Fatores socioeconômicos associados às diferenças na mortalidade por acidente vascular cerebral entre as mesorregiões do Rio Grande do Norte

• Autor(a) principal: Avelino, Matheus Madson Lima
• Data de Publicação: 2017
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UFRN
• Texto Completo: https://repositorio.ufrn.br/handle/123456789/35876
• topic: Acidente Vascular Cerebral; Vigilância Epidemiológica; Mortalidade; Análise Espacial; Desigualdade em Saúde; Fatores Socioeconômicos; Fisioterapia e Terapia Ocupacional

Background: Rio Grande do Norte state in Brazil that suffered an increase in Stroke mortality, however there are no studies that investigates the differences between regions of the state among 2002 and 2009. Objective: To investigate regional differences in Stroke mortality in Rio Grande do Norte state between 2008 and 2014 and its association with socioeconomic factors Methods: The mortality data was collected from the information system about mortality of Brazilian’s Ministry of Health. Demographic Census Data of 2010 from the Brazilian Institute of Geographic and Statistics was collected. The rates were calculated to 100.000 inhabitants and then age-standardized by direct method. The statistical analysis was performed with Kruskal Wallis teste, Chi-square test and Spearman correlation test. Results: In the period of this study was notified 9.679 Stroke deaths, that represent 7, 9% from all deaths. It was observed a decline in Stroke general rates in studied period (p <0,003). There was a significant difference between regions, with high mortality in the East (p < 0, 0001). A significant positive correlation was found between socioeconomic factors and the mortality general rates, and also a statistical difference between regions (p < 0, 0001) for income (p < 0, 0001) and Gini Index (p < 0,001). Conclusion: Differences in Stroke mortality may be reflecting a combination of factors that includes the income inequality, the quality and access to health care and the risk factors concentration according to socioeconomic factors. General Stroke rates declined in the studied period. The health policies to combat Stroke should include the management of regional inequalities in Rio Grande do Norte state.