Impact of the Health Gym Program on mortality from Systemic Arterial Hypertension in Pernambuco state, Brazil

Rodrigues, Bárbara Letícia Silvestre; Silva, Rafaela Niels da; Arruda, Rodrigo Gomes de; Silva, Paloma Beatriz Costa; Feitosa, Daíze Kelly da Silva; Guarda, Flávio Renato Barros da

doi:10.1590/1413-812320212612.32802020

Bárbara Letícia Silvestre Rodrigues

Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. R. Alto do Reservatório s/n, Alto José Leal. 55608-680 Vitória de Santo Antão PE Brasil.barbaralsrodrigues07@gmail.com

https://orcid.org/0000-0001-7754-4282

Rafaela Niels da Silva

Centro Universitário Tabosa de Almeida. Caruaru PE Brasil.

https://orcid.org/0000-0001-8065-0780

Rodrigo Gomes de Arruda

Faculdade Nova. Contagem MG Brasil.

https://orcid.org/0000-0003-3558-6593

Paloma Beatriz Costa Silva

Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. R. Alto do Reservatório s/n, Alto José Leal. 55608-680 Vitória de Santo Antão PE Brasil.barbaralsrodrigues07@gmail.com

https://orcid.org/0000-0001-8785-0259

Daíze Kelly da Silva Feitosa

Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. R. Alto do Reservatório s/n, Alto José Leal. 55608-680 Vitória de Santo Antão PE Brasil.barbaralsrodrigues07@gmail.com

https://orcid.org/0000-0001-9308-0430

Flávio Renato Barros da Guarda

Centro Acadêmico de Vitória, Universidade Federal de Pernambuco. R. Alto do Reservatório s/n, Alto José Leal. 55608-680 Vitória de Santo Antão PE Brasil.barbaralsrodrigues07@gmail.com

https://orcid.org/0000-0002-9214-7784

Collaborations

FRB Guarda was responsible for the project and the study design, writing the manuscript, interpretation, and data analysis until the final revision of the manuscript. DKS Feitosa participated in the writing of the manuscript, data collection, interpretation, and analysis, until the final review of the manuscript. RN Silva participated in the writing, critical analysis, and final review of the manuscript. BLS Rodrigues participated in the writing of the manuscript, obtaining, interpreting, and analyzing data, until the final review of the manuscript. PBC Silva contributed to the writing of the manuscript, obtaining the databases, until the final revision of the manuscript. RG Arruda contributed to the interpretation and analysis of data, and critical analysis of the manuscript.

Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Variables	Control		Treated		Difference in means	Cohen-d	CI95%*
Variables	Mean	SD	Mean	SD	Difference in means	Cohen-d	CI95%*
Proportion of men in the population	0.508	0.008	0.505	0.008	0.003	0.408	0.062 - 0.753
Proportion of women in the population	0.512	0.007	0.515	0.008	-0.003	-0.371	-0.715 - -0.026
Proportion of people 40 to 49 years old	0.118	0.071	0.111	0.013	0.007	0.159	-0.182 - 0.502
Proportion of people 50 to 59 years old	0.083	0.055	0.078	0.010	0.005	0.142	-0.200 - 0.484
Proportion of people 60 to 69 years old	0.061	0.044	0.059	0.010	0.002	0.061	-0.281 - 0.403
Proportion of people 70 to 79 years old	0.036	0.025	0.035	0.008	0.001	0.047	-0.294 - 0.390
Proportion of people >80 years old	0.018	0.014	0.018	0.005	0	-0.040	-0.382 - 0.302
Death rate >50 years/1,000 inhab	4.28	1.23	4.54	1.11	-0.26	-0.222	-0.565 - 0.120
General death rate (per 1,000 inhab)	5.98	1.312	6.22	1.24	-0.24	-0.190	-0.532 - 0.152
Death rate of SAH/10,000 inhab	1.85	1.68	1.44	1.34	0.41	0.274	-0.069 - 0.617
Hospital bed rate/1,000 inhab	1.407	0.954	1.600	1.130	-0.193	-0.180	-0.522 - 0.162
Primary Care Coverage (%)	91.4	15.0	85.8	19.4	5.6	0.311	-0.032 - 0.655
Gini Index	0.514	0.043	0.521	0.045	-0.007	-0.159	-0.501 - 0.183
General IFDM	0.576	0.066	0.580	0.078	-0.004	-0.052	-0.394 - 0.289
Gross domestic product (per capita)	5,872.50	2,796.10	6,463.50	4,156.10	-591.00	-0.159	-0.501 - 0.183
Human development Index	0.586	0.044	0.602	0.048	-0.016	-0.344	-0.688 - 0.000
Unemployment rate	10.69	5.43	8.24	3.71	2.45	0.554	0.204 - 0.901
Education IFDM	0.569	0.074	0.609	0.633	-0.04	-0.593	-0.941 - -0.242

