Household income, sex and respiratory mortality in Sao Paulo, Brazil, 1996-2010
Contribuinte(s) |
UNIVERSIDADE DE SÃO PAULO |
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Data(s) |
14/10/2013
14/10/2013
2012
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Resumo |
SETTING: Respiratory mortality rates are declining in several countries, including Brazil; however, the effect of socio-economic indicators and sex is unclear. OBJECTIVE: To identify differences in mortality trends according to income and sex in the city of Sao Paulo, Brazil. DESIGN: We performed a time-trend analysis of all respiratory diseases, including chronic obstructive pulmonary disease (COPD), lung cancer and tuberculosis, using Joinpoint regression comparing high, middle and low household income levels from 1996 to 2010. RESULTS: The annual per cent change (APC) and 95% confidence intervals (95%CIs) for death rates from all respiratory disease in men in high-income areas was -1.1 (95%CI -2.7 to 0.5) in 1996-2002 and -4.3 (95%CI -5.9 to -2.8) in 2003-2009. In middle- and low-income areas, the decline was respectively -1.5 (95%CI -2.2 to -0.7) and -1.4 (95%CI -1.9 to -0.8). For women, the APC declined in high-income (-1.0, 95%CI -1.9 to -0.2) and low-income areas (0.8, 95%CI -1.3 to -0.2), but not in middle-income areas (-0.5, 95%CI -1.4 to 0.3) from 1996 to 2010. CONCLUSION: Death rates due to COPD and all respiratory disease declined more consistently in men from high-income areas. Mortality due to lung cancer decreased in men, but increased in women in middle- and low-income areas. Conselho Nacional de Pesquisa, Brasilia, Brasil Conselho Nacional de Pesquisa, Brasilia, Brasil |
Identificador |
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, PARIS, v. 16, n. 12, supl. 1, Part 1, pp. 1692-1698, DEC, 2012 1027-3719 http://www.producao.usp.br/handle/BDPI/34351 10.5588/ijtld.12.0121 |
Idioma(s) |
eng |
Publicador |
INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) PARIS |
Relação |
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE |
Direitos |
restrictedAccess Copyright INT UNION AGAINST TUBERCULOSIS LUNG DISEASE (I U A T L D) |
Palavras-Chave | #COPD #TB #LUNG CANCER #SMOKING #SOCIAL INEQUALITY #OBSTRUCTIVE PULMONARY-DISEASE #PREVALENCE #COPD #SMOKING #HEALTH #TRENDS #RISK #REGRESSION #SMOKERS #STATES #INFECTIOUS DISEASES #RESPIRATORY SYSTEM |
Tipo |
article original article publishedVersion |