Mortality due to acute myocardial infarction in Brazil and its geographical regions: analyzing the effect of age-period-cohort

被引：14

作者：

dos Santos, Juliano ^{[1
]}

Meira, Karina Cardoso ^{[2
]}

Camacho, Amanda Rodrigues ^{[3
]}

Candido de Oliveira Salvador, Petala Tuani ^{[2
]}

Guimaraes, Raphael Mendonca ^{[4
]}

Geraldo Pierin, Angela Maria ^{[1
]}

Simoes, Taynana Cesar ^{[5
]}

Miranda de Araujo Freire, Flavio Henrique ^{[6
]}

机构：

[1] Univ Sao Paulo, Escola Enfermagem, Ave Dr Eneas de Carvalho Aguiar 419, BR-05403000 Sao Paulo, SP, Brazil

[2] Univ Fed Rio Grande do Norte UFRN, Escola Saude, Natal, RN, Brazil

[3] Hosp Univ Onofre Lopes, Natal, RN, Brazil

[4] Fundacao Oswaldo Cruz Fiocruz, Escola Politecn Joaquim Venancio, Rio De Janeiro, RJ, Brazil

[5] Fiocruz MS, Inst Pesquisa Rene Rachou, Belo Horizonte, MG, Brazil

[6] Univ Fed Rio Grande do Norte, Dept Demog & Ciencias Atuariais, Natal, RN, Brazil

来源：

CIENCIA & SAUDE COLETIVA | 2018年 / 23卷 / 05期

关键词：

Myocardial infarction; Mortality; Age effect; Period effect; Cohort effect; HEART-DISEASE MORTALITY; CARDIOVASCULAR MORTALITY; TEMPORAL TRENDS; RISK-FACTORS; DEATH; REGISTRATION; ASSOCIATION; WORLD; RATES;

D O I：

10.1590/1413-81232018235.16092016

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The objective of this study was to analyze the effect of age-period and cohort (APC) of birth on mortality for acute myocardial infarction in Brazil and its geographic regions, according to sex in the period from 1980 to 2009. The data was extracted from the Mortality Information System and was corrected and adjusted by means of proportional redistribution of records with sex and age ignored, ill-defined causes, and corrections were made based on the death sub-register. The APC was calculated using the Poisson regression model with estimable functions. The APC analysis on both sexes and in all regions of the country showed gradual reductions in the risk of death in birth cohorts from the decade of the 1940s, except in the Northeast. In this region, there have been progressive increases in the risk of death from the late 1940s for both sexes. This was up until the 1950s for men and the 1960s for women. It was concluded that the observed differences in the risk of death in Brazilian regions is the result of socioeconomic inequalities and poor access to health services within the Brazilian territory, favoring early mortality for this cause especially in poorer areas.

引用

页码：1621 / 1634

页数：14

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