Burden of disease in Brazil, 1990-2016: a systematic subnational analysis for the Global Burden of Disease Study 2016

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author MARINHO, Fatima
PASSOS, Valeria Maria de Azeredo
MALTA, Deborah Carvalho
FRANCA, Elizabeth Barboza
ABREU, Daisy M. X.
ARAUJO, Valdelaine E. M.
BUSTAMANTZ-TEIXEIRA, Maria Teresa
CAMARGOS, Paulo A. M.
CUNHA, Carolina Candida da
DUNCAN, Bruce Bartholow
FELISBINO-MENDES, Mariana Santos
GUERRA, Maximiliano Ribeiro
GUIMARAES, Mark D. C.
LOTUFO, Paulo A. FMUSP-HC
MARCENES, Wagner
OLIVEIRA, Patricia Pereira Vasconcelos
PEDROSO, Marcel de Moares
RIBEIRO, Antonio L.
SCHMIDT, Maria Ines
TEIXEIRA, Renato Azeredo
VASCONCELOS, Ana Maria Nogales
BARRETO, Maurido L.
BENSENOR, Isabela M. FMUSP-HC
BRANT, Luisa C. C.
CLARO, Rafael M.
PEREIRA, Alexandre Costa FMUSP-HC
COUSIN, Ewerton
CURADO, Maria Paula
SANTOS, Kadine Priscila Bender dos
FARO, Andre
FERRI, Cleusa P.
FURTADO, Joao M.
GALL, Julia
GLENN, Scott D.
GOULART, Alessandra Carvalho FMUSP-HC
ISHITANI, Lenice Harumi
KIELING, Christian
LADEIRA, Roberto Marini
MACHADO, Isis Eloah
MARTINS, Sheila Cristina Ouriques
MARTINS-MELO, Francisco Rogerlandio
MELO, Ana Paula Souto
MILLER-PETRIE, Molly K.
MOONEY, Meghan D.
NUNES, Bruno P.
PALONE, Marcos Roberto Tovani
PEREIRA, Claudia C.
RASELLA, Davide
RAY, Sarah E.
ROEVER, Leonardo
SALDANHA, Raphael de Freitas
SANTOS, Itamar S. FMUSP-HC
SCHNEIDER, Ione J. C.
SILVA, Diego Augusto Santos
SILVEIRA, Dayane Gabriele Alves
SOARES FILHO, Adauto Martins
SOUSA, Tatiane Cristina Moraes
SZWARCWALD, Celia L.
TRAEBERT, Jefferson
VELASQUEZ-MELENDEZ, Gustavo
WANG, Yuan-Pang FMUSP-HC
LOZANO, Rafael
MURRAY, Christopher J. L.
NAGHAVI, Mohsen
dc.date.issued 2018
dc.identifier.citation LANCET, v.392, n.10149, p.760-775, 2018
dc.identifier.issn 0140-6736
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/29345
dc.description.abstract Background Political, economic, and epidemiological changes in Brazil have affected health and the health system. We used the Global Burden of Disease Study 2016 (GBD 2016) results to understand changing health patterns and inform policy responses. Methods We analysed GBD 2016 estimates for life expectancy at birth (LE), healthy life expectancy (HALE), all-cause and cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life-years (DALYs), and risk factors for Brazil, its 26 states, and the Federal District from 1990 to 2016, and compared these with national estimates for ten comparator countries. Findings Nationally, LE increased from 68.4 years (95% uncertainty interval [UI] 68.0-68.9) in 1990 to 75.2 years (74.7-75.7) in 2016, and HALE increased from 59.8 years (57.1-62.1) to 65.5 years (62.5-68.0). All-cause age-standardised mortality rates decreased by 34.0% (33.4-34.5), while all-cause age-standardised DALY rates decreased by 30.2% (27.7-32.8); the magnitude of declines varied among states. In 2016, ischaemic heart disease was the leading cause of age-standardised YLLs, followed by interpersonal violence. Low back and neck pain, sense organ diseases, and skin diseases were the main causes of YLDs in 1990 and 2016. Leading risk factors contributing to DALYs in 2016 were alcohol and drug use, high blood pressure, and high body-mass index. Interpretation Health improved from 1990 to 2016, but improvements and disease burden varied between states. An epidemiological transition towards non-communicable diseases and related risks occurred nationally, but later in some states, while interpersonal violence grew as a health concern. Policy makers can use these results to address health disparities.
