Premature mortality due to non-communicable diseases in Brazilian municipalities estimated for the three-year periods of 2010 to 2012 and 2015 to 2017

Cardoso, Laís Santos de Magalhães; Teixeira, Renato Azeredo; Ribeiro, Antonio Luiz Pinho; Malta, Deborah Carvalho

doi:10.1590/1980-549720210005.supl.1

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Revista Brasileira de Epidemiologia

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Original Article • Rev. bras. Epidemiol. 24 (suppl 1) • 2021 • https://doi.org/10.1590/1980-549720210005.supl.1 copy

Premature mortality due to non-communicable diseases in Brazilian municipalities estimated for the three-year periods of 2010 to 2012 and 2015 to 2017

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT:

Objective:

To estimate premature mortality due to noncommunicable diseases (NCDs) in Brazilian municipalities.

Methods:

This ecological study estimated premature mortality rates due to cardiovascular diseases, chronic respiratory diseases, cancer and diabetes in Brazilian municipalities, for the three-year periods of 2010 to 2012 and 2015 to 2017, and it analyzed the spatial and temporal distribution of these rates. Data treatment combined proportional redistribution of the missing data and ill-defined causes, and the application of coefficients for under-registration correction. The local empirical Bayesian estimator was used to calculate municipal mortality rates.

Results:

Rates for the set of chronic diseases decreased in Brazil between the three-year periods. The mean rates for total NCDs declined in the South, Southeast and Central-West regions, remained stable in the North and increased in the Northeast. Mortality rates due to cardiovascular diseases were the highest in all regions but showed the greatest declines between the periods. Cancers were the second leading cause of death. The North and Northeast regions stood out as having increased mean rates of cancer between the periods analyzed and showing the highest mean premature mortality rates due to diabetes in the 2015 to 2017 period.

Conclusion:

Spatial and temporal distribution of premature mortality rates due to NCDs differed between Brazilian municipalities and regions in the three-year periods evaluated. The South and Southeast had decreased rates of deaths due to cardiovascular and chronic respiratory diseases, as well as diabetes. The North and Northeast had increased rates of deaths due to cancer. There was an increase in the rate of deaths due to diabetes in the Central-West.

Keywords:
Noncommunicable diseases; Mortality, premature; Mortality registries; Temporal distribution; Small-area analysis

Place and disease		2010 to 2012		2015 to 2017		Difference between 3-year periods (%)	p^* ***** p value of t test for comparison of means of paired samples.
Place and disease		Mean^ per 100,000 inhabitants;	(95%CI)	Mean	(95%CI)	Difference between 3-year periods (%)
Brazil
	Total NCDs^* * Set of the four main groups of NCDs (cardiovascular, chronic respiratory, diabetes and cancer);	328.9	327.3 – 330.4	314.1	312.8 – 315.4	-4.5	0.00
	Cardiovascular	158.5	157.6 – 159.4	143.4	142.6 – 144.3	-9.5	0.00
	Chronic respiratory	20.6	20.4 – 20.8	19.4	19.2 – 19.6	-5.8	0.00
	Diabetes	28.1	27.8 – 28.4	27.0	26.7 – 27.3	-3.9	0.00
	Cancer	123.6	122.8 – 124.4	125.2	124.5 – 125.8	1.3	0.00
Central-West							0.00
	Total NCDs^* * Set of the four main groups of NCDs (cardiovascular, chronic respiratory, diabetes and cancer);	324.8	320.7 – 328.9	305.7	302.1 – 309.4	-5.9	0.00
	Cardiovascular	167.4	165 – 169.8	146.5	144.4 – 148.5	-12.5	0.00
	Chronic respiratory	23.2	22.6 – 23.8	22.4	22 – 22.9	-3.4	0.01
	Diabetes	24.9	24.3 – 25.5	26.1	25.4 – 26.7	4.8	0.00
	Cancer	111.5	109.7 – 113.2	111.5	109.8 – 113.3	0	0.96
Northeast
	Total NCDs^* * Set of the four main groups of NCDs (cardiovascular, chronic respiratory, diabetes and cancer);	307.7	305.1 – 310.3	311.2	308.9 – 313.5	1.1	0.00
	Cardiovascular	159.3	157.7 – 161	154.1	152.7 – 155.5	-3.3	0.00
	Chronic respiratory	15.5	15.2 – 15.8	15.7	15.4 – 16	1.3	0.16
	Diabetes	34.7	34.1 – 35.3	34.4	33.9 – 35	-0.9	0.27
	Cancer	100.1	99.2 – 101	108.3	107.4 – 109.1	8.2	0.00
North
	Total NCDs^* * Set of the four main groups of NCDs (cardiovascular, chronic respiratory, diabetes and cancer);	277.2	271.8 – 282.7	278.4	273.7 – 283.2	0.4	0.54
	Cardiovascular	142.8	139.6 – 146	135.3	132.7 – 137.9	-5.3	0.00
	Chronic respiratory	16.3	15.7 – 16.9	15.6	15.0 – 16.1	-4.3	0.01
	Diabetes	29.5	28.5 – 30.4	30.6	29.7 – 31.6	3.7	0.02
	Cancer	95.7	93.7 – 97.8	100.6	98.5 – 102.7	5.1	0.00
Southeast
	Total NCDs^* * Set of the four main groups of NCDs (cardiovascular, chronic respiratory, diabetes and cancer);	353.8	351.5 – 356.2	327.5	325.5 – 329.5	-7.4	0.00
	Cardiovascular	170	168.6 – 171.5	147.7	146.4 – 149	-13.1	0.00
	Chronic respiratory	21.1	20.8 – 21.4	19.7	19.5 – 20	-6.6	0.00
	Diabetes	26	25.6 – 26.4	23	22.6 – 23.4	-11.5	0.00
	Cancer	137.5	136.6 – 138.4	137.3	136.5 – 138.2	-0.1	0.68
South
	Total NCDs^* * Set of the four main groups of NCDs (cardiovascular, chronic respiratory, diabetes and cancer);	346.8	343.4 – 350.3	316.4	313.5 – 319.3	-8.8	0.00
	Cardiovascular	143.5	141.3 – 145.7	123.3	121.5 – 125	-14.1	0.00
	Chronic respiratory	28.1	27.6 – 28.6	24.6	24.2 – 25.1	-12.5	0.00
	Diabetes	21.6	21.1 – 22.1	20.4	20.0 – 20.9	-5.6	0.00
	Cancer	154.6	153.3 – 156	148.2	147.1 – 149.3	-4.1	0.00

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[1] Corresponding author: Laís Santos de Magalhães Cardoso. Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais. Avenida Alfredo Balena, 190, Santa Efigênia, CEP: 30130-100, Belo Horizonte, MG, Brasil. E-mail: laissmcardoso@gmail.com.