Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil
Residents of urban slums are at greater risk for disease than their non-slum dwelling urban counterparts. We sought to contrast the prevalences of selected non-communicable diseases (NCDs) between Brazilian adults living in a slum and the general population of the same city, by comparing the age and...
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MDPI AG
2017-09-01
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| Series: | Tropical Medicine and Infectious Disease |
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| Online Access: | https://www.mdpi.com/2414-6366/2/3/47 |
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| author | Robert E. Snyder Jayant V. Rajan Federico Costa Helena C. A. V. Lima Juan I. Calcagno Ricardo D. Couto Lee W. Riley Mitermayer G. Reis Albert I. Ko Guilherme S. Ribeiro |
| author_facet | Robert E. Snyder Jayant V. Rajan Federico Costa Helena C. A. V. Lima Juan I. Calcagno Ricardo D. Couto Lee W. Riley Mitermayer G. Reis Albert I. Ko Guilherme S. Ribeiro |
| author_sort | Robert E. Snyder |
| collection | DOAJ |
| description | Residents of urban slums are at greater risk for disease than their non-slum dwelling urban counterparts. We sought to contrast the prevalences of selected non-communicable diseases (NCDs) between Brazilian adults living in a slum and the general population of the same city, by comparing the age and sex-standardized prevalences of selected NCDs from a 2010 survey in Pau da Lima, Salvador Brazil, with a 2010 national population-based telephone survey. NCD prevalences in both populations were similar for hypertension (23.6% (95% CI 20.9–26.4) and 22.9% (21.2–24.6), respectively) and for dyslipidemia (22.7% (19.8–25.5) and 21.5% (19.7–23.4)). Slum residents had higher prevalences of diabetes mellitus (10.1% (7.9–12.3)) and of overweight/obesity (46.5% (43.1–49.9)), compared to 5.2% (4.2–6.1) and 40.6% (38.5–42.8) of the general population in Salvador. Fourteen percent (14.5% (12.1–17.0)) of slum residents smoked cigarettes compared to 8.3% (7.1–9.5) of the general population in Salvador. The national telephone survey underestimated the prevalence of diabetes mellitus, overweight/obesity, and smoking in the slum population, likely in part due to differential sampling inside and outside of slums. Further research and targeted policies are needed to mitigate these inequalities, which could have significant economic and social impacts on slum residents and their communities. |
| first_indexed | 2024-04-11T11:14:18Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2414-6366 |
| language | English |
| last_indexed | 2024-04-11T11:14:18Z |
| publishDate | 2017-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tropical Medicine and Infectious Disease |
| spelling | doaj.art-a1a8d00881434a77becb404cb660ad412022-12-22T04:27:19ZengMDPI AGTropical Medicine and Infectious Disease2414-63662017-09-01234710.3390/tropicalmed2030047tropicalmed2030047Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in BrazilRobert E. Snyder0Jayant V. Rajan1Federico Costa2Helena C. A. V. Lima3Juan I. Calcagno4Ricardo D. Couto5Lee W. Riley6Mitermayer G. Reis7Albert I. Ko8Guilherme S. Ribeiro9Division of Epidemiology, University of California, Berkeley, CA 94720, USADepartment of Medicine, University of California, San Francisco, CA 94143, USAGonçalo Moniz Institute, Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador 40170-115, Bahia, BrazilGonçalo Moniz Institute, Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador 40170-115, Bahia, BrazilGonçalo Moniz Institute, Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador 40170-115, Bahia, BrazilFaculty of Pharmacy, Federal University of Bahia, Salvador 40170-115, Bahia, BrazilDivision of Infectious Diseases and Vaccinology, University of California, Berkeley, Berkeley, CA 94720, USAGonçalo Moniz Institute, Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador 40170-115, Bahia, BrazilGonçalo Moniz Institute, Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador 40170-115, Bahia, BrazilGonçalo Moniz Institute, Oswaldo Cruz Foundation, Brazilian Ministry of Health, Salvador 40170-115, Bahia, BrazilResidents of urban slums are at greater risk for disease than their non-slum dwelling urban counterparts. We sought to contrast the prevalences of selected non-communicable diseases (NCDs) between Brazilian adults living in a slum and the general population of the same city, by comparing the age and sex-standardized prevalences of selected NCDs from a 2010 survey in Pau da Lima, Salvador Brazil, with a 2010 national population-based telephone survey. NCD prevalences in both populations were similar for hypertension (23.6% (95% CI 20.9–26.4) and 22.9% (21.2–24.6), respectively) and for dyslipidemia (22.7% (19.8–25.5) and 21.5% (19.7–23.4)). Slum residents had higher prevalences of diabetes mellitus (10.1% (7.9–12.3)) and of overweight/obesity (46.5% (43.1–49.9)), compared to 5.2% (4.2–6.1) and 40.6% (38.5–42.8) of the general population in Salvador. Fourteen percent (14.5% (12.1–17.0)) of slum residents smoked cigarettes compared to 8.3% (7.1–9.5) of the general population in Salvador. The national telephone survey underestimated the prevalence of diabetes mellitus, overweight/obesity, and smoking in the slum population, likely in part due to differential sampling inside and outside of slums. Further research and targeted policies are needed to mitigate these inequalities, which could have significant economic and social impacts on slum residents and their communities.https://www.mdpi.com/2414-6366/2/3/47epidemiologychronic illnessurban sluminequalityfavela |
| spellingShingle | Robert E. Snyder Jayant V. Rajan Federico Costa Helena C. A. V. Lima Juan I. Calcagno Ricardo D. Couto Lee W. Riley Mitermayer G. Reis Albert I. Ko Guilherme S. Ribeiro Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil Tropical Medicine and Infectious Disease epidemiology chronic illness urban slum inequality favela |
| title | Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil |
| title_full | Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil |
| title_fullStr | Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil |
| title_full_unstemmed | Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil |
| title_short | Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil |
| title_sort | differences in the prevalence of non communicable disease between slum dwellers and the general population in a large urban area in brazil |
| topic | epidemiology chronic illness urban slum inequality favela |
| url | https://www.mdpi.com/2414-6366/2/3/47 |
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