Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2020000300007 |
Resumo: | Introduction: Cerebrovascular diseases (CVD) are one of the main causes of death in Portugal. Research on the epidemiologic history might help to understand the phenomenon and guide intervention strategies. Objectives: (1) Describe historic trends in mortality. (2) Estimate the impact of demographic variations on the registered number of cases. Methods: (1) We calculated rates, specific and standardized, for deaths registered as CVD (ICD-10: I60-I69, G45; ICD-8/9: 430-438; ICD-6/7: 330-334) by sex (1902-2012) and by sex and age groups (1913-2012). We used Join point analysis to identify statistically significant changes in standardized death rates, and multivariate regression models, Poisson and negative binomial, controlling for demographic dynamics and time trend, from 1913 to 2012. (2) We calculated the contribution of demographic variations using the application RiskDiff. (3) We evaluated if changes in coding rules might have been a source of bias. Data source: National Institute of Statistics. Results: (1) We gathered the longest and most discriminated mortality series from CVD in Portugal with data since the beginning of nationwide collection. Mortality increases exponentially with age and is higher in men. (2) We observed significant variations in age-standardized time trends (1913-1933: APC 2.0%; 1933-1955: APC -0.9%; 1955-1974: 2.9%; 1974- 1996: -2.4%; 1996-2012: -6.5%). (3) Population ageing exerteda significant pressure to increase the number of deaths, particularly in the second half of the twentieth century. However, this effect was counterweighted by protective factors. Conclusion: CVD mortality in Portugal is particularly expressive when compared to other European countries, although significant gains have been observed in the last decades. Population ageing combined with a transition between the morbid and mortality dimensions changed the public health paradigm. |
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Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012Cerebrovascular Disorders/mortalityPortugalIntroduction: Cerebrovascular diseases (CVD) are one of the main causes of death in Portugal. Research on the epidemiologic history might help to understand the phenomenon and guide intervention strategies. Objectives: (1) Describe historic trends in mortality. (2) Estimate the impact of demographic variations on the registered number of cases. Methods: (1) We calculated rates, specific and standardized, for deaths registered as CVD (ICD-10: I60-I69, G45; ICD-8/9: 430-438; ICD-6/7: 330-334) by sex (1902-2012) and by sex and age groups (1913-2012). We used Join point analysis to identify statistically significant changes in standardized death rates, and multivariate regression models, Poisson and negative binomial, controlling for demographic dynamics and time trend, from 1913 to 2012. (2) We calculated the contribution of demographic variations using the application RiskDiff. (3) We evaluated if changes in coding rules might have been a source of bias. Data source: National Institute of Statistics. Results: (1) We gathered the longest and most discriminated mortality series from CVD in Portugal with data since the beginning of nationwide collection. Mortality increases exponentially with age and is higher in men. (2) We observed significant variations in age-standardized time trends (1913-1933: APC 2.0%; 1933-1955: APC -0.9%; 1955-1974: 2.9%; 1974- 1996: -2.4%; 1996-2012: -6.5%). (3) Population ageing exerteda significant pressure to increase the number of deaths, particularly in the second half of the twentieth century. However, this effect was counterweighted by protective factors. Conclusion: CVD mortality in Portugal is particularly expressive when compared to other European countries, although significant gains have been observed in the last decades. Population ageing combined with a transition between the morbid and mortality dimensions changed the public health paradigm.Sociedade Portuguesa de Medicina Interna2020-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2020000300007Medicina Interna v.27 n.2 2020reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2020000300007Ramalheira,Carlos PinhãoGonçalves,Ana M.Gomes,FilipaDutschmann,RitaGusmão,Ricardoinfo:eu-repo/semantics/openAccess2024-02-06T17:08:24Zoai:scielo:S0872-671X2020000300007Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:20:52.077064Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012 |
title |
Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012 |
spellingShingle |
Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012 Ramalheira,Carlos Pinhão Cerebrovascular Disorders/mortality Portugal |
title_short |
Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012 |
title_full |
Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012 |
title_fullStr |
Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012 |
title_full_unstemmed |
Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012 |
title_sort |
Secular Trends in the Mortality by Cerebrovascular Diseases in Portugal: 1902-2012 |
author |
Ramalheira,Carlos Pinhão |
author_facet |
Ramalheira,Carlos Pinhão Gonçalves,Ana M. Gomes,Filipa Dutschmann,Rita Gusmão,Ricardo |
author_role |
author |
author2 |
Gonçalves,Ana M. Gomes,Filipa Dutschmann,Rita Gusmão,Ricardo |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Ramalheira,Carlos Pinhão Gonçalves,Ana M. Gomes,Filipa Dutschmann,Rita Gusmão,Ricardo |
dc.subject.por.fl_str_mv |
Cerebrovascular Disorders/mortality Portugal |
topic |
Cerebrovascular Disorders/mortality Portugal |
description |
Introduction: Cerebrovascular diseases (CVD) are one of the main causes of death in Portugal. Research on the epidemiologic history might help to understand the phenomenon and guide intervention strategies. Objectives: (1) Describe historic trends in mortality. (2) Estimate the impact of demographic variations on the registered number of cases. Methods: (1) We calculated rates, specific and standardized, for deaths registered as CVD (ICD-10: I60-I69, G45; ICD-8/9: 430-438; ICD-6/7: 330-334) by sex (1902-2012) and by sex and age groups (1913-2012). We used Join point analysis to identify statistically significant changes in standardized death rates, and multivariate regression models, Poisson and negative binomial, controlling for demographic dynamics and time trend, from 1913 to 2012. (2) We calculated the contribution of demographic variations using the application RiskDiff. (3) We evaluated if changes in coding rules might have been a source of bias. Data source: National Institute of Statistics. Results: (1) We gathered the longest and most discriminated mortality series from CVD in Portugal with data since the beginning of nationwide collection. Mortality increases exponentially with age and is higher in men. (2) We observed significant variations in age-standardized time trends (1913-1933: APC 2.0%; 1933-1955: APC -0.9%; 1955-1974: 2.9%; 1974- 1996: -2.4%; 1996-2012: -6.5%). (3) Population ageing exerteda significant pressure to increase the number of deaths, particularly in the second half of the twentieth century. However, this effect was counterweighted by protective factors. Conclusion: CVD mortality in Portugal is particularly expressive when compared to other European countries, although significant gains have been observed in the last decades. Population ageing combined with a transition between the morbid and mortality dimensions changed the public health paradigm. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-04-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2020000300007 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2020000300007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2020000300007 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Medicina Interna v.27 n.2 2020 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137295997075456 |