Aposentadoria por invalidez entre servidores da Prefeitura Municipal de Uberlândia com ênfase especial no papel relativo do Diabetes mellitus e suas complicações

• Autor(a) principal: Santos, Ana Cecília de Queiroz
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFU
• Texto Completo: https://repositorio.ufu.br/handle/123456789/12736; https://doi.org/10.14393/ufu.di.2012.238
• topic: Aposentadoria; Invalidez; Servidor público; Saúde do trabalhador; Ciências médicas; Diabetes; Inválidos - Aposentadoria; Uberlândia (MG). Prefeitura - Servidores públicos; Retirement; Disability; Government employee; Worker s health; Morbidity; CNPQ::CIENCIAS DA SAUDE

Introduction: Chronic complications of Diabetes Mellitus (DM) are responsible for incapacity for work. In Brazil, however, the role of this disease in early retirement due to disability has not been much studied. The purpose of this study is to evaluate diabetes mellitus as a cause of retirement among employees of the city administration of Uberlandia. Methods: Data were obtained on city employees retired due to permanent disability as a consequence of accidents at work/occupational disease and common diseases from January 1990 to December 2009. The data were collected from the reports of the Official Board of Medical Inspection (Junta Oficial de Inspeção Médica) of Uberlandia (IPREMU). The causes were computed according to the International Classification of Diseases (ICD10). A data base built using the Epi Info program version 3.5.1 (CDC, Atlanta, in the Public Domain) was evaluated statistically by this and by the SPSS computer program. Results: Four hundred and three (94.16%) of the 428 benefits of retirement due to disability granted during the period studied were evaluated: 210 (52.1%) were motivated by a single cause. In this group mental and behavioral disorders, osteomuscular system diseases and circulatory system diseases were the three main causes, and endocrine diseases accounted for 4.29%. Among the retirees, 53.8% were women; their mean age was 49 years, and 53 years for the men. Retirement due to disability occurred among men, on the average, 19 ± 6.9 years earlier than it would occur due to time worked, and among women 17 ± 5.9 years earlier (p=0.001). Among all ICDs responsible for retirement, diseases of the osteomuscular system, circulatory system diseases, and mental and behavioral disorders also predominated. Endocrine diseases were 7.45%. Diabetes mellitus was responsible for only 8.44% of the benefits, but for 62.96% among the endocrine diseases. The age at which diabetic women retired was on average 53.8 ± 9.3 years, and the men, 55.2 ± 9.5 (p=0.67). Diabetic women lost, on average, 13.6 ± 6.3 years of productivity and men 19.5 ± 7.4 years (p=0.017). Productive time lost was greater among non diabetic than among diabetic women (p=0.002). As to type of diabetes, 55.88% had type 2 DM, with an average age of 56 ± 8.8 years, and 44.12% were type 1, with an average of 52.6 ± 9.8 years (p=0.306). There was a higher proportion of women among the people retired due to DM 2 (82.35%) (p =0.0049) and among the men, in those whose retirement was caused by DM 2 (70.59%) (p=0.002). Diabetics retired later than non diabetics (p=0.001) and compared to those with mental disorders (p<0.001) and neoplasias (p=0.001). There was no difference when productive time lost in retirements due to diabetes and retirements due to mental and behavioral disorders, osteomuscular system diseases, circulatory disorders and neoplasias are compared. Conclusions: Among the city employees of Uberlandia, osteomuscular system diseases, circulatory system diseases and mental and behavioral disorders are the most frequent causes of retirement. Diabetes mellitus is the main endocrine disease responsible, mainly due to neuropathies, nephropathies, retinopathies and multiple complications. Those who retired due to complications of DM are older than those who retired due to other diseases. Productive time lost was similar among diabetics and non diabetics, and in the two groups it was greater among the men. Productive time lost was greater among non diabetic women than among the diabetic ones.