Mortality rates from suicide, cerebrovascular disease, ischemic heart disease, and chronic upper airway disease in brazilian elderly: a 20-year temporal analysis
DOI:
https://doi.org/10.25118/2763-9037.2019.v9.54Keywords:
Suicide, elderly, mortalityAbstract
Objective: To investigate trends in suicide rates among Brazilian elderly over a timeframe of 20 years with regard to the main causes of mortality in this population. Methods: In this temporal trend analysis, data on the number of deaths were collected from the Mortality Information System (Sistema de Informações de Mortalidade – SIM) that integrates the public national healthcare database DATASUS. Mortality rates were calculated with data obtained from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística - IBGE). Mortality rates in the elderly were calculated for suicide and for the three main causes of mortality in this population in the first year of the observation (1996), stratified by gender and age range. The temporal trend was estimated using linear regression analysis.Results: A signifi cant increase was found in suicide rates for both male and female elderly between 60 and 69 years of age, as well as a signifi cant reducti on in mortality rates due to cerebrovascular disease, ischemic heart disease and chronic upper airway disease in the same age range. Conclusion: It is possible that public policies targeted at reducing risk factors and improving access to treatment have had an impact on the reducti on of mortality for cerebrovascular disease, ischemic heart disease and chronic upper airway disease in the elderly. Reducti on of suicide rates will probably demand a similar approach in relati on to mental health.
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Veras R. Population aging today: demands, challenges and innovations. Rev Saude Publica. 2009;43:548-54. DOI: https://doi.org/10.1590/S0034-89102009000300020
Hedegaard H, Curtin SC, Warner M. Suicide mortality in the United States, 1999-2017. NCHS Data Brief. 2018;(330):1-8.
Minayo MC, Cavalcante FG, de Souza ER. Methodological proposal for studying suicide as a complex phenomenon. Cad Saude Publica. 2006;22:1587-96. DOI: https://doi.org/10.1590/S0102-311X2006000800007
Minayo MC, Cavalcante FG. Suicide in elderly people: a literature review. Rev Saude Publica. 2010;44:750-7. DOI: https://doi.org/10.1590/S0034-89102010000400020
Otte C, Gold SM, Penninx BW, Pariante CM, Etkin A, Fava M, et al. Major depressive disorder. Nat Rev Dis Primers. 2016;2:16065. DOI: https://doi.org/10.1038/nrdp.2016.65
Stickley A, Koyanagi A. Loneliness, common mental disorders and suicidal behavior: findings from a general population survey. J Affect Disord. 2016;197:81-7. DOI: https://doi.org/10.1016/j.jad.2016.02.054
Minayo MC, Meneghel SN, Cavalcante FG. [Suicide of elderly men in Brazil]. Cien Saude Colet. 2012;17:2665-74. DOI: https://doi.org/10.1590/S1413-81232012001000016
Cuthbert BN, Insel TR. Toward the future of psychiatric diagnosis: the seven pillars of RDoC. BMC Med. 2013;11:126. DOI: https://doi.org/10.1186/1741-7015-11-126
Carmo EA, Santos PH, Ribeiro BS, Soares CJ, Santana ML, Bomfim ED, et al. Sociodemographic characteristics and time series of mortality due to suicide among elderly individuals in Bahia State, Brazil, 1996-2013. Epidemiol Serv Saude. 2018;27:e20171971. DOI: https://doi.org/10.5123/S1679-49742018000100001
Rodrigues CD, de Souza DS, Rodrigues HM, Konstantyner TC. Trends in suicide rates inBrazil from 1997 to 2015. Braz J Psychiatry. 2019;41:380-8. DOI: https://doi.org/10.1590/1516-4446-2018-0230
Varnik P. Suicide in the world. Int J Environ Res Public Health. 2012;9:760-71. DOI: https://doi.org/10.3390/ijerph9030760
World Health Organization. Preventing suicide: a global imperative [Internet]. 2014. www.who.int/mental_health/suicide-prevention/world_report_2014/en/.
Phillips JA. A changing epidemiology of suicide? The influence of birth cohorts on suicide rates in the United States. Soc Sci Med. 2014;114:151-60. DOI: https://doi.org/10.1016/j.socscimed.2014.05.038
Stack S. Social correlates of suicide by age. In: Leenaars AA, editor. Time-Lines in the Suicide Process. Boston: Springer; 1991; p. 187-213. DOI: https://doi.org/10.1007/978-1-4899-0724-0_14
Minayo MC, Pinto LW, Assis SG, Cavalcante FG, Mangas RM. Trends in suicide mortality among Brazilian adults and elderly, 1980-2006. Rev Saude Publica. 2012;46:300-9. DOI: https://doi.org/10.1590/S0034-89102012000200012
Machado DB, dos Santos DN. Suicídio no Brasil, de 2000 a 2012. J Bras Psiquiatr. 2015;64:45-54. DOI: https://doi.org/10.1590/0047-2085000000056
Wang CW, Chan CL, Yip PS. Suicide rates in China from 2002 to 2011: an update. Soc Psychiatry Psychiatr Epidemiol. 2014;49:929-41. DOI: https://doi.org/10.1007/s00127-013-0789-5
Kua EH, Ko SM, Ng TP. Recent trends in elderly suicide rates in a multi-ethnic Asian city. Int J Geriatr Psychiatry. 2003;18:533-6. DOI: https://doi.org/10.1002/gps.868
De Leo D, Carollo G, Dello Buono M. Lower suicide rates associated with a Tele-Help/Tele-Check service for the elderly at home. Am J Psychiatry. 1995;152:632-4. DOI: https://doi.org/10.1176/ajp.152.4.632
Mendy VL, Vargas R, Payton M, Sims JN, Zhang L. Trends in the stroke death rate among Mississippi adults, 2000-2016. Prev Chronic Dis. 2019;16:E21. DOI: https://doi.org/10.5888/pcd16.180425
Lackland DT, Roccella EJ, Deutsch AF, Fornage M, George MG, Howard G, et al. Factors influencing the decline in stroke mortality: a statement from the American Heart Association/American Stroke Association. Stroke. 2014;45:315-53. DOI: https://doi.org/10.1161/01.str.0000437068.30550.cf
Moran AE, Forouzanfar MH, Roth GA, Mensah GA, Ezzati M, Murray CJ, et al. Temporal trends in ischemic heart disease mortality in 21 world regions, 1980 to 2010: the Global Burden ofDisease 2010 study. Circulati on. 2014;129:1483-92. DOI: https://doi.org/10.1161/CIRCULATIONAHA.113.004042
Tunstall-Pedoe H, Vanuzzo D, Hobbs M, Mahonen M, Cepaiti s Z, Kuulasmaa K, et al. Esti mati on of contributi on of changes in coronary care to improving survival, event rates, and coronary heart disease mortality across the WHO MONICA Project populati ons. Lancet. 2000;355:688-700. DOI: https://doi.org/10.1016/S0140-6736(99)11181-4
Burney PG, Patel J, Newson R, Minelli C, Naghavi M. Global and regional trends in COPD mortality, 1990-2010. Eur Respir J. 2015;45:1239-47. DOI: https://doi.org/10.1183/09031936.00142414
Brasil, Ministério da Saúde. Agenda de ações estratégicas para a vigilância e prevenção do suicídio e promoção da saúde no Brasil: 2017 a 2020. 2017 [cited 2019 Nov 27]. www.neca.org.br/wp-content/uploads/cartilha_agendaestrategica-publicada.pdf
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