The burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017

Detalhes bibliográficos
Autor(a) principal: Passos, Valéria Maria de Azeredo
Data de Publicação: 2020
Outros Autores: 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
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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spelling 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
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dc.date.accessioned.fl_str_mv 2021-09-01T04:24:35Z
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dc.relation.ispartof.pt_BR.fl_str_mv Population health metrics. London. Vol. 18, supl 1 (2020), 14, 15 p.
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