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dc.contributor.authorPassos, Valéria Maria de Azeredopt_BR
dc.contributor.authorChamps, Ana Paula Silvapt_BR
dc.contributor.authorTeixeira, Renato Azeredopt_BR
dc.contributor.authorLima-Costa, Maria Fernandapt_BR
dc.contributor.authorKirkwood, Renatapt_BR
dc.contributor.authorVeras, Renatopt_BR
dc.contributor.authorNascimento, Bruno Ramospt_BR
dc.contributor.authorNogales, Ana Mariapt_BR
dc.contributor.authorSchmidt, Maria Inêspt_BR
dc.contributor.authorDuncan, Bruce Bartholowpt_BR
dc.contributor.authorCousin Sobrinho, Ewerton Luiz Portopt_BR
dc.contributor.authorNaghavi, Mohsenpt_BR
dc.contributor.authorSouza, Fátima Marinhopt_BR
dc.date.accessioned2021-09-01T04:24:35Zpt_BR
dc.date.issued2020pt_BR
dc.identifier.issn1478-7954pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/229312pt_BR
dc.description.abstractBackground: Brazil is the world’s fifth most populous nation, and is currently experimenting a fast demographic aging process in a context of scarce resources and social inequalities. To understand the health profile of older adults in Brazil is fundamental for planning public policies. Methods: The estimates were derived from data obtained through the collaboration between the Brazilian Ministry of Health and the Institute of Health Metrics and Evaluation of the University of Washington. The Brazilian Institute of Geography and Statistics provided the population estimates. Data on causes of death came from the Mortality Information System. To calculate morbidity, population-based studies on the prevalence of diseases in Brazil were comprehensively searched, in addition to information obtained from national databases such as the Hospital Information System, the Outpatient Information System, and the Injury Information System. We presented the Global Burden of Disease (GBD) 2017 estimates among Brazilian older adults (60+ years old) for life expectancy at birth (LE), healthy life expectancy (HALE), cause-specific mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs), from 2000 to 2017. Results: LE at birth significantly increased from 71.3 years (95% UI to 70.9-71.8) to 75.2 years (95% UI 74.7-75.7). There was a trend of increasing HALE, from 62.2 years (95% UI 59.54-64.5) to 65.5 years (95% UI 62.6-68.0). The proportion of DALYs among older adults increased from 7.3 to 10.3%. Chronic noncommunicable diseases are the leading cause of death among middle aged and older adults, while Alzheimer’s disease is a leading cause only among older adults. Mood disorders, musculoskeletal pain, and hearing or vision losses are among the leading causes of disability. Conclusions: The increase in LE and the decrease of the DALYs rates are probably results of the improvement of social conditions and health policies. However, the smaller increase of HALE than LE means that despite living more, people spend a substantial time of their old age with disability and illness. Preventable or potentially controllable diseases are responsible for most of the burden of disease among Brazilian older adults. Health investments are necessary to obtain longevity with quality of life in Brazil.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofPopulation health metrics. London. Vol. 18, supl 1 (2020), 14, 15 p.pt_BR
dc.rightsOpen Accessen
dc.subjectCarga global da doençapt_BR
dc.subjectOlder adultsen
dc.subjectExpectativa de vidapt_BR
dc.subjectBurden of diseaseen
dc.subjectMortalidadept_BR
dc.subjectLife expectancyen
dc.subjectIdosopt_BR
dc.subjectMortalityen
dc.subjectDALYen
dc.subjectPolítica de saúdept_BR
dc.subjectBrazilen
dc.subjectEpidemiologiapt_BR
dc.subjectBrasilpt_BR
dc.titleThe burden of disease among Brazilian older adults and the challenge for health policies : results of the Global Burden of Disease Study 2017pt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001130510pt_BR
dc.type.originEstrangeiropt_BR


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