dc.description.sponsorship · Bill & Melinda Gates Foundation
· Brazilian Ministry of Health
dc.language.iso eng
dc.publisher ELSEVIER SCIENCE INC
dc.relation.ispartof Lancet
dc.rights openAccess
dc.subject.other family health-program; physical-activity; child health; mortality; trends; prevalence; transition; challenges; countries
dc.title Burden of disease in Brazil, 1990-2016: a systematic subnational analysis for the Global Burden of Disease Study 2016
dc.type article
dc.rights.holder Copyright ELSEVIER SCIENCE INC
dc.contributor.groupauthor GBD 2016 Brazil Collaborators
dc.description.group LIM/13
dc.description.group LIM/20
dc.description.group LIM/23
dc.description.group LIM/51
dc.identifier.doi 10.1016/S0140-6736(18)31221-2
dc.identifier.pmid 30037735
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author LOTUFO, Paulo A.:FM:MCM
hcfmusp.author BENSENOR, Isabela M.:FM:MCM
hcfmusp.author PEREIRA, Alexandre Costa:HC:INCOR
hcfmusp.author GOULART, Alessandra Carvalho:HU:SCPACEX-62
hcfmusp.author WANG, Yuan-Pang:HC:IPQ
hcfmusp.author SANTOS, Itamar S.:FM:MCM
hcfmusp.author.external · MARINHO, Fatima:PAHO, Dis Control & Prevent, Brasilia, DF, Brazil; Minist Hlth, Brasilia, DF, Brazil
· PASSOS, Valeria Maria de Azeredo:Fac Ciencias Med Minas Gerais, Belo Horizonte, MG, Brazil
· MALTA, Deborah Carvalho:Nursing Sch, Belo Horizonte, MG, Brazil
· FRANCA, Elizabeth Barboza:Sch Med, Belo Horizonte, MG, Brazil
· ABREU, Daisy M. X.:Sch Med, Belo Horizonte, MG, Brazil
· ARAUJO, Valdelaine E. M.:Minist Hlth Brazil, Brasilia, DF, Brazil
· BUSTAMANTZ-TEIXEIRA, Maria Teresa:Univ Fed Juiz de Fora, Juiz De Fora, MG, Brazil
· CAMARGOS, Paulo A. M.:Sch Med, Belo Horizonte, MG, Brazil
· CUNHA, Carolina Candida da:Sch Med, Belo Horizonte, MG, Brazil
· DUNCAN, Bruce Bartholow:Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil; Univ N Carolina, Chapel Hill, NC 27515 USA
· FELISBINO-MENDES, Mariana Santos:Nursing Sch, Belo Horizonte, MG, Brazil
· GUERRA, Maximiliano Ribeiro:Univ Fed Juiz de Fora, Juiz De Fora, MG, Brazil
· GUIMARAES, Mark D. C.:Sch Med, Belo Horizonte, MG, Brazil
· MARCENES, Wagner:Kings Coll London, Div Patient & Populat Hlth, London, England
· OLIVEIRA, Patricia Pereira Vasconcelos:Minist Hlth Brazil, Brasilia, DF, Brazil
· PEDROSO, Marcel de Moares:Inst Comunicacao & Informacao & Cient Tecnol Saud, Rio De Janeiro, RJ, Brazil
· RIBEIRO, Antonio L.:Sch Med, Belo Horizonte, MG, Brazil
· SCHMIDT, Maria Ines:Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
· TEIXEIRA, Renato Azeredo:Sch Med, Belo Horizonte, MG, Brazil
· VASCONCELOS, Ana Maria Nogales:Univ Brasilia, Brasilia, DF, Brazil
· BARRETO, Maurido L.:Fundacao Oswaldo Cruz, Ctr Data & Knowledge Integrat Hlth CIDACS, Salvador, BA, Brazil
· BRANT, Luisa C. C.:Sch Med, Belo Horizonte, MG, Brazil; Hosp Clin, Belo Horizonte, MG, Brazil
· CLARO, Rafael M.:Nursing Sch, Belo Horizonte, MG, Brazil
· COUSIN, Ewerton:Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
· CURADO, Maria Paula:Accamargo Canc Ctr, Sao Paulo, SP, Brazil; Int Prevent Res Inst, Ecully, France
