Amenable Mortality and Neighborhood Inequality: An Ecological Study of São Paulo

2020 ◽  
Vol 12 (2) ◽  
pp. 182-197
Author(s):  
Irina B. Grafova ◽  
Daniel Weisz ◽  
Rafael Fischetti Ayoub ◽  
Victor G. Rodwin ◽  
Rachel NeMoyer ◽  
...  
2021 ◽  
Vol 70 ◽  
pp. 101859
Author(s):  
Adeylson Guimarães Ribeiro ◽  
Roel Vermeulen ◽  
Maria Regina Alves Cardoso ◽  
Maria do Rosario Dias de Oliveira Latorre ◽  
Perry Hystad ◽  
...  

2021 ◽  
Vol 19 ◽  
Author(s):  
Michele Ribeiro Alexandre Nunes ◽  
Luiz Vinicius de Alcantara Sousa ◽  
Vânia Barbosa do Nascimento

2017 ◽  
Vol 11 (1) ◽  
pp. 111-119 ◽  
Author(s):  
Luiz Vinicius de Alcantara Sousa ◽  
Laércio da Silva Paiva ◽  
Francisco Winter dos Santos Figueiredo ◽  
Tabata Cristina do Carmo Almeida ◽  
Fernando Rocha Oliveira ◽  
...  

Background: Stroke is the second leading cause of death and the third leading cause of physical disability in the world, with a high burden of morbidity and mortality, but it has been shown a reduction in mortality worldwide over the past two decades, especially in regions with higher income. Objective: The study analyzed the temporal trend and the factors associated with stroke-related mortality in the cities that make up the ABC region of São Paulo (Santo André, São Bernardo do Campo, São Caetano do Sul, Diadema, Mauá, Ribeirão Pires, and Rio Grande da Serra), in comparison to data from the capital city of São Paulo, in the state of São Paulo, Brazil. Method: This was an ecological study conducted in 2017 using data from 1997 to 2012. Data were collected in 2017 from the Department of Informatics of the Brazilian Unified National Health System (DATASUS), where the Mortality Information System (SIM/SUS) was accessed. Linear regression analysis was used to estimate the temporal trend of stroke-related mortality according to sex, stroke subtypes, and regions. The confidence level adopted was 95%. Results: There was a reduction in the mortality rates stratified according to sex, age groups above 15 years, and subtypes of stroke. Mortality from hemorrhagic and non-specified stroke decreased in all regions. However, a significant reduction in ischemic stroke-related mortality was observed only in the ABC region and in Brazil. Conclusion: The ABC region showed greater mortality due to stroke in males, the age group above 49 years, and non-specified stroke between 1997 and 2012.


2019 ◽  
Vol 19 (4) ◽  
pp. 865-872
Author(s):  
Taiza Maschio-Lima ◽  
Iara Lúcia de Lima Machado ◽  
João Paulo Zen Siqueira ◽  
Margarete Teresa Gottardo Almeida

Abstract Objectives: to assess the epidemiological profile of congenital and syphilis during pregnancy in residents of São José do Rio Preto in São Paulo State. Methods: ecological study of the epidemiological profile of patients with congenital and gestational syphilis, based on the Sistema de Informação de Agravos de Notificação (Information System for Notifiable Diseases) from 2007 to 2016. Results: there were 396 cases of syphilis reported in pregnant women and 290 of congenital syphilis. In 2016, the rate of detecting syphilis in pregnant women was 13.2 cases/1,000 live births, while congenital syphilis the incidence rate was 6.5 cases/1,000 live births. For gestational syphilis, 54% of the diagnosis was performed in 2nd or 3rd trimester and 85% were reported at the primary care. Adequate treatment for pregnant women occurred in 96% of the notifications with 52% of partners treated. In congenital syphilis, 82% of the mothers underwent prenatal care. However, 94% of the pregnant women were treated inadequately while 82% of the partners did not receive any treatment. Conclusions: there has been an increase in the number of cases of gestational syphilis in pregnant women and a decrease in the cases of congenital syphilis from 2014. These results showed that the goal of 0.5 case/1,000 live births proposed by World Health Organization is still far from being achieved in this city.


