The burden of disease among Brazilian older adults and the challenge for health policies: results of the Global Burden of Disease Study 2017
Abstract Background Brazil is the world’s fifth most populous nation, and is currently experimenting a fast demographic aging process in a context of scarce resources and social inequalities. To understand the health profile of older adults in Brazil is fundamental for planning public policies. Meth...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-09-01
|
| Series: | Population Health Metrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12963-020-00206-3 |
| _version_ | 1818190942863097856 |
|---|---|
| author | Valéria Maria de Azeredo Passos Ana Paula Silva Champs Renato Teixeira Maria Fernanda Furtado Lima-Costa Renata Kirkwood Renato Veras Bruno Ramos Nascimento Ana Maria Nogales Maria Inês Schmidt Bruce Bartholow Duncan Ewerton Cousin Mohsen Naghavi Fatima Marinho Souza |
| author_facet | Valéria Maria de Azeredo Passos Ana Paula Silva Champs Renato Teixeira Maria Fernanda Furtado Lima-Costa Renata Kirkwood Renato Veras Bruno Ramos Nascimento Ana Maria Nogales Maria Inês Schmidt Bruce Bartholow Duncan Ewerton Cousin Mohsen Naghavi Fatima Marinho Souza |
| author_sort | Valéria Maria de Azeredo Passos |
| collection | DOAJ |
| description | Abstract Background Brazil is the world’s fifth most populous nation, and is currently experimenting a fast demographic aging process in a context of scarce resources and social inequalities. To understand the health profile of older adults in Brazil is fundamental for planning public policies. Methods The estimates were derived from data obtained through the collaboration between the Brazilian Ministry of Health and the Institute of Health Metrics and Evaluation of the University of Washington. The Brazilian Institute of Geography and Statistics provided the population estimates. Data on causes of death came from the Mortality Information System. To calculate morbidity, population-based studies on the prevalence of diseases in Brazil were comprehensively searched, in addition to information obtained from national databases such as the Hospital Information System, the Outpatient Information System, and the Injury Information System. We presented the Global Burden of Disease (GBD) 2017 estimates among Brazilian older adults (60+ years old) for life expectancy at birth (LE), healthy life expectancy (HALE), cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs), from 2000 to 2017. Results LE at birth significantly increased from 71.3 years (95% UI to 70.9-71.8) to 75.2 years (95% UI 74.7-75.7). There was a trend of increasing HALE, from 62.2 years (95% UI 59.54-64.5) to 65.5 years (95% UI 62.6-68.0). The proportion of DALYs among older adults increased from 7.3 to 10.3%. Chronic noncommunicable diseases are the leading cause of death among middle aged and older adults, while Alzheimer’s disease is a leading cause only among older adults. Mood disorders, musculoskeletal pain, and hearing or vision losses are among the leading causes of disability. Conclusions The increase in LE and the decrease of the DALYs rates are probably results of the improvement of social conditions and health policies. However, the smaller increase of HALE than LE means that despite living more, people spend a substantial time of their old age with disability and illness. Preventable or potentially controllable diseases are responsible for most of the burden of disease among Brazilian older adults. Health investments are necessary to obtain longevity with quality of life in Brazil. |
| first_indexed | 2024-12-12T00:06:44Z |
| format | Article |
| id | doaj.art-42d4fad534e54d418b1072d66b950b7f |
| institution | Directory Open Access Journal |
| issn | 1478-7954 |
| language | English |
| last_indexed | 2024-12-12T00:06:44Z |
| publishDate | 2020-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Population Health Metrics |
| spelling | doaj.art-42d4fad534e54d418b1072d66b950b7f2022-12-22T00:45:06ZengBMCPopulation Health Metrics1478-79542020-09-0118S111510.1186/s12963-020-00206-3The burden of disease among Brazilian older adults and the challenge for health policies: results of the Global Burden of Disease Study 2017Valéria Maria de Azeredo Passos0Ana Paula Silva Champs1Renato Teixeira2Maria Fernanda Furtado Lima-Costa3Renata Kirkwood4Renato Veras5Bruno Ramos Nascimento6Ana Maria Nogales7Maria Inês Schmidt8Bruce Bartholow Duncan9Ewerton Cousin10Mohsen Naghavi11Fatima Marinho Souza12Faculdade de Ciências Médicas de Minas GeraisHospital SarahPostgraduate Program on Public Health, Universidade Federal de Minas GeraisFundação Oswaldo CruzSchool of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas GeraisUniversidade Estadual do Rio de JaneiroHospital das Clínicas da Universidade Federal de Minas GeraisUniversidade de BrasíliaPostgraduate Program in Epidemiology, Universidade Federal do Rio Grande do SulPostgraduate Program in Epidemiology, Universidade Federal do Rio Grande do SulPostgraduate Program in Epidemiology, Universidade Federal do Rio Grande do SulInstitute for Health Metrics and Evaluation, University of WashingtonPostgraduate Program on Public Health, Universidade Federal de Minas GeraisAbstract Background Brazil is the world’s fifth most populous nation, and is currently experimenting a fast demographic aging process in a context of scarce resources and social inequalities. To understand the health profile of older adults in Brazil is fundamental for planning public policies. Methods The estimates were derived from data obtained through the collaboration between the Brazilian Ministry of Health and the Institute