· SANTOS, Kadine Priscila Bender dos:Univ Estado Santa Catarina, Florianopolis, SC, Brazil
· FARO, Andre:Univ Fed Sergipe, Aracaju, Sergipe, Brazil
· FERRI, Cleusa P.:Univ Fed Sao Paulo, Sao Paulo, SP, Brazil
· FURTADO, Joao M.:Univ Sao Paulo, Fac Med Ribeirao Preto, Sao Paulo, Brazil
· GALL, Julia:Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA
· GLENN, Scott D.:Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA
· ISHITANI, Lenice Harumi:Univ Fed Minas Gerais, Belo Horizonte, MG, Brazil
· KIELING, Christian:Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil; Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
· LADEIRA, Roberto Marini:Fundacao Hosp Estado Minas Gerais, Belo Horizonte, MG, Brazil
· MACHADO, Isis Eloah:Nursing Sch, Belo Horizonte, MG, Brazil
· MARTINS, Sheila Cristina Ouriques:Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil; Hosp Moinhos de Venire, Porto Alegre, RS, Brazil
· MARTINS-MELO, Francisco Rogerlandio:Fed Inst Educ Sci & Technol Ceara, Caucaia, Ceara, Brazil
· MELO, Ana Paula Souto:Sch Med, Belo Horizonte, MG, Brazil; Univ Fed Sao Joao Del Rei, Divinopolis, MG, Brazil
· MILLER-PETRIE, Molly K.:Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA
· MOONEY, Meghan D.:Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA
· NUNES, Bruno P.:Univ Fed Pelotas, Pelotas, RS, Brazil
· PALONE, Marcos Roberto Tovani:Univ Sao Paulo, Ribeirao Preto, SP, Brazil
· PEREIRA, Claudia C.:Fundacao Oswaldo Cruz, Rio De Janeiro, RJ, Brazil
· RASELLA, Davide:Univ Fed Bahia, Inst Saude Colet, Salvador, BA, Brazil
· RAY, Sarah E.:Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA
· ROEVER, Leonardo:Univ Fed Uberlandia, Uberlandia, MG, Brazil
· SALDANHA, Raphael de Freitas:Fundacao Oswaldo Cruz, Rio De Janeiro, RJ, Brazil
· SCHNEIDER, Ione J. C.:Univ Fed Santa Catarina, Florianopolis, SC, Brazil
· SILVA, Diego Augusto Santos:Univ Fed Santa Catarina, Florianopolis, SC, Brazil
· SILVEIRA, Dayane Gabriele Alves:Univ Brasilia, Brasilia, DF, Brazil
· SOARES FILHO, Adauto Martins:Minist Hlth Brazil, Brasilia, DF, Brazil
· SOUSA, Tatiane Cristina Moraes:Natl Sch Publ Hlth, Rio De Janeiro, RJ, Brazil
· SZWARCWALD, Celia L.:Fundacao Oswaldo Cruz, Rio De Janeiro, RJ, Brazil
· TRAEBERT, Jefferson:Univ Southern Santa Catarina, Palhoca, SC, Brazil
· VELASQUEZ-MELENDEZ, Gustavo:Nursing Sch, Belo Horizonte, MG, Brazil
· LOZANO, Rafael:Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA; Natl Inst Publ Hlth, Cuernavaca, Morelos, Mexico
· MURRAY, Christopher J. L.:Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA
· NAGHAVI, Mohsen:Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA
hcfmusp.origem.id WOS:000443226900027
hcfmusp.origem.id 2-s2.0-85055044676
hcfmusp.publisher.city NEW YORK
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
dc.identifier.eissn 1474-547X
hcfmusp.citation.scopus 14
hcfmusp.citation.wos 15
hcfmusp.affiliation.country Brasil
hcfmusp.affiliation.country Inglaterra
hcfmusp.affiliation.country Estados Unidos
hcfmusp.affiliation.country França
hcfmusp.affiliation.country México


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