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Spacetime modeling of mortality by infectious and parasitic diseases in Brazil

2025-01-01Artigo científico Acesso aberto
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dc.contributor.authorAndrade, Lucas Almeida
dc.contributor.authorde Souza, Carlos Dornels Freire
dc.contributor.authorPaz, Wandklebson Silva da
dc.contributor.authorGois Souza, Danilo de
dc.contributor.authorGóes, José Augusto Passos
dc.contributor.authorCamargo, Emerson Lucas Silva
dc.contributor.authorSousa, Álvaro Francisco Lopes de
dc.contributor.authorMoretti Carneiro, Liliane
dc.contributor.authorMendes, Isabel Amélia Costa
dc.contributor.authorMachado Araújo, Karina
dc.contributor.authorSantos, Allan Dantas dos
dc.contributor.authorBezerra-Santos, Márcio
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo ENSP)
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblSAGE Publications
dc.date.accessioned2025-05-23T21:15:22Z
dc.date.available2025-05-23T21:15:22Z
dc.date.issued2025-01-01
dc.descriptionFunding Information: None. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by Coordination for the Improvement of Higher Education Personnel of Brazil \u2013 Finance Code 001. The supporter did not play any role in the design and conclusions of the study. Publisher Copyright: © The Author(s), 2025.
dc.description.abstractBackground: Infectious and parasitic diseases (IPDs) encompass a broad range of illnesses predominantly associated with poverty. They are more prevalent in low- and middle-income countries, including Brazil, where they continue to be among the leading causes of mortality. Objective: This study aims to analyze the spatiotemporal dynamics of mortality due to IPDs in Brazil from 2000 to 2019. Methods: We conducted an ecological study using data on mortality by IPDs from the Brazilian Mortality Information System. We applied the segmented log-linear regression model to assess temporal trends. For spatial analysis, we used the local empirical Bayesian estimator and Moran indices. Retrospective spatiotemporal scan statistics were performed using the Poisson Probability Distribution Model. Results: Between 2000 and 2019, there were 2,155,513 deaths related to IPDs in Brazil. The leading causes of death included acute respiratory infections (n = 1,130,069; 52.49%), septicemia (n = 289,817; 13.46%), human immunodeficiency virus/acquired immunodeficiency syndrome (n = 232,892; 10.82%), tuberculosis (n = 104,121; 4.84%), and neglected tropical diseases such as Chagas disease (n = 94,788; 4.40%) and schistosomiasis (n = 10,272; 0.48%). An increasing temporal trend in the mortality rate from IPDs was observed in Brazil and across all its regions. Additionally, our spatiotemporal scan identified high-risk clusters of death in the Southeast and Northeast regions. Conclusion: Mortality from IPDs remains a significant public health concern in Brazil, with an increasing trend observed in all regions. Our findings underscore the urgent need for comprehensive intersectoral public policies. These policies should focus on a greater allocation of resources and investments in the most critical areas, aiming to significantly reduce the number of deaths, particularly in the most vulnerable regions.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent18
dc.format.extent1576994
dc.identifier.doi10.1177/20499361251313830
dc.identifier.issn2049-9361
dc.identifier.otherPURE: 116610618
dc.identifier.otherPURE UUID: 6b341647-4f99-4132-98dc-d4098fea470b
dc.identifier.otherScopus: 85217153557
dc.identifier.otherWOS: 001409864600001
dc.identifier.otherPubMed: 39896218
dc.identifier.otherPubMedCentral: PMC11783498
dc.identifier.urihttp://hdl.handle.net/10362/183369
dc.identifier.urlhttps://www.scopus.com/pages/publications/85217153557
dc.language.isoeng
dc.peerreviewedyes
dc.subjectBrazil
dc.subjectdeath
dc.subjectdeveloping country
dc.subjectinfection
dc.subjectparasites
dc.subjectInfectious Diseases
dc.subjectPharmacology (medical)
dc.subjectSDG 3 - Good Health and Well-being
dc.titleSpacetime modeling of mortality by infectious and parasitic diseases in Brazilen
dc.title.subtitlea 20-year ecological and population-based studyen
dc.typejournal article
degois.publication.titleTherapeutic Advances in Infectious Disease
degois.publication.volume12
dspace.entity.typePublication
rcaap.rightsopenAccess

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