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Physical rehabilitation needs in the brics nations from 1990 to 2017

2020-06-10Artigo científico Acesso aberto
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dc.contributor.authorJesus, Tiago S.
dc.contributor.authorLandry, Michel D.
dc.contributor.authorHoenig, Helen
dc.contributor.authorZeng, Yi
dc.contributor.authorKamalakannan, Sureshkumar
dc.contributor.authorBritto, Raquel R.
dc.contributor.authorPogosova, Nana
dc.contributor.authorSokolova, Olga
dc.contributor.authorGrimmer, Karen
dc.contributor.authorLouw, Quinette A.
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.pblMolecular Diversity Preservation International (MDPI)
dc.date.accessioned2021-05-01T22:53:20Z
dc.date.available2021-05-01T22:53:20Z
dc.date.issued2020-06-10
dc.description.abstractBackground: This study analyzes the current and evolving physical rehabilitation needs of BRICS nations (Brazil, Russian Federation, India, China, South Africa), a coalition of large emergent economies increasingly important for global health. Methods: Secondary, cross-national analyses of data on Years Lived with Disability (YLDs) were extracted from the Global Burden of Disease Study 2017. Total physical rehabilitation needs, and those stratified per major condition groups are analyzed for the year 2017 (current needs), and for every year since 1990 (evolution over time). ANOVAs are used to detect significant yearly changes. Results: Total physical rehabilitation needs have increased significantly from 1990 to 2017 in each of the BRICS nations, in every metric analyzed (YLD Counts, YLDs per 100,000 people, and percentage of YLDs relevant to physical rehabilitation; all p < 0.01). Musculoskeletal & pain conditions were leading cause of physical rehabilitation needs across the BRICS nations but to varying degrees: from 36% in South Africa to 60% in Brazil. Country-specific trends include: 25% of South African needs were from HIV-related conditions (no other BRICS nation had more than 1%); India had both absolute and relative growths of pediatric rehabilitation needs (p < 0.01); China had an exponential growth in the per-capita needs from neurological and neoplastic conditions (p < 0.01; r2 = 0.97); Brazil had a both absolute and relative growth of needs coming from musculoskeletal & pain conditions (p < 0.01); and the Russian Federation had the highest neurological rehabilitation needs per capita in 2017 (over than three times those of India, South Africa or Brazil). Conclusions: total physical rehabilitation needs have been increasing in each of the BRICS nations, both in absolute and relative values. Apart from the common growing trend, each of the BRICS nations had own patterns for the amount, typology, and evolution of their physical rehabilitation needs, which must be taken into account while planning for health and physical rehabilitation programs, policies and resources.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent20
dc.format.extent601855
dc.identifier.doi10.3390/ijerph17114139
dc.identifier.issn1661-7827
dc.identifier.otherPURE: 26689484
dc.identifier.otherPURE UUID: 2f2b813d-6170-4b8b-bc57-5e6d87803ca4
dc.identifier.otherScopus: 85086399053
dc.identifier.otherPubMed: 32531949
dc.identifier.otherPubMedCentral: PMC7312462
dc.identifier.urihttp://hdl.handle.net/10362/116638
dc.identifier.urlhttps://www.scopus.com/pages/publications/85086399053
dc.identifier.urlhttps://www.mdpi.com/1660-4601/17/11/4139
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBRICS
dc.subjectGlobal burden of disease
dc.subjectGlobal health
dc.subjectHealth services needs and demand
dc.subjectRehabilitation
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titlePhysical rehabilitation needs in the brics nations from 1990 to 2017en
dc.title.subtitlecross-national analyses using data from the global burden of disease studyen
dc.typejournal article
degois.publication.firstPage4139
degois.publication.issue11
degois.publication.lastPage4159
degois.publication.titleInternational Journal of Environmental Research and Public Health
degois.publication.volume17
dspace.entity.typePublication
rcaap.rightsopenAccess

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