Data de publicação
11 de maio de 2020
Periódico
Revista Brasileira de Epidemiologia
Resumo
Introduction – In Brazil, little is known about the trends of chronic respiratory diseases, which was estimated as the third leading cause of deaths in 2017 worldwide.
Methods – We analyzed Global Burden of Disease (GBD) 2017 estimates for prevalence, incidence, mortality, disability-adjusted life years (DALY), a summary measure of years of life lost (YLLs) and years lived with disability (YLDs), and risk factors attributable to chronic respiratory diseases in Brazil from 1990 to 2017.
Results – The overall estimates have decreased for all ages and both sexes, and for age-standardized rates. For age-adjusted prevalence, there was a 21% reduction, and nearly 16% reduction for incidence. There was a 42% reduction in mortality for both sexes, though the rate of deaths for men was 30% greater than the rate in women. The increase in the number of DALY was essentially due to the population growth and population ageing. We observed a 34% increase in the absolute number of DALY in Brazil over the study period. The majority of the DALY rates were due to Chronic Obstructive Pulmonary Disease (COPD). For all ages and both sexes, smoking was the main attributable risk factor.
Conclusion – In Brazil, although mortality, prevalence and incidence for chronic respiratory diseases have decreased over the years, attention should be taken to the DALYs increase. Smoking remained as the main risk factor, despite the significant decrease of tobacco use, reinforcing the need for maintenance of policies and programs directed at its cessation.
DOI/link
doi.org/10.1590/1980-549720200031
Autoria
Vínculo institucional
Lattes
Orcid
Lisiane Freitas Leal
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Epidemiologia, Porto Alegre, Rio Grande do Sul, Brazil; McGill University, Department of Epidemiology, Biostatistics and Occupational Health, Montreal, Quebec, Canada.
Ewerton Cousin
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Epidemiologia, Porto Alegre, Rio Grande do Sul, Brazil
Augusto Bacelo Bidinotto
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Epidemiologia, Porto Alegre, Rio Grande do Sul, Brazil
Daniel Sganzerla
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Epidemiologia, Porto Alegre, Rio Grande do Sul, Brazil
Rogério Boff Borges
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Epidemiologia, Porto Alegre, Rio Grande do Sul, Brazil
Deborah Carvalho Malta
Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Belo Horizonte, Minas Gerais, Brazil.
Kevin Ikuta
University of Washington, Division of Allergy and Incetious Diseases, Seattle, Washington, Unitated States of America
Tatiane da Silva Dal Pizzol
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Epidemiologia, Porto Alegre, Rio Grande do Sul, Brazil