Income inequalities and stroke mortality trends in Sao Paulo, Brazil, 1996-2011.
Int J Stroke
; 10 Suppl A100: 34-7, 2015 Oct.
Article
em En
| MEDLINE
| ID: mdl-26044779
ABSTRACT
BACKGROUND:
It is not clear the relationship between stroke mortality trends and socioeconomic inequalities in low- and middle-income countries.AIMS:
We compared differences of trends in stroke mortality by socioeconomic status in the city of Sao Paulo, Brazil.METHODS:
We analyzed the intra-urban distribution of stroke death rates from 1996 to 2011 for persons aged 35-74 years old according to income using joinpoint regression.RESULTS:
We confirmed 77 848 stroke deaths in the period, 51·4% of them among persons aged 35-74 years old. For all areas, there was parallelism between genders, and the average annual percent changes combined was -5·2 (-5·7 to -4·6) from 1996 to 2005 and -3·0 (-4·3 to -1·7) from 2005 to 2011. The full period average annual percent changes of age-adjusted rates between persons living in the high- and low-income area were, respectively, -5·4 and -4·2 (P = 0·002) for men and -5·9 vs. -4·9 (P = 0·017) for women. Differences in the risk of stroke between the high- and low-income areas increased more than twofold in the period in both genders.CONCLUSIONS:
The risk of stroke death is decreasing in all regions, but the faster decline in mortality rates in the wealthiest area contributes to further greater inequalities.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Causas de Morte
/
Acidente Vascular Cerebral
/
Renda
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Int J Stroke
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Brasil