Ischemic Heart Diseases, Cerebrovascular Diseases and Ill Defined Causes of Death

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Ischemic Heart Diseases, Cerebrovascular Diseases and Ill Defined Causes of Death
in Health Districts of Rio de Janeiro State from 1980 to 2000 - Brazil
Gláucia Maria Moraes de Oliveira, Carlos Henrique Klein, Nelson Albuquerque de Souza e Silva. Todos os autores fazem parte da lista AMICOR e Dra. Gláucia é a editora da Revista da SOCERJ
Objective: To analyze trends in mortality due to Ischemic Heart Diseases (IHD), Cerebrovascular Diseases (CRVD) and Ill Defined Causes (IDC) of death in adults from regions within the State of Rio de Janeiro, RJ, Brazil, between 1980 and 2000.
Methods: Death data were obtained from DATASUS/MS and population data were obtained from IBGE. Ten regions were then defined: Cinturão Metropolitano (Metropolitan area), City of Rio de Janeiro, Niterói, Médio-Paraíba, Serrana (Mountain), Norte (North), Baixada Litorânea (Coastal lowland), Noroeste (Northwest), Centro-Sul (Southeast) e Baía da Ilha Grande (Ilha Grande Bay). Rates of mortality caused by IDC, IHD, and CRVD were adjusted according to gender and age through the direct method. Standards were based on the Rio de Janeiro population aged 20 or over in the 2000 Census. Due to a considerable increase in IDC mortality rates in RJ from 1990 on, a compensation maneuver was effected. Trends were analyzed by linear regression models.
Results: A steady decline in compensated and adjusted CRVD mortality rates was observed in all regions (medium annual decline of 2,9% in Rio de Janeiro) from 1980 on, while the decline of IHD mortality was remarkable from the 1990s on in almost all regions with a simultaneous increase in
IDC mortality in the Metropolitan area.
Conclusions: CRVD trends prevailed in all regions except in Niterói and in the City of Rio de Janeiro. Annual CRVD trends were higher than IHD trends in all regions.