An update of the profile of older adults with dementia in Europe: findings from SHARE.

Background: The increase in longevity due to the reduction of premature deaths has led to an increase of the number of people with dementia. The objective of the present work was to analyze the profile of the European population with dementia aged more than 50.Methods: The sample of individuals aged 51 or more years was taken from a European database within the last wave of the SHARE Project (Wave 6, March 2017). Participants with and without a diagnosis of dementia were compared in terms of socio-demographic, general health, mental health, behavioural risks, education and employment, by age group. Categorical variables were compared using chi-square test, quantitative variables were compared with the independent sample t-test.Results: From 45,340 subjects (40% males) 897 (2%) had dementia. The findings corroborate recent evidence stating that individuals with dementia have a lower physical and mental health as well as a lower quality of life than people without dementia. It was also verified that people with dementia: (i) had a lower employment rate; (ii) showed lower levels of formal education; (iii) less were living a married life; (iv) exhibited a moderate pattern of behavioural risks, but had higher levels of physical inactivity; (v) had more chronic diseases and (iv) higher intake of more than 5 drugs per day. The unfavourable health and well-being status of dementia subjects was found in all age groups.Conclusions: An update of the profile of older Europeans with dementia was performed with data from 18 countries. The findings of co-morbidity, high rates of intake of more than 5 drugs daily and low levels of well-being irrespective of age should be considered in the assessment and management of dementia in the European population.

Cancer mortality in Guarapari, Espiríto Santo State, Brazil, with areas of high natural radioactivity.

Guarapari, a municipality of the state of Espírito Santo, Brazil, reported higher mortality rates for the most common cancers from 1996 to 2000. This municipality has beaches with high natural radioactivity. To verify whether this excessive cancer mortality rate still exist in Guarapari, mortality rates for all causes, cancers, and the most prevalent cancers in this municipality were studied from 2000 to 2018 and compared with those observed in the state. Data on all-cause mortality, all-cancer mortality, and mortality from cancer of the esophagus, stomach, larynx, trachea, bronchi and lung, prostate, breast, and leukemias were collected in Brazilian Health Informatics Department (DATASUS) from 2000 to 2018. Mortality rates were calculated by direct method. Standardized age-adjusted rates (SAAR) were calculated based on standard of the World Health Organization (WHO) world population. Crude mortality rates were calculated for each municipality and SAAR for the state and nine municipalities where natural radioactivity was evaluated. Mortality rates from all causes, all cancers, and different cancers observed in Guarapari did not differ significantly from those observed in the state or municipalities with more than 100,000 inhabitants. Radioactivity levels and mortality rates showed no correlation in nine municipalities where natural radioactivity was known. In conclusion, results showed that mortality from cancer and all causes in Guarapari did not differ from those observed in the state and that there was no correlation between the levels of natural radioactivity and mortality from cancer in areas where natural radioactivity was evaluated.

Cancer mortality in Guarapari, Espiríto Santo State, Brazil, with areas of high natural radioactivity / Mortalidade por câncer em Guarapari, Espírito Santo, Brasil, em áreas de alta radioatividade natural / Mortalidad por cáncer en Guarapari, Espírito Santo, Brasil, en áreas de alta radiactividad natural

Guarapari, a municipality of the state of Espírito Santo, Brazil, reported higher mortality rates for the most common cancers from 1996 to 2000. This municipality has beaches with high natural radioactivity. To verify whether this excessive cancer mortality rate still exist in Guarapari, mortality rates for all causes, cancers, and the most prevalent cancers in this municipality were studied from 2000 to 2018 and compared with those observed in the state. Data on all-cause mortality, all-cancer mortality, and mortality from cancer of the esophagus, stomach, larynx, trachea, bronchi and lung, prostate, breast, and leukemias were collected in Brazilian Health Informatics Department (DATASUS) from 2000 to 2018. Mortality rates were calculated by direct method. Standardized age-adjusted rates (SAAR) were calculated based on standard of the World Health Organization (WHO) world population. Crude mortality rates were calculated for each municipality and SAAR for the state and nine municipalities where natural radioactivity was evaluated. Mortality rates from all causes, all cancers, and different cancers observed in Guarapari did not differ significantly from those observed in the state or municipalities with more than 100,000 inhabitants. Radioactivity levels and mortality rates showed no correlation in nine municipalities where natural radioactivity was known. In conclusion, results showed that mortality from cancer and all causes in Guarapari did not differ from those observed in the state and that there was no correlation between the levels of natural radioactivity and mortality from cancer in areas where natural radioactivity was evaluated.

