Coronary heart disease and stroke mortality trends in Brazil 2000-2018

Leitao Moreira, Patricia Vasconcelos, Pereira de Arruda Neta, Adelia da Costa, Ferreira, Sara Silva, Leite Lima Ferreira, Flavia Emilia, Formiga Cavalcanti de Lima, Rafaela Lira, de Toledo Vianna, Rodrigo Pinheiro, de Araujo, Jevuks Matheus, de Alencar Rodrigues, Romulo Eufrosino, da Silva Neto, Jose Moreira and O'Flaherty, Martin ORCID: 0000-0001-8944-4131
(2021) Coronary heart disease and stroke mortality trends in Brazil 2000-2018. PLOS ONE, 16 (9). e0253639-.

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<h4>Objective</h4>To analyse the mortality rate trend due to coronary heart disease (CHD) and stroke in the adult population in Brazil.<h4>Methods</h4>From 2000 to 2018, a time trend study with joinpoint regression was conducted among Brazilian men and women aged 35 years and over. Age-adjusted and age, sex specific CHD and stroke trend rate mortality were measured.<h4>Results</h4>Crude mortality rates from CHD decreased in both sexes and in all age groups, except for males over 85 years old with an increase of 1.78%. The most accentuated declining occurred for age range 35 to 44 years for both men (52.1%) and women (53.2%) due to stroke and in men (33%) due to CHD, and among women (32%) aged 65 to 74 years due to CHD. Age-adjusted mortality rates for CHD and stroke decreased in both sexes, in the period from 2000 to 2018. The average annual rate for CHD went from 97.09 during 2000-2008 to 78.75 during 2016-2018, whereas the highest percentage of change was observed during 2008 to 2013 (APC -2.5%; 95% CI). The average annual rate for stroke decreased from 104.96 to 69.93, between 2000-2008 and 2016-2018, and the highest percentage of change occurred during the periods from 2008 to 2013 and 2016 to 2018 (APC 4.7%; 95% CI).<h4>Conclusion</h4>The downward trend CHD and stroke mortality rates is continuing. Policy intervention directed to strengthen care provision and improve population diets and lifestyles might explain the continued progress, but there is no room for complacency.

Item Type: Article
Uncontrolled Keywords: Humans, Coronary Disease, Mortality, Age Factors, Sex Characteristics, Adult, Aged, Aged, 80 and over, Middle Aged, Brazil, Female, Male, Stroke
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 23 Sep 2021 09:57
Last Modified: 18 Jan 2023 21:28
DOI: 10.1371/journal.pone.0253639
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