Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Journal of Cardiovascular Sciences (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472022000200243 |
Resumo: | Abstract Background: Atherosclerosis is a serious health problem, and several factors contribute to its occurrence. Longitudinal and qualified monitoring of primary health care (PHC) may contribute to the management of atherosclerosis and reduction of avoidable hospital admissions. Objectives: To estimate the trend in hospitalizations for atherosclerosis and the impact of PHC coverage on its evolution from 2008 to 2018 in Brazil. Methods: An ecological time series analytical study based on the outcomes of hospital admissions for atherosclerosis in Brazil. Time in years, PHC coverage, and Family Health Strategy (FHS) services were considered independent variables. A Prais–Winsten model was used to estimate the outcome trend, and α < 0.05 was adopted. Results: We observed a mean increase of 1.81 hospitalizations for atherosclerosis per 100 000 inhabitants annually (p = 0.002) in Brazil. This growth was evidenced in the Northeast (p < 0.001), Southeast (p = 0.003), and South (p < 0.001) regions, being stable in the North (p = 0.057) and Midwest (p = 0.62) regions. Men presented twice the growth in hospitalizations from the fifth decade of life on (p < 0.01). An inversely proportional relationship was observed for PHC coverage (B = -0.71; p < 0.001) and the proportion of FHS services (B = -0.59; p < 0.001) with the rate of admissions due to atherosclerosis in Brazil. Conclusions: Although hospitalizations for atherosclerotic complications are increasing in Brazil, they present regional and individual gender and age discrepancies, as well as a mitigating effect exerted by PHC coverage. |
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International Journal of Cardiovascular Sciences (Online) |
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Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series StudyAtherosclerosis/ complicationsPopulationBrazil/ epidemiologyEcologyEcosystemEnvironmental HealthTime Series StudiesAbstract Background: Atherosclerosis is a serious health problem, and several factors contribute to its occurrence. Longitudinal and qualified monitoring of primary health care (PHC) may contribute to the management of atherosclerosis and reduction of avoidable hospital admissions. Objectives: To estimate the trend in hospitalizations for atherosclerosis and the impact of PHC coverage on its evolution from 2008 to 2018 in Brazil. Methods: An ecological time series analytical study based on the outcomes of hospital admissions for atherosclerosis in Brazil. Time in years, PHC coverage, and Family Health Strategy (FHS) services were considered independent variables. A Prais–Winsten model was used to estimate the outcome trend, and α < 0.05 was adopted. Results: We observed a mean increase of 1.81 hospitalizations for atherosclerosis per 100 000 inhabitants annually (p = 0.002) in Brazil. This growth was evidenced in the Northeast (p < 0.001), Southeast (p = 0.003), and South (p < 0.001) regions, being stable in the North (p = 0.057) and Midwest (p = 0.62) regions. Men presented twice the growth in hospitalizations from the fifth decade of life on (p < 0.01). An inversely proportional relationship was observed for PHC coverage (B = -0.71; p < 0.001) and the proportion of FHS services (B = -0.59; p < 0.001) with the rate of admissions due to atherosclerosis in Brazil. Conclusions: Although hospitalizations for atherosclerotic complications are increasing in Brazil, they present regional and individual gender and age discrepancies, as well as a mitigating effect exerted by PHC coverage.Sociedade Brasileira de Cardiologia2022-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472022000200243International Journal of Cardiovascular Sciences v.35 n.2 2022reponame:International Journal of Cardiovascular Sciences (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.36660/ijcs.20210117info:eu-repo/semantics/openAccessSilva,Emerson de JesusGomes Junior,Francieudo da SilvaFirmiano,João Vitor BezerraSilva,Nilson Roberto daCarlini,Wendel AguiarGuedes,Marcello Barbosa Otoni GonçalvesLopes,Matheus RodriguesLopes,Johnnatas Mikaeleng2022-03-11T00:00:00Zoai:scielo:S2359-56472022000200243Revistahttp://publicacoes.cardiol.br/portal/ijcshttps://old.scielo.br/oai/scielo-oai.phptailanerodrigues@cardiol.br||revistaijcs@cardiol.br2359-56472359-4802opendoar:2022-03-11T00:00International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study |
