风险因素造成的疾病负担：1990 至 2021 年全球疾病负担估算。

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2024-11-09 DOI:10.1016/j.puhe.2024.10.030

Deborah Carvalho Malta , Crizian Saar Gomes , Guilherme Augusto Veloso , Mariana Santos Felisbino-Mendes , Luisa Campos Caldeira Brant , Renato Azeredo Teixeira , Elton Junio Sady Prates , Luísa Sorio Flor , Caroline Stein , Nádia Machado de Vasconcelos , Ísis Eloah Machado , Alanna Gomes da Silva , Mohsen Naghavi , Antônio Luiz Pinho Ribeiro

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引用次数: 0

摘要

目标根据年龄、性别和巴西各州的情况，分析 1990 年至 2021 年间巴西因风险因素（RF）造成的疾病负担：本研究使用了 1990 年至 2021 年全球疾病负担研究的数据。分析中使用的指标包括：死亡率、残疾调整生命年（DALYs）和总暴露值（SEV）。根据性别、年龄组和巴西各州的情况，突出 1990 年至 2021 年间的变化，对风险因素进行排序。根据社会人口指数（SDI）对射频进行了分析：烟草（-50.2%）、环境：水、卫生设施和洗手（-58.0%）、空气污染（-45.0%）等风险因素下降，而体重指数（+78.4%）、饮酒（+15.7%）造成的负担增加。2021 年，高收缩压在各州均排名第一，其次是高血糖；烟草在大多数州排名第三。在巴西，可归因于射频的疾病负担在男女、年龄组和各州之间存在很大差异。1990 年至 2021 年期间的趋势与 SDI 密切相关，在 SDI 较高的州观察到的结果更好：结论：高血压、高体重指数和吸烟是导致 2021 年死亡和残疾调整寿命年数的主要风险因素。疾病负担与社会经济指标（SDI）高度相关。重要的是要加强促进健康生活方式的公共政策，从而减少疾病和死亡。

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Burden of disease attributable to risk factors: Estimates of the Global Burden of Disease from 1990 to 2021

Objectives

Analyze the burden of diseases attributable to risk factors (RF) in Brazil according to age, sex, and Brazilian states between 1990 and 2021.

Methods

This study used data from the Global Burden of Disease study 1990 to 2021. The metrics used in this analysis included: mortality rates, disability-adjusted life years (DALYs) and Summary Exposure Value (SEV). A ranking of the risk factors was created by highlighting the changes between 1990 and 2021, according to sex, age group, and Brazilian state. RF were analyzed according to the Socio-Demographic Index (SDI).

Results

Decline the risk factors of tobacco (−50.2 %), environmental: water, sanitation and hand washing (−58.0 %), and air pollution (−45.0 %), as well as an increase in the burden attributable to BMI (+78.4 %), alcohol consumption (+15.7 %). High systolic blood pressure ranked first in all states in 2021, followed by high blood glucose; tobacco ranking third in most states. The burden of diseases attributable to RFs in Brazil varied considerably between men and women, age groups, and states. Trends in the period from 1990 to 2021 showed a strong correlation with the SDI, better results being observed in states with higher SDI.

Conclusions

High blood pressure, high BMI and tobacco are the main risk factors for mortality and DALYs in 2021. The burden of disease has a high correlation with socio-economic indicator (SDI). It is important to strengthen public policies that promote healthy lifestyles, thus reducing disease and death.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.