Spatial distribution of diabetes mortality in Brazil

• Autor(a) principal: Marques, Marilane Vilela
• Data de Publicação: 2020
• Outros Autores: Santos, Samara Sybelle de Araújo Nobre, Lima, Mirna Vasconcelos de, Matos, Marisa Karina de Miranda, Pereira, Sônia Maria, Amador, Ana Edimilda
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Saúde e Desenvolvimento Humano
• Texto Completo: https://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/article/view/6135
• topic: Mortality; Diabetes; Spatial Distribution; Enfermagem; Saúde Coletiva; Saúde Pública; Ciências da Saúde; Demografia.; Mortalidade; Diabetes; Distribuição Espacial

Objective: To analyze the spatial distribution of mortality rates from diabetes in Brazil.Methods: Ecological study nationwide, based on secondary mortality data from the Mortality Information System (SIM) from 2012 to 2016. Spatial distribution, intensity and significance were analyzed using the Moran Global index, MoranMap, as well as the occurrence of high-risk clusters through LisaMap and BoxMap.Results: During the study period, there were 293,752 deaths from Diabetes, of which 162,743 (55.40%) were female; 237,428 deaths (80.83%) aged 60 years and over; 49.56% for whites and yellows; 36.32% are married; 67.77% occurred in the hospital. The municipalities with the highest average standardized mortality rates were: Junco do Maranhão - MA (142.14 deaths/100 thousand inhab.), Brejinho - PE (128.88), Brejo de Areia - MA (127.64), Xexéu - PE (123.96), Malhada dos Bois - SE (118.41), Jaqueira - PE (115.96) and Arara - PB (104.78). The value of the Global Moran Index was positive and with statistical significance (p-value = 0.01). High-risk (high/high) cluster formation was evidenced in municipalities in the north, northeast, southeast and central-west regions, while the presence oflow-risk (low/low) clusters was verified in the southern region of the country. Conclusions: There is a pattern of spatial dependence in Brazil in the distribution of mortality rates due to Diabetes.