BackgroundThe quilombolas are groups formed by black ancestry individuals, living in a context of social vulnerability due to low socioeconomic level, which influences health care and the development of chronic diseases.ObjectiveTo assess the prevalence of systemic arterial hypertension and its association with cardiovascular risk factors in the quilombola population in the State of Sergipe, Brazil.MethodsStudy design was cross sectional, involving the administration of a questionnaire to individuals aged ≥ 18 years, in 15 quilombola communities of the State of Sergipe, Brazil. A value of two-sided p < 0.05 was considered statistically significant.ResultssA total of 390 individuals were evaluated, 72.3% of whom were women, with a mean age of 44.7 years. The prevalence of hypertension was 26% (with a confidence interval of 95% [95% CI]: 22-30), with no significant sex-related differences. The age was associated with arterial hypertension (95% CI: 1.03-1.06), systolic (95% CI: 1.04-1.07) and diastolic (IC 95%: 1.01-1.04) arterial hypertension. The level of body mass index was associated with arterial hypertension (95% CI: 1.00-1.11) and diastolic arterial hypertension (95% CI: 1.03-1.17). Economic class was associated with diastolic arterial hypertension (95% CI: 1.22-5.03).ConclusionThe prevalence of arterial hypertension in the quilombola communities was high. Its association with cardiovascular risk factors indicates the need to improve access to healthcare services.

In the last decades, few epidemiological studies have discussed the mortality rates due to leukemia and lymphoma in Brazil. This study analyzes the evolution over time of the number of deaths due to leukemia and lymphoma in Brazil, between 2010 and 2016, considering the population’s characteristics and spatial distribution. This is a retrospective epidemiological study based on data obtained in the Brazilian Health Informatics Department (DATASUS), associated with the quantitative population. We created choropleth maps and predictive models of mortality rates, using the incidence rate ratio (IRR) to measure the size of the effect. Leukemia had a 1.76 higher mortality rate than lymphoma. Leukemia mortality trends increased by 1.2% per year between 2010 and 2016. Regions with the lowest social inequality had higher mortality rates for both diseases. There was a difference between peaks with higher chances of death due to leukemia (> 60 years) and lymphoma (> 70 years). Older age, male, white, and South and Southeast regions were associated with higher mortality by leukemia or lymphoma.

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The research aimed to understand, through the evaluation of trends, the impact of hypertension in the state of Sergipe in a period of six years. This is an epidemiological study, based on aggregate data obtained in population strata, and associated with the use of spatial analysis methodologies, including data of organization of the Sergipe territory by obtaining coordinates of the health regions in "shapefile" format. For the predictive model, a negative binomial multiple regression analysis was used. Among the predictors for mortality due to hypertension, those with the highest rates were females, brown skin color, age group, and the Propriá Health Region. This region is in the Lower São Francisco area, where it is found a concentration of municipalities with low ranks of the index of social vulnerability. The analysis provides a reflection on the influence of socioeconomic issues on the burden of hypertensive disease. KEYWORDSEpidemiology. Hypertension. Mortality Registries. RESUMENLa investigación objetivó comprender, a través de la evaluación de tendencias, el impacto de la hipertensión arterial en el estado de Sergipe en un periodo de seis años. Se trata de un estudio epidemiológico, realizado a partir de datos agregados, obtenidos en estratos poblacionales, y asociado al empleo de metodologías de análisis espacial, incluyendo datos de organización del territorio de Sergipe mediante la obtención de coordenadas de las regiones de salud en formato "shapefile". En el modelo predictivo, se empleó un análisis de regresión múltiple del tipo binomial negativo. Entre los predictores para mortalidad por hipertensión arterial, los de mayores tasas fueron el sexo femenino, el color de piel "parda", el incremento del grupo de edad y la Región de Salud de Propriá. Esta región está ubicada en el área del Bajo San Francisco, donde se concentran municipios con baja evolución en el índice de vulnerabilidad social. El análisis permite una reflexión sobre la influencia de cuestiones socioeconómicas en la carga de enfermedad hipertensiva.

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