Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 May-Jun;135(3):213-221.
doi: 10.1590/1516-3180.2016.0330050117.

Mortality due to noncommunicable diseases in Brazil, 1990 to 2015, according to estimates from the Global Burden of Disease study

Deborah Carvalho Malta  1 , Elisabeth França  2 , Daisy Maria Xavier Abreu  3 , Rosângela Durso Perillo  4 , Maíra Coube Salmen  5 , Renato Azeredo Teixeira  6 , Valeria Passos  7 , Maria de Fátima Marinho Souza  8 , Meghan Mooney  9 , Mohsen Naghavi  10
Affiliations

Mortality due to noncommunicable diseases in Brazil, 1990 to 2015, according to estimates from the Global Burden of Disease study

Deborah Carvalho Malta et al. Sao Paulo Med J. 2017 May-Jun.

Abstract
in English, Portuguese

Context and objective:: Noncommunicable diseases (NCDs) are the leading health problem globally and generate high numbers of premature deaths and loss of quality of life. The aim here was to describe the major groups of causes of death due to NCDs and the ranking of the leading causes of premature death between 1990 and 2015, according to the Global Burden of Disease (GBD) 2015 study estimates for Brazil.

Design and setting:: Cross-sectional study covering Brazil and its 27 federal states.

Methods:: This was a descriptive study on rates of mortality due to NCDs, with corrections for garbage codes and underreporting of deaths.

Results:: This study shows the epidemiological transition in Brazil between 1990 and 2015, with increasing proportional mortality due to NCDs, followed by violence, and decreasing mortality due to communicable, maternal and neonatal causes within the global burden of diseases. NCDs had the highest mortality rates over the whole period, but with reductions in cardiovascular diseases, chronic respiratory diseases and cancer. Diabetes increased over this period. NCDs were the leading causes of premature death (30 to 69 years): ischemic heart diseases and cerebrovascular diseases, followed by interpersonal violence, traffic injuries and HIV/AIDS.

Conclusion:: The decline in mortality due to NCDs confirms that improvements in disease control have been achieved in Brazil. Nonetheless, the high mortality due to violence is a warning sign. Through maintaining the current decline in NCDs, Brazil should meet the target of 25% reduction proposed by the World Health Organization by 2025.

CONTEXTO E OBJETIVO:: As doenças crônicas não transmissíveis (DCNT) são o principal problema de saúde global e geram um elevado número de mortes prematuras e perda de qualidade de vida. O objetivo foi descrever os principais grupos de causas de morte por DCNT e o ranking das causas de morte prematura entre 1990 a 2015, segundo estimativas do estudo Global Burden of Disease (GBD) 2015 para o Brasil.

TIPO DE ESTUDO E LOCAL:: Estudo transversal do Brasil e 27 Unidades Federadas.

MÉTODOS:: Estudo descritivo das taxas de mortalidade por DCNT, com correções para sub-registro e códigos garbage.

RESULTADOS:: O estudo aponta a transição epidemiológica no Brasil entre 1990 e 2015, com o crescimento da mortalidade proporcional por DCNT, seguida das violências, e com a redução das causas maternas, infecciosas e infantis na carga global de doenças. As DCNT cursaram com as taxas de mortalidade mais elevadas em todo o período, mas com declínio para as doenças cardiovasculares, respiratórias crônicas e câncer. O diabetes aumentou no período. As DCNT lideram entre as causas de morte prematura (30 a 69 anos): doenças isquêmicas do coração e doenças cerebrovasculares, seguidas de violência interpessoal, lesão no trânsito e HIV/aids.

CONCLUSÕES:: A queda da mortalidade por DCNT confirma melhora do controle de doenças no país. Entretanto, a alta mortalidade por violência é um sinal de alerta. Mantendo-se a queda atual das DCNT, o Brasil deverá atingir as metas de redução propostas pela Organização Mundial de Saúde de 25% até 2025.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None

Figures

Figure 1:
Figure 1:. Proportions of numbers of deaths according to causes of death.
Table 1:
Table 1:. Age-standardized mortality rates for all causes of death and noncommunicable diseases (NCDs) and percentage changes, for both sexes and all ages; Brazil, from 1990 to 2015
Table 2:
Table 2:. Age-standardized mortality rates for noncommunicable diseases (NCDs) and percentage change according to Brazilian states, for both sexes and all ages, Brazil, from 1990 to 2015
Figure 2:
Figure 2:. Leading 20 causes of death: age-standardized mortality rate (30 to 69 years of age), rank and percentage change, for both sexes; Brazil, from 1990 to 2015.
See this image and copyright information in PMC

References

    1. World Health Organization . Global status report on noncommunicable diseases 2010. Geneva: World Health Organization; 2011. Available from: http://apps.who.int/iris/bitstream/10665/44579/1/9789240686458_eng.pdf . Accessed in 2017 (Feb 6)
    1. World Health Organization . Health statistics and information systems. Estimates for 2000-2015. Available from: http://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.... . Accessed in 2017 (Feb 6)
    1. Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle-income countries. Lancet. 2007;370(9603):1929–1938. - PubMed
    1. Malta DC, Moura L, Prado RR, et al. Mortalidade por doenças crônicas não transmissíveis no Brasil e suas regiões, 2000 a 2011 [Chronic non-communicable disease mortality in Brazil and its regions, 2000-2011] Epidemiol Serv Saúde. 2014;23(4):599–608.
    1. Marinho F, Passos VMA, França EB. Novo século, novos desafios: mudança no perfil da carga de doença no Brasil de 1990 a 2010 [New century, new challenges: changes in the burden of disease profile in Brazil, 1990-2010] Epidemiol Serv Saúde. 2016;25(4):713–724. - PubMed

MeSH terms