title |
Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study |
spellingShingle |
Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study Silva,Emerson de Jesus Atherosclerosis/ complications Population Brazil/ epidemiology Ecology Ecosystem Environmental Health Time Series Studies |
title_short |
Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study |
title_full |
Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study |
title_fullStr |
Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study |
title_full_unstemmed |
Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study |
title_sort |
Atherosclerosis Complications in the Brazilian Population: An Ecological Time Series Study |
author |
Silva,Emerson de Jesus |
author_facet |
Silva,Emerson de Jesus Gomes Junior,Francieudo da Silva Firmiano,João Vitor Bezerra Silva,Nilson Roberto da Carlini,Wendel Aguiar Guedes,Marcello Barbosa Otoni Gonçalves Lopes,Matheus Rodrigues Lopes,Johnnatas Mikael |
author_role |
author |
author2 |
Gomes Junior,Francieudo da Silva Firmiano,João Vitor Bezerra Silva,Nilson Roberto da Carlini,Wendel Aguiar Guedes,Marcello Barbosa Otoni Gonçalves Lopes,Matheus Rodrigues Lopes,Johnnatas Mikael |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Emerson de Jesus Gomes Junior,Francieudo da Silva Firmiano,João Vitor Bezerra Silva,Nilson Roberto da Carlini,Wendel Aguiar Guedes,Marcello Barbosa Otoni Gonçalves Lopes,Matheus Rodrigues Lopes,Johnnatas Mikael |
dc.subject.por.fl_str_mv |
Atherosclerosis/ complications Population Brazil/ epidemiology Ecology Ecosystem Environmental Health Time Series Studies |
topic |
Atherosclerosis/ complications Population Brazil/ epidemiology Ecology Ecosystem Environmental Health Time Series Studies |
description |
Abstract Background: Atherosclerosis is a serious health problem, and several factors contribute to its occurrence. Longitudinal and qualified monitoring of primary health care (PHC) may contribute to the management of atherosclerosis and reduction of avoidable hospital admissions. Objectives: To estimate the trend in hospitalizations for atherosclerosis and the impact of PHC coverage on its evolution from 2008 to 2018 in Brazil. Methods: An ecological time series analytical study based on the outcomes of hospital admissions for atherosclerosis in Brazil. Time in years, PHC coverage, and Family Health Strategy (FHS) services were considered independent variables. A Prais–Winsten model was used to estimate the outcome trend, and α < 0.05 was adopted. Results: We observed a mean increase of 1.81 hospitalizations for atherosclerosis per 100 000 inhabitants annually (p = 0.002) in Brazil. This growth was evidenced in the Northeast (p < 0.001), Southeast (p = 0.003), and South (p < 0.001) regions, being stable in the North (p = 0.057) and Midwest (p = 0.62) regions. Men presented twice the growth in hospitalizations from the fifth decade of life on (p < 0.01). An inversely proportional relationship was observed for PHC coverage (B = -0.71; p < 0.001) and the proportion of FHS services (B = -0.59; p < 0.001) with the rate of admissions due to atherosclerosis in Brazil. Conclusions: Although hospitalizations for atherosclerotic complications are increasing in Brazil, they present regional and individual gender and age discrepancies, as well as a mitigating effect exerted by PHC coverage. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472022000200243 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2359-56472022000200243 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.36660/ijcs.20210117 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia |
dc.source.none.fl_str_mv |
International Journal of Cardiovascular Sciences v.35 n.2 2022 reponame:International Journal of Cardiovascular Sciences (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
International Journal of Cardiovascular Sciences (Online) |
collection |
International Journal of Cardiovascular Sciences (Online) |
repository.name.fl_str_mv |
International Journal of Cardiovascular Sciences (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
tailanerodrigues@cardiol.br||revistaijcs@cardiol.br |
_version_ |
1754732627523272704 |