Population Data were obtained from the Brazilian Institute of Geography and Statistics (IBGE), and data on deaths were obtained from DataSus/MS. Mean CVD, CBVD, and IHD mortality rates were estimated, compensated for deaths from ill-defined causes, and adjusted for age and sex using the direct method for three periods: 1979–1989, 1990–1999, and 2000–2010, Such results were spatially represented in maps. Tables were also constructed showing the mortality rates for each disease and year period. RESULTS: There was a significant reduction in mortality rates across the three disease groups over the the three defined periods in all the county clusters analysed, Despite an initial mortality rate variation among the counties, it was observed a homogenization of such rates at the final period (2000–2010). The drop in CBVD mortality was greater than that in IHD mortality. CONCLUSION: Mortality due to CVD has steadily decreased in the SRJ in the last three decades. This reduction cannot be explained by greater access to high technology procedures or better control of cardiovascular risk factors as these facts have not occurred or happened in low proportion of cases with the exception of smoking which has decreased significantly. Therefore, it is necessary to seek explanations for this decrease, which may be related to improvements in the socioeconomic conditions of the population. Sociedade Brasileira de Cardiologia 2015-05 /pmc/articles/PMC4495450/ /pubmed/25789882 http://dx.doi.org/10.5935/abc.20150019 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Soares, Gabriel Porto
Klein, Carlos Henrique
Silva, Nelson Albuquerque de Souza e
de Oliveira, Glaucia Maria Moraes
Evolution of Cardiovascular Diseases Mortality in the Counties of the State of Rio de Janeiro from 1979 to 2010
title Evolution of Cardiovascular Diseases Mortality in the Counties of the State of Rio de Janeiro from 1979 to 2010
title_full Evolution of Cardiovascular Diseases Mortality in the Counties of the State of Rio de Janeiro from 1979 to 2010
title_fullStr Evolution of Cardiovascular Diseases Mortality in the Counties of the State of Rio de Janeiro from 1979 to 2010
title_full_unstemmed Evolution of Cardiovascular Diseases Mortality in the Counties of the State of Rio de Janeiro from 1979 to 2010
title_short Evolution of Cardiovascular Diseases Mortality in the Counties of the State of Rio de Janeiro from 1979 to 2010
title_sort evolution of cardiovascular diseases mortality in the counties of the state of rio de janeiro from 1979 to 2010
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495450/
https://www.ncbi.nlm.nih.gov/pubmed/25789882
http://dx.doi.org/10.5935/abc.20150019
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