PMID- 31028004 OWN - NLM STAT- MEDLINE DCOM- 20191210 LR - 20210602 IS - 2174-2049 (Electronic) IS - 2174-2049 (Linking) VI - 38 IP - 3 DP - 2019 Mar TI - Socioeconomic factors and mortality due to cerebrovascular and hypertensive disease in Brazil. PG - 205-212 LID - S0870-2551(17)30632-7 [pii] LID - 10.1016/j.repc.2018.07.007 [doi] AB - INTRODUCTION AND OBJECTIVE: Socioeconomic factors may affect mortality due to cerebrovascular diseases (CBVDs), hypertensive diseases (HYPDs), and circulatory system diseases (CSDs). This study aimed to assess the association between the Human Development Index (HDI) and the extent of supplementary health coverage and mortality due to these diseases in the Brazilian Federative Units (FUs) between 2004 and 2013. METHODS: The Municipal HDI (MHDI) scores of each FU for 2000 and 2010 were retrieved from the Atlas Brasil website, and supplementary health coverage data for the period 2004-2013 were obtained from the national regulatory agency for private health insurance. Population and mortality data were obtained from the website of the Department of Information Technology of the Unified Health System (DATASUS). Mortality rates were weighted by ill-defined causes of death and standardized by age. RESULTS: The MHDI increased between 2000 and 2010 in all FUs, in half of which it was 0.7 or higher. Supplementary health coverage increased in the country during the study period and was inversely associated with mortality due to CSDs and CBVDs between 2004 and 2013. Mortality due to CBVDs and HYPD in 2013 showed an inverse linear association with the MHDI in 2000. CONCLUSION: Mortality due to CSDs, CBVDs, and HYPDs was influenced by socioeconomic factors. There was a significant inverse association between socioeconomic factors and mortality due to CSDs, CBVDs, and HYPDs. Plans to reduce mortality due to these diseases should include measures to foster economic development and reduce inequality. CI - Copyright (c) 2019 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Villela, Paolo Blanco AU - Villela PB AD - Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rio de Janeiro, Brazil. Electronic address: pbvillela@gmail.com. FAU - Klein, Carlos Henrique AU - Klein CH AD - Department of Epidemiology and Quantitative Methods in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil. FAU - de Oliveira, Glaucia Maria Moraes AU - de Oliveira GMM AD - Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rio de Janeiro, Brazil. LA - eng LA - por PT - Journal Article PT - Multicenter Study DEP - 20190423 PL - Spain TA - Rev Port Cardiol (Engl Ed) JT - Revista portuguesa de cardiologia JID - 101770878 SB - IM CIN - Rev Port Cardiol (Engl Ed). 2019 Mar;38(3):213-214. PMID: 30992176 MH - Adult MH - Aged MH - Aged, 80 and over MH - Brazil/epidemiology MH - Cause of Death/trends MH - Cerebrovascular Disorders/economics/*mortality MH - Female MH - Humans MH - Hypertension/economics/*mortality MH - Insurance, Health/*economics MH - Male MH - Middle Aged MH - Retrospective Studies MH - Risk Assessment/*methods MH - Risk Factors MH - Socioeconomic Factors MH - Survival Rate/trends OTO - NOTNLM OT - Cardiovascular diseases OT - Cerebrovascular disorders OT - Doencas cardiovasculares OT - Epidemiologia OT - Epidemiology OT - Fatores socioeconomicos OT - Hipertensao OT - Hypertension OT - Socioeconomic factors OT - Transtornos cerebrovasculares EDAT- 2019/04/28 06:00 MHDA- 2019/12/18 06:00 CRDT- 2019/04/28 06:00 PHST- 2017/08/21 00:00 [received] PHST- 2018/06/25 00:00 [revised] PHST- 2018/07/15 00:00 [accepted] PHST- 2019/04/28 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2019/04/28 06:00 [entrez] AID - S0870-2551(17)30632-7 [pii] AID - 10.1016/j.repc.2018.07.007 [doi] PST - ppublish SO - Rev Port Cardiol (Engl Ed). 2019 Mar;38(3):205-212. doi: 10.1016/j.repc.2018.07.007. Epub 2019 Apr 23.