Chagas disease mortality in Brazil: A Bayesian analysis of age-period-cohort effects and forecasts for two decades.
BACKGROUND:Chagas disease (CD) is a neglected chronic parasitic infection and a public health problem that is preventable, and has serious complications. In this study, the effects of age, period and birth cohort (APC Effects) on the evolution of the mortality of that disease in Brazil, from 1980-20...
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ftdoajarticles:oai:doaj.org/article:69fd266e346449d8ada81abe631be584 2023-05-15T15:18:37+02:00 Chagas disease mortality in Brazil: A Bayesian analysis of age-period-cohort effects and forecasts for two decades. Taynãna César Simões Laiane Félix Borges Auzenda Conceição Parreira de Assis Maria Vitórias Silva Juliano Dos Santos Karina Cardoso Meira 2018-09-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0006798 https://doaj.org/article/69fd266e346449d8ada81abe631be584 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC6179299?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0006798 https://doaj.org/article/69fd266e346449d8ada81abe631be584 PLoS Neglected Tropical Diseases, Vol 12, Iss 9, p e0006798 (2018) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2018 ftdoajarticles https://doi.org/10.1371/journal.pntd.0006798 2022-12-30T20:55:02Z BACKGROUND:Chagas disease (CD) is a neglected chronic parasitic infection and a public health problem that is preventable, and has serious complications. In this study, the effects of age, period and birth cohort (APC Effects) on the evolution of the mortality of that disease in Brazil, from 1980-2014, according to sex and geographic region of the country, were analyzed. Mortality forecasts from the years 2015 to 2034 were estimated. METHODS:This is an ecological cross-sectional study in which death records and population data were extracted from the DATASUS (Department of Information Technology of the National Health System) website, in age groups from 20-24 years of age to 80 years and over, from 1980 to 2014. The rates were standardized according to age and sex distributions using the direct method. The APC models were estimated using the Bayesian approach, and the INLA (Integrated Nested Laplace Approximations) method was used for parameter inference. Super dispersion of the data was considered, and we included unstructured random terms in the models. RESULTS:During the analyzed period, there were 178,823 deaths in Brazil (3.85 annual deaths per 100,000 inhabitants). It was found that temporal effects on CD mortality varied by sex and region. In general, there was an increase in mortality rates up to 30 years of age, and the mortality rates were higher between 50 and 64 years of age. On average, men died five years younger than women. Mortality rates were highest in the Central West and Southeast regions. The Central West, Southeast and Southern regions had a reduction over time in the rate of CD deaths between 2000 and 2014. The mortality rate in the Northeast was not statistically different in any period analyzed, while the North had tendency to increase; however, a significant risk increase was only observed between 1995 and 1999. The rate of mortality was high in older birth cohorts. The overall prediction for the next two decades showed a progressive decline in CD mortality, which will be highest among ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Laplace ENVELOPE(141.467,141.467,-66.782,-66.782) PLOS Neglected Tropical Diseases 12 9 e0006798 |
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English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Taynãna César Simões Laiane Félix Borges Auzenda Conceição Parreira de Assis Maria Vitórias Silva Juliano Dos Santos Karina Cardoso Meira Chagas disease mortality in Brazil: A Bayesian analysis of age-period-cohort effects and forecasts for two decades. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND:Chagas disease (CD) is a neglected chronic parasitic infection and a public health problem that is preventable, and has serious complications. In this study, the effects of age, period and birth cohort (APC Effects) on the evolution of the mortality of that disease in Brazil, from 1980-2014, according to sex and geographic region of the country, were analyzed. Mortality forecasts from the years 2015 to 2034 were estimated. METHODS:This is an ecological cross-sectional study in which death records and population data were extracted from the DATASUS (Department of Information Technology of the National Health System) website, in age groups from 20-24 years of age to 80 years and over, from 1980 to 2014. The rates were standardized according to age and sex distributions using the direct method. The APC models were estimated using the Bayesian approach, and the INLA (Integrated Nested Laplace Approximations) method was used for parameter inference. Super dispersion of the data was considered, and we included unstructured random terms in the models. RESULTS:During the analyzed period, there were 178,823 deaths in Brazil (3.85 annual deaths per 100,000 inhabitants). It was found that temporal effects on CD mortality varied by sex and region. In general, there was an increase in mortality rates up to 30 years of age, and the mortality rates were higher between 50 and 64 years of age. On average, men died five years younger than women. Mortality rates were highest in the Central West and Southeast regions. The Central West, Southeast and Southern regions had a reduction over time in the rate of CD deaths between 2000 and 2014. The mortality rate in the Northeast was not statistically different in any period analyzed, while the North had tendency to increase; however, a significant risk increase was only observed between 1995 and 1999. The rate of mortality was high in older birth cohorts. The overall prediction for the next two decades showed a progressive decline in CD mortality, which will be highest among ... |
format |
Article in Journal/Newspaper |
author |
Taynãna César Simões Laiane Félix Borges Auzenda Conceição Parreira de Assis Maria Vitórias Silva Juliano Dos Santos Karina Cardoso Meira |
author_facet |
Taynãna César Simões Laiane Félix Borges Auzenda Conceição Parreira de Assis Maria Vitórias Silva Juliano Dos Santos Karina Cardoso Meira |
author_sort |
Taynãna César Simões |
title |
Chagas disease mortality in Brazil: A Bayesian analysis of age-period-cohort effects and forecasts for two decades. |
title_short |
Chagas disease mortality in Brazil: A Bayesian analysis of age-period-cohort effects and forecasts for two decades. |
title_full |
Chagas disease mortality in Brazil: A Bayesian analysis of age-period-cohort effects and forecasts for two decades. |
title_fullStr |
Chagas disease mortality in Brazil: A Bayesian analysis of age-period-cohort effects and forecasts for two decades. |
title_full_unstemmed |
Chagas disease mortality in Brazil: A Bayesian analysis of age-period-cohort effects and forecasts for two decades. |
title_sort |
chagas disease mortality in brazil: a bayesian analysis of age-period-cohort effects and forecasts for two decades. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2018 |
url |
https://doi.org/10.1371/journal.pntd.0006798 https://doaj.org/article/69fd266e346449d8ada81abe631be584 |
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ENVELOPE(141.467,141.467,-66.782,-66.782) |
geographic |
Arctic Laplace |
geographic_facet |
Arctic Laplace |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 12, Iss 9, p e0006798 (2018) |
op_relation |
http://europepmc.org/articles/PMC6179299?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0006798 https://doaj.org/article/69fd266e346449d8ada81abe631be584 |
op_doi |
https://doi.org/10.1371/journal.pntd.0006798 |
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PLOS Neglected Tropical Diseases |
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9 |
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e0006798 |
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