Extracts	Treated		Controls		Cohen-d	CI95%*
Extracts	Total	SD	Total	SD
Female	0.72	0.74	0.84	0.81	0.156	-0.184 - 0.495
Male	0.66	0.79	0.99	1.14	0.342	-0.000 - 0.683
White	0.48	0.68	0.54	0.77	0.086	-0.256 - 0.428
Black	0.09	0.21	0.16	0.32	0.272	-0.071 - 0.615
Brown-skinned	0.75	0.84	1.06	1.24	0.314	-0.029 - 0.658
Other ethnicity/color	0.03	0.13	0.02	0.12	-0.134	-0.476 - 0.208
40 to 49 years	0.06	0.19	0.06	0.18	-0.044	-0.386 - 0.297
50 to 59 years	0.09	0.22	0.15	0.33	0.211	-0.132 - 0.553
60 to 69 years	0.18	0.33	0.25	0.43	0.181	-0.161 - 0.523
70 to 79 years	0.36	0.52	0.45	0.53	0.172	-0.170 - 0.515
80 years and over	0.67	0.77	0.91	1.03	0.272	-0.071 - 0.615

Difference in the means
Mortality from SAH^a	Treated	Control	Difference	t-Value
No algorithm	0.820	0.948	-0.127	-1.43**
Radial	0.820	0.862	-0.041	-1.03
Nearest neighbor	0.820	0.956	-0.136	-1.79*
Kernel	0.820	0.948	-0.128	-1.73*

Logit kernel Model
Variables	Coef	Standard error	p-Value	CI95%
PIB	0.000	0.000	0.504	-0.000 - 0.000
PC Coverage	-1.653	0.893	0.064	-3.403 - 0.096
Hospital bed rate	0.080	0.137	0.556	-0.188 - 0.349
Unemployment rate	-0.122	0.030	<0.001	-0.181 - -0.062
IFDM Education	1.788	1.816	0.001	2.420 - 9.542
Constant	-0.872	1.264	0.490	-3.351 - 1.606
Model balancing
Variables	Mean		% Bias	p-Value
Variables	Treated	Control	% Bias	p-Value
PIB	8534.1	8253.2	5.2	0.610
PC Coverage	0.899	0.910	-7.2	0.517
Hospital bed rate	1.527	1.436	9.1	0.374
Unemployment rate	8.246	7.659	12.7	0.164
Education	0.655	0.646	11.3	0.284

SAH Mortality rate
Extracts	ATT	Standard error	t-Value
Overall impact of the program	-0.128	0.074	-1.73*
Men	-0.090	0.061	-1.49**
Women	-0.091	0.057	-1.60**
White	-0.047	0.054	-0.86
Black	-0.003	0.024	-1.14
Brown-skinned	-0.125	0.064	-1.95*
Other ethnicity/color	-0.005	0.030	-0.17
40 to 49 years	-0.004	0.017	-0.27
50 to 59 years	0.004	0.025	0.18
60 to 69 years	-0.019	0.034	-0.58
70 to 79 years	-0.043	0.046	-0.94
80 years or more	-0.131	0.064	-2.05*

[1] Collaborations

FRB Guarda was responsible for the project and the study design, writing the manuscript, interpretation, and data analysis until the final revision of the manuscript. DKS Feitosa participated in the writing of the manuscript, data collection, interpretation, and analysis, until the final review of the manuscript. RN Silva participated in the writing, critical analysis, and final review of the manuscript. BLS Rodrigues participated in the writing of the manuscript, obtaining, interpreting, and analyzing data, until the final review of the manuscript. PBC Silva contributed to the writing of the manuscript, obtaining the databases, until the final revision of the manuscript. RG Arruda contributed to the interpretation and analysis of data, and critical analysis of the manuscript.

Brasil

Brasil

Impact of the Health Gym Program on mortality from Systemic Arterial Hypertension in Pernambuco state, Brazil

Abstract