Burden of disease in Brazil, 1990–2016

A systematic subnational analysis for the Global Burden of Disease Study 2016

Dados Bibliográficos

ID23314946
AutoresFatima Marinho (University of Washington), Valéria Maria De Azeredo Passos (0000-0003-2829-5798), Deborah Carvalho Malta (0000-0002-8214-5734, University of Washington), Elizabeth Barboza França (University of Washington), Daisy Maria Xavier De Abreu (0000-0002-6855-8612, University of Washington), Valdelaine E M de Araújo (0000-0003-1263-1646, University of Washington), Maria Teresa Bustamante-Teixeira (0000-0003-0727-4170, University of Washington), Paulo Augusto Moreira Camargos (0000-0003-4731-291X, University of Washington), Carolina Cândida da Cunha (0000-0002-6758-3103, University of Washington), Bruce B Duncan (0000-0002-7491-2630, University of Washington), Mariana Santos Felisbino-Mendes (0000-0001-5321-5708, University of Washington), Maximiliano Ribeiro Guerra (0000-0003-0234-7190, University of Washington), Mark Drew Crosland Guimarães (0000-0001-7932-3854, University of Washington), Paulo A Lotufo (0000-0002-4856-8450, University of Washington), Wagner Marcenes (0000-0001-9276-1744, University of Washington), Patrícia Pereira Vasconcelos De Oliveira (0000-0003-1539-9272, University of Washington), Marcel de Moares Pedroso (University of Washington), Antonio Luiz Pinho Ribeiro (0000-0002-2740-0042, University of Washington), Antonio L Ribeiro, Maria Ines Schmidt (0000-0002-3837-0731, University of Washington), Renato Azeredo Teixeira (0000-0002-1259-6812, University of Washington), Ana Maria Nogales Vasconcelos (0000-0001-7589-107X, University of Washington), Maurício Lima Barreto (0000-0002-0215-4930, University of Washington), Isabela Judith Martins Bensenor (0000-0002-6723-5678, University of Washington), Isabela M Benseñor (0000-0001-6889-7334), Luisa Campos Caldeira Brant (0000-0002-7317-1367, University of Washington), Rafael Moreira Claro (0000-0001-9690-575X, University of Washington), Alexandre C Pereira (0000-0002-7782-5540, University of Washington), Ewerton Cousin (0000-0003-3455-8865, University of Washington), Maria Paula Curado (0000-0001-8172-2483, University of Washington), Kadine Priscila Bender Dos Santos (0000-0001-5424-0120), André Faro (0000-0002-7348-6297, University of Washington), Cleusa Pinheiro Ferri (0000-0002-1815-7685, University of Washington), João M Furtado (0000-0003-2490-5747, University of Washington), Julia Gall (University of Washington), Scott D Glenn, Scott Glenn (0000-0002-3707-7699, University of Washington), Ana Caroline Goulart (0000-0003-1076-5210), Alessandra Carvalho Goulart, Lenice Harumi Ishitani (0000-0002-7165-4736, University of Washington), Christian Kieling (0000-0001-7691-4149, University of Washington), Roberto Marini Ladeira (0000-0002-1354-4897, University of Washington), Ísis Eloah Machado (0000-0002-4678-2074, University of Washington), Sheila Cristina Ouriques Martins (0000-0002-8452-712X, University of Washington), Francisco Rogerlândio Martins-Melo, Francisco Rogerlândio Martins‐Melo (0000-0003-3690-5023, University of Washington), Ana Paula Souto Melo (0000-0002-9955-0824, University of Washington), Molly K Miller-Petrie (0000-0001-7493-5915, University of Washington), Meghan D Mooney, Meghan Mooney (0000-0003-3877-9219, University of Washington), Bruno Pereira Nunes (0000-0002-4496-4122, University of Washington), Marcos Roberto Tovani Palone (University of Washington), Claudia Cristina Aguiar Pereira (University of Washington), Claudia C Pereira, Davide Rasella (0000-0002-7260-4386, University of Washington), Sarah E Ray (0000-0002-5775-8344, University of Washington), Leonardo Roever (0000-0002-7517-5548, University of Washington), Raphael De Freitas Saldanha (0000-0003-0652-8466, University of Washington), Ivonete Da Silva Santos (0000-0003-3212-8466, University of Washington), Itamar S Santos, Ione Jayce Ceola Schneider (0000-0001-6339-7832, University of Washington), Diego Augusto Santos Silva (0000-0002-0489-7906, University of Washington), Dayane Gabriele Alves Silveira (0000-0002-2059-7217, University of Washington), Adauto Martins Soares Filho (0000-0002-0917-7473), Tatiane Cristina Moraes de Sousa (0000-0002-4359-465X), Célia L Szwarcwald (0000-0002-7798-2095, University of Washington), Jefferson Traebert (0000-0002-7389-985X, University of Washington), Gustavo Velasquez-Melendez (0000-0001-8349-5042, University of Washington), Yuan-Pang Wang (0000-0001-7076-8312, University of Washington), R Lozano (0000-0002-7356-8823, University of Washington), Christopher J L Murray (0000-0002-4930-9450, University of Washington), Mohsen Naghavi (0000-0003-3691-1458, University of Washington, autor correspondente)
Ano2018
Volume392
Fascículo10149
Páginas760-775
Data de publicação2018-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoThe Lancet (JOURNAL)
Identificadores do periódicoISSN: 0099-5355 • E-ISSN: 0140-6736
EditoraElsevier BV (PUBLISHER)
DOI10.1016/s0140-6736(18)31221-2
PMID30037735
OpenAlexW2883056653
IdiomaEN
Citações recebidas68
Referências citadas57

BACKGROUND: Political, economic, and epidemiological changes in Brazil have affected health and the health system. We used the Global Burden of Disease Study 2016 (GBD 2016) results to understand changing health patterns and inform policy responses. METHODS: We analysed GBD 2016 estimates for life expectancy at birth (LE), healthy life expectancy (HALE), all-cause and cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life-years (DALYs), and risk factors for Brazil, its 26 states, and the Federal District from 1990 to 2016, and compared these with national estimates for ten comparator countries. FINDINGS: Nationally, LE increased from 68·4 years (95% uncertainty interval [UI] 68·0-68·9) in 1990 to 75·2 years (74·7-75·7) in 2016, and HALE increased from 59·8 years (57·1-62·1) to 65·5 years (62·5-68·0). All-cause age-standardised mortality rates decreased by 34·0% (33·4-34·5), while all-cause age-standardised DALY rates decreased by 30·2% (27·7-32·8); the magnitude of declines varied among states. In 2016, ischaemic heart disease was the leading cause of age-standardised YLLs, followed by interpersonal violence. Low back and neck pain, sense organ diseases, and skin diseases were the main causes of YLDs in 1990 and 2016. Leading risk factors contributing to DALYs in 2016 were alcohol and drug use, high blood pressure, and high body-mass index. INTERPRETATION: Health improved from 1990 to 2016, but improvements and disease burden varied between states. An epidemiological transition towards non-communicable diseases and related risks occurred nationally, but later in some states, while interpersonal violence grew as a health concern. Policy makers can use these results to address health disparities. FUNDING: Bill & Melinda Gates Foundation and the Brazilian Ministry of Health.

Burden of disease · Disease · Disease burden · Environmental health · Pathology · Global Public Health Policies and Epidemiology · Health disparities and outcomes · Maternal and Neonatal Healthcare · Medicine