The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/229312 |
Resumo: | Background: Brazil is the world’s fifth most populous nation, and is currently experimenting a fast demographic aging process in a context of scarce resources and social inequalities. To understand the health profile of older adults in Brazil is fundamental for planning public policies. Methods: The estimates were derived from data obtained through the collaboration between the Brazilian Ministry of Health and the Institute of Health Metrics and Evaluation of the University of Washington. The Brazilian Institute of Geography and Statistics provided the population estimates. Data on causes of death came from the Mortality Information System. To calculate morbidity, population-based studies on the prevalence of diseases in Brazil were comprehensively searched, in addition to information obtained from national databases such as the Hospital Information System, the Outpatient Information System, and the Injury Information System. We presented the Global Burden of Disease (GBD) 2017 estimates among Brazilian older adults (60+ years old) for life expectancy at birth (LE), healthy life expectancy (HALE), cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs), from 2000 to 2017. Results: LE at birth significantly increased from 71.3 years (95% UI to 70.9-71.8) to 75.2 years (95% UI 74.7-75.7). There was a trend of increasing HALE, from 62.2 years (95% UI 59.54-64.5) to 65.5 years (95% UI 62.6-68.0). The proportion of DALYs among older adults increased from 7.3 to 10.3%. Chronic noncommunicable diseases are the leading cause of death among middle aged and older adults, while Alzheimer’s disease is a leading cause only among older adults. Mood disorders, musculoskeletal pain, and hearing or vision losses are among the leading causes of disability. Conclusions: The increase in LE and the decrease of the DALYs rates are probably results of the improvement of social conditions and health policies. However, the smaller increase of HALE than LE means that despite living more, people spend a substantial time of their old age with disability and illness. Preventable or potentially controllable diseases are responsible for most of the burden of disease among Brazilian older adults. Health investments are necessary to obtain longevity with quality of life in Brazil. |
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Passos, Valéria Maria de AzeredoChamps, Ana Paula SilvaTeixeira, Renato AzeredoLima-Costa, Maria FernandaKirkwood, RenataVeras, RenatoNascimento, Bruno RamosNogales, Ana MariaSchmidt, Maria InêsDuncan, Bruce BartholowCousin Sobrinho, Ewerton Luiz PortoNaghavi, MohsenSouza, Fátima Marinho2021-09-01T04:24:35Z20201478-7954http://hdl.handle.net/10183/229312001130510Background: Brazil is the world’s fifth most populous nation, and is currently experimenting a fast demographic aging process in a context of scarce resources and social inequalities. To understand the health profile of older adults in Brazil is fundamental for planning public policies. Methods: The estimates were derived from data obtained through the collaboration between the Brazilian Ministry of Health and the Institute of Health Metrics and Evaluation of the University of Washington. The Brazilian Institute of Geography and Statistics provided the population estimates. Data on causes of death came from the Mortality Information System. To calculate morbidity, population-based studies on the prevalence of diseases in Brazil were comprehensively searched, in addition to information obtained from national databases such as the Hospital Information System, the Outpatient Information System, and the Injury Information System. We presented the Global Burden of Disease (GBD) 2017 estimates among Brazilian older adults (60+ years old) for life expectancy at birth (LE), healthy life expectancy (HALE), cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs), from 2000 to 2017. Results: LE at birth significantly increased from 71.3 years (95% UI to 70.9-71.8) to 75.2 years (95% UI 74.7-75.7). There was a trend of increasing HALE, from 62.2 years (95% UI 59.54-64.5) to 65.5 years (95% UI 62.6-68.0). The proportion of DALYs among older adults increased from 7.3 to 10.3%. Chronic noncommunicable diseases are the leading cause of death among middle aged and older adults, while Alzheimer’s disease is a leading cause only among older adults. Mood disorders, musculoskeletal pain, and hearing or vision losses are among the leading causes of disability. Conclusions: The increase in LE and the decrease of the DALYs rates are probably results of the improvement of social conditions and health policies. However, the smaller increase of HALE than LE means that despite living more, people spend a substantial time of their old age with disability and illness. Preventable or potentially controllable diseases are responsible for most of the burden of disease among Brazilian older adults. Health investments are necessary to obtain longevity with quality of life in Brazil.application/pdfengPopulation health metrics. London. Vol. 18, supl 1 (2020), 14, 15 p.Carga global da doençaExpectativa de vidaMortalidadeIdosoPolítica de saúdeEpidemiologiaBrasilOlder adultsBurden of diseaseLife expectancyMortalityDALYBrazilThe burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017Estrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001130510.pdf.txt001130510.pdf.txtExtracted Texttext/plain61574http://www.lume.ufrgs.br/bitstream/10183/229312/2/001130510.pdf.txt35466245261e3a61fb747fd850e7f848MD52ORIGINAL001130510.pdfTexto completo (inglês)application/pdf3724306http://www.lume.ufrgs.br/bitstream/10183/229312/1/001130510.pdf06014d0afcf8f16e8d5abfecce33eeceMD5110183/2293122021-09-19 04:28:05.592492oai:www.lume.ufrgs.br:10183/229312Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2021-09-19T07:28:05Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017 |
