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Cited by 71Acute Ischemic Stroke ManagementHealthcare Systems and Public HealthGlobal Cancer Incidence and Screening

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Progressive Decline in Stroke Mortality in Brazil From 1980 to 1982, 1990 to 1992, and 2000 to 2002

André, Charles, Curioni, Cíntia Chaves, Braga da Cunha, Cynthia, Veras, Renato·2006·Stroke
DOI 10.1161/01.str.0000244768.46566.73
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Abstract

Background and Purpose— We describe the trends in stroke mortality in Brazil during 3 decades and investigate their differences according to regional disparities, sex, and age distributions. Methods— Official data on mortality and population estimates were retrieved to calculate standardized mortality rates (with the 1980 Brazilian population as a reference) in 6 age strata and in the 5 political regions for the initial period (3 first years) of the 1980, 1990, and 2000 decades. Data were corrected for undefined causes of death. The Poisson model was used to estimate risk reduction during the 3 decades and to study the interaction between those rates and sex, age strata, and regions. Results— The stroke standardized mortality rate decreased consistently in the last 20 years, from 68.2 to 40.9 per 100 000 habitants. This reduction paralleled a decrease in total cardiovascular mortality rates in the same period, from 208.2 to 126.1 per 100 000 habitants. The reduction in stroke standardized mortality rate was detected in men and women and in all age strata. The reduction was evident in all geopolitical regions of the country, with the wealthiest regions’ exhibiting higher initial rates and more marked standardized mortality rate reductions. The risk of dying of stroke in the period 2000 to 2002 was 0.45 (95% CI, 0.44 to 0.45) of that found in the period 1980 to 1982. Conclusions— The risk of dying of stroke in Brazil declined dramatically between the initial period in the early 1980s and the early 2000s. The decline was especially marked in the most developed regions and may reflect an improvement in general health conditions during the study period.

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  1. 10.1161/str.31.7.1588 · DOI
  2. Rothman KJ. Modern Epidemiology. Boston: Little Brown & Co; 1986: 41–50.
  3. 10.1161/str.29.11.2285 · DOI
  4. 10.1161/str.30.2.357 · DOI
  5. Lessa I. Epidemiologia das doenças cerebrovasculares no Brasil. Rev Soc Cardiol Estado de São Paulo. 1999; 4: 509–518.
  6. Ramos ACMF, Seixas TC, Rocha CRM, Ávila RT. Abordagem da hipertensão arterial em sistema público de saúde. Rev SOCERJ. 2003; 16: 137–141.

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Metadata

Authors
André, C., Curioni, C. C., Braga da Cunha, C., & Veras, R.
Affiliations
  • From Disciplina de Neurologia (C.A.), Faculdade de Medicina, Universidade Federal do Rio de Janeiro; Instituto de Medicina Social (C.C.C., R.V.), Universidade Estadual do Rio de Janeiro; and Departamento de Epidemiologia e Métodos Quantitativos em Saúde (C.B.d.C.), ENSP/FIOCRUZ, Rio de Janeiro, Brazil.
  • Universidade Federal do Rio de Janeiro (BR)
ORCID
Veras, Renato
Venue
Stroke
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2006-11
Volume
37
Issue
11
Pages
2784-2789
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
DOI
10.1161/01.str.0000244768.46566.73
OpenAlex
W2028876006
Cited by
71
References
30
Citations by year
2023: 1 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 3 · 2013: 14 · 2012: 13
FWCI
2.42
Type
journal article
Language
en
Open access
closed
Locations
  • Stroke (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
  • Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords
stroke mortality, mortality trends, Brazil, regional disparities, sex differences, age distribution, cardiovascular mortality, standardized mortality rate, socioeconomic status, health improvement
MeSH terms
Adolescent, Adult, Age Factors, Aged, Aged, 80 and over, Brazil, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Mortality, Risk Factors, Socioeconomic Factors, Stroke

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