of Health Metrics and Evaluation of the University of Washington. The Brazilian Institute of Geography and Statistics provided the population estimates. Data on causes of death came from the Mortality Information System. To calculate morbidity, population-based studies on the prevalence of diseases in Brazil were comprehensively searched, in addition to information obtained from national databases such as the Hospital Information System, the Outpatient Information System, and the Injury Information System. We presented the Global Burden of Disease (GBD) 2017 estimates among Brazilian older adults (60+ years old) for life expectancy at birth (LE), healthy life expectancy (HALE), cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs), from 2000 to 2017. Results LE at birth significantly increased from 71.3 years (95% UI to 70.9-71.8) to 75.2 years (95% UI 74.7-75.7). There was a trend of increasing HALE, from 62.2 years (95% UI 59.54-64.5) to 65.5 years (95% UI 62.6-68.0). The proportion of DALYs among older adults increased from 7.3 to 10.3%. Chronic noncommunicable diseases are the leading cause of death among middle aged and older adults, while Alzheimer’s disease is a leading cause only among older adults. Mood disorders, musculoskeletal pain, and hearing or vision losses are among the leading causes of disability. Conclusions The increase in LE and the decrease of the DALYs rates are probably results of the improvement of social conditions and health policies. However, the smaller increase of HALE than LE means that despite living more, people spend a substantial time of their old age with disability and illness. Preventable or potentially controllable diseases are responsible for most of the burden of disease among Brazilian older adults. Health investments are necessary to obtain longevity with quality of life in Brazil.http://link.springer.com/article/10.1186/s12963-020-00206-3Older adultsBurden of diseaseLife expectancyMortalityDALYBrazil |
| spellingShingle | Valéria Maria de Azeredo Passos Ana Paula Silva Champs Renato Teixeira Maria Fernanda Furtado Lima-Costa Renata Kirkwood Renato Veras Bruno Ramos Nascimento Ana Maria Nogales Maria Inês Schmidt Bruce Bartholow Duncan Ewerton Cousin Mohsen Naghavi Fatima Marinho Souza The burden of disease among Brazilian older adults and the challenge for health policies: results of the Global Burden of Disease Study 2017 Population Health Metrics Older adults Burden of disease Life expectancy Mortality DALY Brazil |
| title | The burden of disease among Brazilian older adults and the challenge for health policies: results of the Global Burden of Disease Study 2017 |
| title_full | The burden of disease among Brazilian older adults and the challenge for health policies: results of the Global Burden of Disease Study 2017 |
| title_fullStr | The burden of disease among Brazilian older adults and the challenge for health policies: results of the Global Burden of Disease Study 2017 |
| title_full_unstemmed | The burden of disease among Brazilian older adults and the challenge for health policies: results of the Global Burden of Disease Study 2017 |
| title_short | The burden of disease among Brazilian older adults and the challenge for health policies: results of the Global Burden of Disease Study 2017 |
| title_sort | burden of disease among brazilian older adults and the challenge for health policies results of the global burden of disease study 2017 |
| topic | Older adults Burden of disease Life expectancy Mortality DALY Brazil |
| url | http://link.springer.com/article/10.1186/s12963-020-00206-3 |
| work_keys_str_mv | AT valeriamariadeazeredopassos theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT anapaulasilvachamps theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT renatoteixeira theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT mariafernandafurtadolimacosta theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT renatakirkwood theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT renatoveras theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT brunoramosnascimento theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT anamarianogales theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT mariainesschmidt theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT brucebartholowduncan theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT ewertoncousin theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT mohsennaghavi theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT fatimamarinhosouza theburdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT valeriamariadeazeredopassos burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT anapaulasilvachamps burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT renatoteixeira burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT mariafernandafurtadolimacosta burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT renatakirkwood burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT renatoveras burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT brunoramosnascimento burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT anamarianogales burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT mariainesschmidt burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT brucebartholowduncan burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT ewertoncousin burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT mohsennaghavi burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 AT fatimamarinhosouza burdenofdiseaseamongbrazilianolderadultsandthechallengeforhealthpoliciesresultsoftheglobalburdenofdiseasestudy2017 |