Cause-specific mortality for 249 causes in Brazil and states during 1990–2015: a systematic analysis for the global burden of disease study 2015

• DOI: 10.1186/s12963-017-0156-y
• Publication Date: 2017-11-22T06:50:27Z
• Authors: Elisabeth B. França; Valéria Maria de ...; Deborah Carvalho ...; Bruce B. Duncan; Antonio Luiz P. R...; Mark D. C. Guimarães; Daisy M.X. Abreu; Ana Maria N. Vasc...; Mariângela Carneiro; Renato Teixeira; Paulo Camargos; Ana Paula S. Melo; Bernardo L. Queiroz; Maria Inês Schmidt; Lenice Ishitani; Roberto Marini La...; Otaliba L. Morais...; Maria Tereza Bust...; Maximiliano R. Gu...; Isabela Bensenor; Paulo Lotufo; Meghan Mooney; Mohsen Naghavi
• Keywords: Health Services Research

Reliable data on cause of death (COD) are fundamental for planning and resource allocation priorities. We used GBD 2015 estimates to examine levels trends the leading causes in Brazil from 1990 2015.We describe main analytical approaches focused both overall specific Brazilian states.There was an improvement life expectancy at birth 2015, but with important heterogeneity among states. Reduced mortality due diarrhea, lower respiratory infections, other infectious diseases contributed most increasing states North Northeast regions. cardiovascular highest contributor South, Southeast, Center West However, men, intentional injuries reduced 17 out 27 Although age-standardized rates ischemic heart disease (IHD) cerebrovascular declined over time, these remained CODs country In contrast, premature changed substantially - e.g., diarrheal moved 1st 13th then 36th position 1990, 2005, respectively, while violence 7th 2nd. Overall, total years lost (YLL) rate bringing burden deaths closer expected given country's Socio-demographic Index (SDI). IHD, stroke, neonatal preterm complications, road injury, had ratios higher than expected, only higher, all states, according SDI.A widespread reduction occurred particularly children under 5 old. Major shifts took place communicable, maternal, neonatal, nutritional disorders. The profile has shifted older ages increases non-communicable as well violence. Policymakers should address health interventions accordingly.