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

GBD 2016 Brazil Collaborators; Traebert, Jefferson

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

dc.contributor.author	GBD 2016 Brazil Collaborators
dc.contributor.author	Traebert, Jefferson
dc.coverage.spatial	Londres	pt_BR
dc.date.accessioned	2019-11-22T16:52:12Z
dc.date.accessioned	2020-11-26T17:43:12Z
dc.date.available	2019-11-22T16:52:12Z
dc.date.available	2020-11-26T17:43:12Z
dc.date.issued	2018	pt_BR
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 agestandardised 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.	pt_BR
dc.format.extent	31221 - 2	pt_BR
dc.identifier.issn	0140-6736	pt_BR
dc.identifier.uri	https://repositorio.animaeducacao.com.br/handle/ANIMA/2690
dc.language.iso	en_US	pt_BR
dc.relation.ispartofseries	18	pt_BR
dc.rights	Attribution-NonCommercial-NoDerivs 3.0 Brazil	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/3.0/br/	*
dc.subject	Burden of Disease	pt_BR
dc.title	Burden of disease in Brazil, 1990–2016: a systematic subnational analysis for the Global Burden of Disease Study 2016	pt_BR
dc.type	Artigo de Periodico	pt_BR
local.affiliation.ies	Unisul
local.author.curso	Produção Científica	pt_BR
local.author.unidade	Ânima	pt_BR
local.rights.policy	Acesso aberto	pt_BR
local.subject.area	Ciências da Saúde	pt_BR
local.subject.areaanima	Ciências Humanas	pt_BR