2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Daniel H Bando ◽  
Rafael S Moreira ◽  
Julio CR Pereira ◽  
Ligia V Barrozo

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Alec Brian Lacerda ◽  
Leila del Castillo Saad ◽  
Priscilla Venâncio Ikefuti ◽  
Adriano Pinter ◽  
Francisco Chiaravalloti-Neto

AbstractWe investigated the sylvatic yellow fever (SYF) diffusion process in São Paulo (SP) between 2016 and 2019. We developed an ecological study of SYF through autochthonous human cases and epizootics of non-human primates (NHPs) that were spatiotemporally evaluated. We used kriging to obtain maps with isochrones representative of the evolution of the outbreak and characterized its diffusion pattern. We confirmed 648 human cases of SYF in SP, with 230 deaths and 843 NHP epizootics. Two outbreak waves were identified: one from West to East (2016 and 2017), and another from the Campinas region to the municipalities bordering Rio de Janeiro, Minas Gerais, and Paraná and those of the SP coast (2017–2019). The SYF outbreak diffusion process was by contagion. The disease did not exhibit jumps between municipalities, indicating that the mosquitoes and NHPs were responsible for transmitting the virus. There were not enough vaccines to meet the population at risk; hence, health authorities used information about the epizootic occurrence in NHPs in forest fragments to identify priority populations for vaccination.


2022 ◽  
Vol 38 (1) ◽  
Author(s):  
Flávia Reis de Andrade ◽  
Fabrício dos Santos Menezes ◽  
Max Moura de Oliveira ◽  
Gleice Margarete de Souza Conceição ◽  
Maria Fernanda Tourinho Peres ◽  
...  

Abstract: Although São Paulo is the most populous city in Brazil - one of the world’s most violent countries - a significant reduction in its homicide mortality rate (HMR) has been detected. This study aims to estimate the effects of age, period, and birth cohort on the trend of homicide mortality according to sex in the city of São Paulo, from 1996 to 2015. An ecological study was undertaken with data on deaths by homicide for both sexes, in all age brackets, in the city of São Paulo. Poisson models were adjusted for each sex to estimate the age-period-cohort effects. In total, 61,833 deaths by homicide were recorded among males and 5,109 among females. Regardless of the period, the highest HMR occurred in the 20-24 age bracket. Higher HMRs were found in those born in the 1970s and 1980s. The complete model, with age-period-cohort effects, were the best fit to the data. The risk of death by homicide declined over the periods, with lower intensity in the final five years (2011-2015), for both males (RR = 0.48; 95%CI: 0.46; 0.49) and females (RR = 0.52; 95%CI: 0.47; 0.57). A reduction was found in the risk of homicide, regardless of the sex or age bracket, and also in recent cohorts. However, the intensity of such reductions has been decreasing over time, which suggests that the public policies adopted have limited potential to maintain these achievements.


2022 ◽  
Vol 13 (2) ◽  
pp. 12-18
Author(s):  
Giovanna Scudeler Lima Ramos ◽  
Giovana Mota Marques da Silva

Mental and behavioral disorders are influenced by a combination of factors that affect an individual's emotional balance and affect people of all ages, sex and social classes, although each group has its specificities. The present study aims to determine the prevalence of hospitalizations caused by Mental and Behavioral Disorders (CMD), considering an age group, gender and an ICD-10 morbidity list in the State of São Paulo between the years 2017 to 2020. This research was an ecological study on the prevalence of cases of mental and commercial disorders in the State of São Paulo. Data were collected on the DATASUS platform, where the number of admissions according to gender, age and ICD-10 morbidity list in the 2017-2020 period were surveyed. The results obtained revealed a growing increase in CMD cases in the state, especially from 2018 to 2019 with a subsequent fall in 2020, with, from 2017 to 2020, approximately 58.81% prevalence of CMD in sex and approximately 41.19% prevalence in sex female, mainly affecting people aged 30 to 39 years, higher prevalence of mood in females (67.18%) and CMD due to alcohol use in females (87.89%). It is concluded that amidst the pandemic against COVID-19, several patients considered without a diagnosis of Mental and Behavioral Disorders, because of this, it is possible that after the pandemic there are a greater number than expected of patients with more advanced conditions due to the absence of an early diagnosis.


2018 ◽  
Vol 10 (2) ◽  
pp. 01-04
Author(s):  
Ilanna Sobral de Luna ◽  
Daniele Pereira de Souza Kronka ◽  
Nicole Álik Kitamura

Breastfeeding is a process that promotes an intense interaction between mother and child and affects the nutritional status of the baby. The objective of the present study was to perform a descriptive analysis on the cases of exclusive breastfeeding between Brazil and the state of São Paulo in the period 2010-2015. It is an ecological study, whose data were obtained through the research in the Basic Attention Information System (SIAB). Brazil presented a greater reduction in cases of exclusive breastfeeding in children younger than 4 months than in the stateof São Paulo. A possible justification for this observed pattern can be due to social, economic and cultural reasons, 7 and new approaches are needed that value more effective actions in the promotion, protection of pregnant women and support to breastfeeding.


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