Trends and factors associated with dengue mortality and fatality in Brazil

Detalhes bibliográficos
Autor(a) principal: Paixão,Enny Santos
Data de Publicação: 2015
Outros Autores: Costa,Maria da Conceição Nascimento, Rodrigues,Laura Cunha, Rasella,Davide, Cardim,Luciana Lobato, Brasileiro,Alcione Cunha, Teixeira,Maria Gloria Lima Cruz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Sociedade Brasileira de Medicina Tropical
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000400399
Resumo: AbstractINTRODUCTION:Studies that generate information that may reduce the dengue death risk are essential. This study analyzed time trends and risk factors for dengue mortality and fatality in Brazil from 2001 to 2011.METHODS:Time trends for dengue mortality and fatality rates were analyzed using simple linear regression. Associations between the dengue mortality and the case fatality rates and socioeconomic, demographic, and health care indicators at the municipality level were analyzed using negative binomial regression.RESULTS:The dengue hemorrhagic fever case fatality rate increased in Brazil from 2001 to 2011 (β=0.67; p=0.036), in patients aged 0-14 years (β=0.48; p=0.030) and in those aged ≥15 years (β=1.1; p<0.01). Factors associated with the dengue case fatality rate were the average income per capita (MRR=0.99; p=0.038) and the number of basic health units per population (MRR=0.89; p<0.001). Mortality rates increased from 2001 to 2011 (β=0.350; p=0.002).Factors associated with mortality were inequality (RR=1.02; p=0.001) high income per capita (MRR=0.99; p=0.005), and higher proportions of populations living in urban areas (MRR=1.01; p<0.001).CONCLUSIONS:The increases in the dengue mortality and case fatality rates and the associated socioeconomic and health care factors, suggest the need for structural and intersectoral investments to improve living conditions and to sustainably reduce these outcomes.
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spelling Trends and factors associated with dengue mortality and fatality in BrazilDengueMortalityFatalityTrendSocial determinantsAbstractINTRODUCTION:Studies that generate information that may reduce the dengue death risk are essential. This study analyzed time trends and risk factors for dengue mortality and fatality in Brazil from 2001 to 2011.METHODS:Time trends for dengue mortality and fatality rates were analyzed using simple linear regression. Associations between the dengue mortality and the case fatality rates and socioeconomic, demographic, and health care indicators at the municipality level were analyzed using negative binomial regression.RESULTS:The dengue hemorrhagic fever case fatality rate increased in Brazil from 2001 to 2011 (β=0.67; p=0.036), in patients aged 0-14 years (β=0.48; p=0.030) and in those aged ≥15 years (β=1.1; p<0.01). Factors associated with the dengue case fatality rate were the average income per capita (MRR=0.99; p=0.038) and the number of basic health units per population (MRR=0.89; p<0.001). Mortality rates increased from 2001 to 2011 (β=0.350; p=0.002).Factors associated with mortality were inequality (RR=1.02; p=0.001) high income per capita (MRR=0.99; p=0.005), and higher proportions of populations living in urban areas (MRR=1.01; p<0.001).CONCLUSIONS:The increases in the dengue mortality and case fatality rates and the associated socioeconomic and health care factors, suggest the need for structural and intersectoral investments to improve living conditions and to sustainably reduce these outcomes.Sociedade Brasileira de Medicina Tropical - SBMT2015-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000400399Revista da Sociedade Brasileira de Medicina Tropical v.48 n.4 2015reponame:Revista da Sociedade Brasileira de Medicina Tropicalinstname:Sociedade Brasileira de Medicina Tropical (SBMT)instacron:SBMT10.1590/0037-8682-0145-2015info:eu-repo/semantics/openAccessPaixão,Enny SantosCosta,Maria da Conceição NascimentoRodrigues,Laura CunhaRasella,DavideCardim,Luciana LobatoBrasileiro,Alcione CunhaTeixeira,Maria Gloria Lima Cruzeng2015-08-25T00:00:00Zoai:scielo:S0037-86822015000400399Revistahttps://www.sbmt.org.br/portal/revista/ONGhttps://old.scielo.br/oai/scielo-oai.php||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br1678-98490037-8682opendoar:2015-08-25T00:00Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)false
dc.title.none.fl_str_mv Trends and factors associated with dengue mortality and fatality in Brazil
title Trends and factors associated with dengue mortality and fatality in Brazil
spellingShingle Trends and factors associated with dengue mortality and fatality in Brazil
Paixão,Enny Santos
Dengue
Mortality
Fatality
Trend
Social determinants
title_short Trends and factors associated with dengue mortality and fatality in Brazil
title_full Trends and factors associated with dengue mortality and fatality in Brazil
title_fullStr Trends and factors associated with dengue mortality and fatality in Brazil
title_full_unstemmed Trends and factors associated with dengue mortality and fatality in Brazil
title_sort Trends and factors associated with dengue mortality and fatality in Brazil
author Paixão,Enny Santos
author_facet Paixão,Enny Santos
Costa,Maria da Conceição Nascimento
Rodrigues,Laura Cunha
Rasella,Davide
Cardim,Luciana Lobato
Brasileiro,Alcione Cunha
Teixeira,Maria Gloria Lima Cruz
author_role author
author2 Costa,Maria da Conceição Nascimento
Rodrigues,Laura Cunha
Rasella,Davide
Cardim,Luciana Lobato
Brasileiro,Alcione Cunha
Teixeira,Maria Gloria Lima Cruz
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Paixão,Enny Santos
Costa,Maria da Conceição Nascimento
Rodrigues,Laura Cunha
Rasella,Davide
Cardim,Luciana Lobato
Brasileiro,Alcione Cunha
Teixeira,Maria Gloria Lima Cruz
dc.subject.por.fl_str_mv Dengue
Mortality
Fatality
Trend
Social determinants
topic Dengue
Mortality
Fatality
Trend
Social determinants
description AbstractINTRODUCTION:Studies that generate information that may reduce the dengue death risk are essential. This study analyzed time trends and risk factors for dengue mortality and fatality in Brazil from 2001 to 2011.METHODS:Time trends for dengue mortality and fatality rates were analyzed using simple linear regression. Associations between the dengue mortality and the case fatality rates and socioeconomic, demographic, and health care indicators at the municipality level were analyzed using negative binomial regression.RESULTS:The dengue hemorrhagic fever case fatality rate increased in Brazil from 2001 to 2011 (β=0.67; p=0.036), in patients aged 0-14 years (β=0.48; p=0.030) and in those aged ≥15 years (β=1.1; p<0.01). Factors associated with the dengue case fatality rate were the average income per capita (MRR=0.99; p=0.038) and the number of basic health units per population (MRR=0.89; p<0.001). Mortality rates increased from 2001 to 2011 (β=0.350; p=0.002).Factors associated with mortality were inequality (RR=1.02; p=0.001) high income per capita (MRR=0.99; p=0.005), and higher proportions of populations living in urban areas (MRR=1.01; p<0.001).CONCLUSIONS:The increases in the dengue mortality and case fatality rates and the associated socioeconomic and health care factors, suggest the need for structural and intersectoral investments to improve living conditions and to sustainably reduce these outcomes.
publishDate 2015
dc.date.none.fl_str_mv 2015-08-01
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dc.language.iso.fl_str_mv eng
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
dc.source.none.fl_str_mv Revista da Sociedade Brasileira de Medicina Tropical v.48 n.4 2015
reponame:Revista da Sociedade Brasileira de Medicina Tropical
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collection Revista da Sociedade Brasileira de Medicina Tropical
repository.name.fl_str_mv Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)
repository.mail.fl_str_mv ||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br
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