Spatio-temporal evolution of stroke mortality in Minas Gerais, Brazil, 1980-2021
ABSTRACT Objective To analyze spatio-temporal evolution of stroke mortality in Minas Gerais state, Brazil, 1980-2021. Methods Ecological study with aggregated data by micro-region. Segmented linear regression was used for trend analysis; maps with rates per five-year period and scan statistics wer...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministério da Saúde do Brasil
2024-12-01
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| Series: | Epidemiologia e Serviços de Saúde |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-96222024000100233&lng=en&tlng=en |
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| Summary: | ABSTRACT Objective To analyze spatio-temporal evolution of stroke mortality in Minas Gerais state, Brazil, 1980-2021. Methods Ecological study with aggregated data by micro-region. Segmented linear regression was used for trend analysis; maps with rates per five-year period and scan statistics were used for spatial analysis. Results There were 392,521 stroke-related deaths (rate of 52.6/100,000-year). All rates (crude, adjusted, by age group) showed a decreasing trend, less so in the crude rate (Annual Percent Change [APC] = -0.70) and a faster decrease in the 20-39 age group (APC = -4.48). A high-rate cluster was identified in the southern region (1980-1999; Relative Risk [RR] = 2.06), and a low-rate cluster in the northwest (2008-2021; RR = 0.59). The most significant decrease occurred in the south (APC = -3.64). Conclusion Stroke mortality showed a decreasing trend. Clusters and areas with higher rates identified in the northeast in recent years require attention by service managers. |
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| ISSN: | 2237-9622 |