title |
The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017 |
spellingShingle |
The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017 Passos, Valéria Maria de Azeredo Carga global da doença Expectativa de vida Mortalidade Idoso Política de saúde Epidemiologia Brasil Older adults Burden of disease Life expectancy Mortality DALY Brazil |
title_short |
The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017 |
title_full |
The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017 |
title_fullStr |
The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017 |
title_full_unstemmed |
The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017 |
title_sort |
The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017 |
author |
Passos, Valéria Maria de Azeredo |
author_facet |
Passos, Valéria Maria de Azeredo Champs, Ana Paula Silva Teixeira, Renato Azeredo Lima-Costa, Maria Fernanda Kirkwood, Renata Veras, Renato Nascimento, Bruno Ramos Nogales, Ana Maria Schmidt, Maria Inês Duncan, Bruce Bartholow Cousin Sobrinho, Ewerton Luiz Porto Naghavi, Mohsen Souza, Fátima Marinho |
author_role |
author |
author2 |
Champs, Ana Paula Silva Teixeira, Renato Azeredo Lima-Costa, Maria Fernanda Kirkwood, Renata Veras, Renato Nascimento, Bruno Ramos Nogales, Ana Maria Schmidt, Maria Inês Duncan, Bruce Bartholow Cousin Sobrinho, Ewerton Luiz Porto Naghavi, Mohsen Souza, Fátima Marinho |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Passos, Valéria Maria de Azeredo Champs, Ana Paula Silva Teixeira, Renato Azeredo Lima-Costa, Maria Fernanda Kirkwood, Renata Veras, Renato Nascimento, Bruno Ramos Nogales, Ana Maria Schmidt, Maria Inês Duncan, Bruce Bartholow Cousin Sobrinho, Ewerton Luiz Porto Naghavi, Mohsen Souza, Fátima Marinho |
dc.subject.por.fl_str_mv |
Carga global da doença Expectativa de vida Mortalidade Idoso Política de saúde Epidemiologia Brasil |
topic |
Carga global da doença Expectativa de vida Mortalidade Idoso Política de saúde Epidemiologia Brasil Older adults Burden of disease Life expectancy Mortality DALY Brazil |
dc.subject.eng.fl_str_mv |
Older adults Burden of disease Life expectancy Mortality DALY Brazil |
description |
Background: Brazil is the world’s fifth most populous nation, and is currently experimenting a fast demographic aging process in a context of scarce resources and social inequalities. To understand the health profile of older adults in Brazil is fundamental for planning public policies. Methods: The estimates were derived from data obtained through the collaboration between the Brazilian Ministry of Health and the Institute of Health Metrics and Evaluation of the University of Washington. The Brazilian Institute of Geography and Statistics provided the population estimates. Data on causes of death came from the Mortality Information System. To calculate morbidity, population-based studies on the prevalence of diseases in Brazil were comprehensively searched, in addition to information obtained from national databases such as the Hospital Information System, the Outpatient Information System, and the Injury Information System. We presented the Global Burden of Disease (GBD) 2017 estimates among Brazilian older adults (60+ years old) for life expectancy at birth (LE), healthy life expectancy (HALE), cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs), from 2000 to 2017. Results: LE at birth significantly increased from 71.3 years (95% UI to 70.9-71.8) to 75.2 years (95% UI 74.7-75.7). There was a trend of increasing HALE, from 62.2 years (95% UI 59.54-64.5) to 65.5 years (95% UI 62.6-68.0). The proportion of DALYs among older adults increased from 7.3 to 10.3%. Chronic noncommunicable diseases are the leading cause of death among middle aged and older adults, while Alzheimer’s disease is a leading cause only among older adults. Mood disorders, musculoskeletal pain, and hearing or vision losses are among the leading causes of disability. Conclusions: The increase in LE and the decrease of the DALYs rates are probably results of the improvement of social conditions and health policies. However, the smaller increase of HALE than LE means that despite living more, people spend a substantial time of their old age with disability and illness. Preventable or potentially controllable diseases are responsible for most of the burden of disease among Brazilian older adults. Health investments are necessary to obtain longevity with quality of life in Brazil. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020 |
dc.date.accessioned.fl_str_mv |
2021-09-01T04:24:35Z |
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Estrangeiro info:eu-repo/semantics/article |
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Population health metrics. London. Vol. 18, supl 1 (2020), 14, 15 p. |
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