José Lucas Bichara, Luiz Antônio Bastos, Eric Delgado Dos Santos Mafra Lino, Paolo Blanco Villela, Gláucia Maria Moraes de Oliveira
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引用次数: 0
Abstract
Background: Previous studies have observed a correlation between mortality rates from ischemic heart diseases (IHDs), cerebrovascular diseases (CBVDs), and the Social Vulnerability Index (SVI). However, doubts persist about the association between the overall SVI and its dimensions and mortality stratified by sex, ethnicity, and population clusters.
Objective: To analyze the evolution of the overall SVI and its dimensions and correlate it with mortality rates due to IHD and CBVD in Brazil and its Federative Units (FUs) from 2000 to 2021.
Methods: Ecological study of time series of standardized mortality rates (using the direct method with the Brazilian population in 2000) due to IHD and CBVD categorized by age, sex, and FUs between 2000 and 2021, correlated with the SVI and its dimensions. Data on the underlying causes of death were obtained from the Mortality Information System, while SVI data were sourced from the Social Vulnerability Atlas. Spearman correlation (considered significant if p<0.05) was employed to calculate each analyzed stratum.
Results: The SVI and its Human Capital (SVI-HC) dimension and Income and Employment (SVI-IE) dimension in 2010 showed a strong correlation with variations in mortality rates due to CBVD and IHD (SVI x CBVD: Rho(p)=0.85; SVI x IHD: Rho(p)=0.75; SVI-HC x CBVD: Rho(p)=0.84; SVI-HC x IHD: Rho(p)=0.84; SVI-IE x CBVD: Rho(p)=0.81; SVI-IE x IHD: Rho(p)=0.71). The Urban Infrastructure dimension (SVI-UI) showed a weak correlation with CBVD and IHD, respectively (SVI-UI x CBVD: Rho(p)=0.33; SVI-UI x IHD: Rho(p)=0.25).
Conclusion: Both SVI-HC and SVI-IE demonstrated strong correlations with variations in mortality rates from IHD and CBVD.
背景：已有研究发现缺血性心脏病（IHDs）、脑血管病（cbvd）死亡率与社会脆弱性指数（SVI）之间存在相关性。然而，对于总体SVI及其维度与按性别、种族和人口群分层的死亡率之间的关系，人们仍然存在疑问。目的：分析2000 - 2021年巴西及其联邦单位（FUs）整体SVI及其维度的演变，并将其与IHD和CBVD导致的死亡率联系起来。方法：对2000年至2021年间按年龄、性别和FUs分类的IHD和CBVD标准化死亡率时间序列（使用2000年巴西人口的直接方法）进行生态学研究，并与SVI及其维度相关。关于潜在死亡原因的数据来自死亡率信息系统，而SVI数据来自社会脆弱性地图集。结果：2010年SVI及其人力资本（SVI- hc）维度和收入与就业（SVI- ie）维度与CBVD和IHD导致的死亡率变化具有很强的相关性(SVI x CBVD: Rho(p)=0.85；SVI x IHD: Rho(p)=0.75；SVI-HC x CBVD: Rho(p)=0.84；SVI-HC x IHD: Rho(p)=0.84；SVI-IE x CBVD: Rho(p)=0.81；SVI-IE x IHD: Rho(p)=0.71)。城市基础设施维度（SVI-UI）分别与CBVD和IHD呈弱相关(SVI-UI x CBVD: Rho(p)=0.33；SVI-UI x IHD: Rho(p)=0.25)。结论：SVI-HC和SVI-IE与IHD和CBVD的死亡率差异有很强的相关性。
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