Mortalidade de mulheres em idade fértil no município de São Paulo (Brasil), 1986: II-Mortes por causas maternas Mortality in women of reproductive age in S. Paulo City (Brazil), 1986: II - Deaths by maternal causes

Dando seqüência ao projeto de investigação de fidedignidade da certificação da causa básica de morte de mulheres em idade fértil (10-49 anos) residentes no Município de São Paulo, em 1986, foram comparados os atestados de óbito "originais" com os "refeitos" com base em informações adicionais. O coeficiente de mortalidade materna elevou-se de 44,5 por 100.000 nascidos vivos (n.v.) para 99,6 por 100.000 n.v., alto valor quando comparado com o de outros locais. Comparando-se estes dados com outros anteriores que usaram a mesma metodologia, notou-se que a mortalidade ascendeu no período de 1962/4 a 1974/5, para decrescer em 1986. As principais causas de morte materna foram: hipertensão complicando a gravidez, outras afecções da mãe que complicam a gravidez e complicações do puerpério. Discutem-se ainda a necessidade de ampliação do período de 42 dias da definição de mortes maternas e a relação existente entre condições vistas como não-maternas (câncer, violências) e o ciclo gravídico-puerperal.<br>In continuation to the research project on the accuracy of the certification of the underlying causes of death in women of child-bearing age (10-49), resident in the Municipality of S. Paulo, Brazil, in 1986, "original" death certificates were compared with "revised" death certificates (including additional information). The maternal mortality rate rose from 44.5 per 100,000 live births (l.b.) to 99.6 per 100,000 l.b., a high rate when compared with that of other places. When these data were compared with those of previous, similar investigations in the same city, the maternal mortality rate rose in the period 1962/4 through 1972/4 and fell in 1986. The main causes of death were: hypertension complicating pregnancy, other conditions of the mother which complicated pregnancy and puerperal complications. The need to extend the 42-day period related to the concept of maternal death, as well as the relationship between the non-maternal conditions (cancer, violence) and the gravidic-puerperal cycle are discussed

Mortalidade de adultos de 15 a 74 anos de idade em São Paulo, Botucatu e São Manuel (Brasil), 1974/1975

Submitted by Guilherme Lemeszenski ([email protected]) on 2013-08-22T19:01:02Z No. of bitstreams: 1 S0034-89101979000600001.pdf: 4629798 bytes, checksum: 87616593c4c8d0d9533dfb4004b468c4 (MD5)Made available in DSpace on 2013-08-22T19:01:02Z (GMT). No. of bitstreams: 1 S0034-89101979000600001.pdf: 4629798 bytes, checksum: 87616593c4c8d0d9533dfb4004b468c4 (MD5) Previous issue date: 1979-12-01Made available in DSpace on 2013-09-30T20:00:33Z (GMT). No. of bitstreams: 2 S0034-89101979000600001.pdf: 4629798 bytes, checksum: 87616593c4c8d0d9533dfb4004b468c4 (MD5) S0034-89101979000600001.pdf.txt: 100375 bytes, checksum: fb22745427d122988ffc9bb1b13809eb (MD5) Previous issue date: 1979-12-01Submitted by Vitor Silverio Rodrigues ([email protected]) on 2014-05-20T15:15:31Z No. of bitstreams: 2 S0034-89101979000600001.pdf: 4629798 bytes, checksum: 87616593c4c8d0d9533dfb4004b468c4 (MD5) S0034-89101979000600001.pdf.txt: 100375 bytes, checksum: fb22745427d122988ffc9bb1b13809eb (MD5)Made available in DSpace on 2014-05-20T15:15:31Z (GMT). No. of bitstreams: 2 S0034-89101979000600001.pdf: 4629798 bytes, checksum: 87616593c4c8d0d9533dfb4004b468c4 (MD5) S0034-89101979000600001.pdf.txt: 100375 bytes, checksum: fb22745427d122988ffc9bb1b13809eb (MD5) Previous issue date: 1979-12-01Universidade de São Paulo Faculdade de Saúde Pública Departamento de Prática de Saúde PúblicaUniversidade de São Paulo Faculdade de Saúde Pública Departamento de EpidemiologiaUniversidade de São Paulo Faculdade de Saúde Pública Centro Brasileiro de Classificação de DoençasUniversidade Estadual Paulista Faculdade de Medicina Departamento de Medicina Legal e Medicina em Saúde PúblicaUniversidade Estadual Paulista Faculdade de Medicina Departamento de Medicina Legal e Medicina em Saúde Públic

Mortalidade por tuberculose e indicadores sociais no município do Rio de Janeiro Tuberculosis mortality and social indicatory in Rio de Janeiro city

