巴西社会发展指标与糖尿病死亡率的时空关系分析

IF 1.8 4区 医学 Q2 Nursing Revista Latino-americana De Enfermagem Pub Date : 2023-08-14 DOI:10.1590/1518-8345.6592.3972
T. S. Garces, Lara Lídia Ventura Damasceno, G. J. B. Sousa, V. Cestari, M. L. D. Pereira, T. Moreira
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引用次数: 0

摘要

目的:了解巴西糖尿病死亡率时空格局及其与社会发展指标的关系。方法:基于统一卫生系统信息部的二手数据,在全国范围内进行生态和时间序列研究,进行时空分析,并将指标纳入非空间和空间回归模型。进行了以下工作:总死亡率计算;通过描述性和时间分析确定死亡病例的社会人口特征和区域概况;以及专题地图的制作。结果:巴西共记录了601,521例与糖尿病有关的死亡,平均死亡率为29.5/10万居民。巴西北部大州、Paraíba、伯南布哥州、阿拉戈斯州和塞尔吉佩州、巴西里约热内卢州、帕拉纳州和巴西南部大州呈现高-高集群。利用回归模型验证了基尼指数(β=11.7)和家庭健康战略覆盖率(β=3.9)是影响巴西糖尿病死亡率的主要指标。结论:在巴西,糖尿病死亡率总体呈上升趋势,这表明它与社会指标较差的地方密切相关。
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Relationship between social development indicators and mortality due to Diabetes Mellitus in Brazil: a space-time analysis
Objective: to identify the space-time pattern of mortality due to Diabetes Mellitus in Brazil, as well as its relationship with social development indicators. Method: an ecological and time series nationwide study based on secondary data from the Unified Health System Informatics Department, with space-time analysis and inclusion of indicators in non-spatial and spatial regression models. The following was performed: overall mortality rate calculation; characterization of the sociodemographic and regional profiles of the death cases by means of descriptive and time analysis; and elaboration of thematic maps. Results: a total of 601,521 deaths related to Diabetes Mellitus were recorded in Brazil, representing a mean mortality rate of 29.5/100,000 inhabitants. The states of Rio Grande do Norte, Paraíba, Pernambuco, Alagoas and Sergipe, Rio de Janeiro, Paraná and Rio Grande do Sul presented high-high clusters. By using regression models, it was verified that the Gini index (β=11.7) and the Family Health Strategy coverage (β=3.9) were the indicators that most influenced mortality due to Diabetes Mellitus in Brazil. Conclusion: in Brazil, mortality due to Diabetes presents an overall increasing trend, revealing itself as strongly associated with places that have worse social indicators.
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来源期刊
CiteScore
2.90
自引率
11.10%
发文量
142
审稿时长
11 weeks
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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