Taxas de mortalidade maiores para os cânceres mais frequentes foram registradas entre 1996 e 2000 em Guarapari, um município do Espírito Santo, Brasil, onde se localizam praias com alta radioatividade natural. Para verificar a existência desse excesso de mortalidade por câncer em Guarapari, taxas de mortalidade por todas as causas, todos os cânceres e pelos cânceres mais prevalentes no município foram estudadas entre 2000 e 2018 e comparadas com aquelas observadas no estado. Dados de mortalidade por todas as causas, por câncer e por câncer de esôfago, estômago, laringe, traqueia, brônquios e pulmão, próstata, mama e leucemias foram coletados no Departamento de Informática do SUS (DATASUS) de 2000 a 2018. As taxas de mortalidade foram calculadas pelo método direto. As taxas padronizadas ajustadas por idade (TPAI) foram calculadas com base na população mundial padrão da Organização Mundial da Saúde (OMS). Foram calculadas taxas brutas de mortalidade para cada município e as TPAI para o estado e para os nove municípios onde foi avaliada a radioatividade natural. A mortalidade por todas as causas, todos os cânceres e pelos diferentes cânceres investigados em Guarapari não diferiu significativamente daqueles observados no estado ou em municípios com mais de 100 mil habitantes. Não houve correlação entre os níveis de radioatividade e as taxas de mortalidade nos nove municípios onde a radioatividade natural era conhecida. Em conclusão, os resultados mostraram que a mortalidade por câncer e por todas as causas em Guarapari não diferiu daquelas observadas no restante do estado. Além disso, não houve correlação entre os níveis de radioatividade natural e a mortalidade por câncer nas áreas onde a radioatividade natural foi avaliada.

Las mayores tasas de mortalidad por cáncer se registraron entre 1996 y 2000 en Guarapari, un municipio del estado de Espírito Santo, Brasil, donde existen playas con alta radiactividad natural. Para verificar la existencia de mayor mortalidad por cáncer en Guarapari, se estudiaron las tasas de mortalidad por distintas causas, por los tipos de cáncer y por los tipos más prevalentes en este municipio entre 2000 y 2018, y se las compararon con las observadas en todo el estado. Los datos sobre la mortalidad por distintas causas, por cáncer y por cáncer de esófago, estómago, laringe, tráquea, bronquios y pulmón, próstata, mama y leucemias se recogieron del Departamento de Informática de SUS (DATASUS) sobre el periodo de 2000 a 2018. Las tasas de mortalidad se calcularon utilizando el método directo. Las tasas estandarizadas ajustadas por edad (TEAE) se calcularon con base en las de la población mundial estándar de la Organización Mundial de Salud (OMS). Se calcularon las tasas brutas de mortalidad para cada municipio y las TEAE para el estado y para los nueve municipios donde se evaluó la radiactividad natural. La mortalidad por distintas causas, por los tipos de cáncer y por los diferentes tipos de cáncer investigados en Guarapari no difirió significativamente de la observada en el estado o en los municipios con más de 100.000 habitantes. No hubo correlación entre los niveles de radiactividad y las tasas de mortalidad en los nueve municipios donde existe radiactividad natural. Se concluye que la mortalidad por cáncer y por distintas causas en Guarapari no difiere de los resultados observados en todo el estado. Además, no hubo correlación entre los niveles de radiactividad natural y la mortalidad por cáncer en las áreas donde se evaluó la radiactividad natural.