Este artigo estuda a mortalidade por tuberculose no município do Rio de Janeiro ocorrida no ano de 1991 em comparação com indicadores sociais. Utilizou-se o software SPSS 8.0 - 1997 na análise estatística dos dados, que mostrou a existência de correlação entre a maioria dos indicadores socioeconômicos estudados e o coeficiente de mortalidade por tuberculose por 100 mil habitantes/ano. Apresentaram correlação significativa e direta os indicadores: índice de Robin Hood, razão de renda entre os 10% mais ricos e os 40% mais pobres e proporção de chefes de família com renda média entre um e dois salários mínimos. A correlação foi inversa e significativa com os indicadores: proporção de residentes com mais de 10 anos com curso superior, área média por domicílio, número de cômodos por domicílio, renda média em salários mínimos, e proporção de chefes de família com rendas entre 10-15, 16-20 e acima de 20 salários mínimos. Para a apresentação destes indicadores usou-se mapas do município, categorizados e distribuídos por Regiões Administrativas, revelando distintos Rios de Janeiro, quando este é visto sob o ângulo social: da doença, ou de vários outros indicadores.<br>Regional tuberculosis mortality levels and their Rio de Janeiro City principals social indicatories at year 1991 have been compared in this study. Software SPSS 8.0 - 1997 was applied on making statistical data analysis, and have disclosed a present correlation among most indicative socioeconomics trends and the annual tuberculosis mortality coeficient/100 thousand inhabitants. Others social indicatives than Robin Hood index, 10% more rich to 40% more poor reason, head of family proportion wich 1-2 minimum wage monthly gain, disclosed imediate and significative statistical assurance level. In reverse and significative statistical assurance level, resident proportion with more 10 years old that have superior course, house área average, room average from house, minimum wage average from head family and head family proportion with have 10-15, 16-20 and 20 or more minimum wage gain. The class distribution of this indicative and its presentation in a Municipal maps, for Administratives Regions, disclose multiple Rio de Janeiro existense when we looks them by a social perspective: of the disease focus or others indicative

Trends in aortic aneurysm- and dissection-related mortality in the state of São Paulo, Brazil, 1985–2009: multiple-cause-of-death analysis

<p>Abstract</p> <p>Background</p> <p>Aortic aneurysm and dissection are important causes of death in older people. Ruptured aneurysms show catastrophic fatality rates reaching near 80%. Few population-based mortality studies have been published in the world and none in Brazil. The objective of the present study was to use multiple-cause-of-death methodology in the analysis of mortality trends related to aortic aneurysm and dissection in the state of Sao Paulo, between 1985 and 2009.</p> <p>Methods</p> <p>We analyzed mortality data from the Sao Paulo State Data Analysis System, selecting all death certificates on which aortic aneurysm and dissection were listed as a cause-of-death. The variables sex, age, season of the year, and underlying, associated or total mentions of causes of death were studied using standardized mortality rates, proportions and historical trends. Statistical analyses were performed by chi-square goodness-of-fit and H Kruskal-Wallis tests, and variance analysis. The joinpoint regression model was used to evaluate changes in age-standardized rates trends. A p value less than 0.05 was regarded as significant.</p> <p>Results</p> <p>Over a 25-year period, there were 42,615 deaths related to aortic aneurysm and dissection, of which 36,088 (84.7%) were identified as underlying cause and 6,527 (15.3%) as an associated cause-of-death. Dissection and ruptured aneurysms were considered as an underlying cause of death in 93% of the deaths. For the entire period, a significant increased trend of age-standardized death rates was observed in men and women, while certain non-significant decreases occurred from 1996/2004 until 2009. Abdominal aortic aneurysms and aortic dissections prevailed among men and aortic dissections and aortic aneurysms of unspecified site among women. In 1985 and 2009 death rates ratios of men to women were respectively 2.86 and 2.19, corresponding to a difference decrease between rates of 23.4%. For aortic dissection, ruptured and non-ruptured aneurysms, the overall mean ages at death were, respectively, 63.2, 68.4 and 71.6 years; while, as the underlying cause, the main associated causes of death were as follows: hemorrhages (in 43.8%/40.5%/13.9%); hypertensive diseases (in 49.2%/22.43%/24.5%) and atherosclerosis (in 14.8%/25.5%/15.3%); and, as associated causes, their principal overall underlying causes of death were diseases of the circulatory (55.7%), and respiratory (13.8%) systems and neoplasms (7.8%). A significant seasonal variation, with highest frequency in winter, occurred in deaths identified as underlying cause for aortic dissection, ruptured and non-ruptured aneurysms.</p> <p>Conclusions</p> <p>This study introduces the methodology of multiple-causes-of-death to enhance epidemiologic knowledge of aortic aneurysm and dissection in São Paulo, Brazil. The results presented confer light to the importance of mortality statistics and the need for epidemiologic studies to understand unique trends in our own population.</p