Male Mortality from Sensitive Conditions to Primary Care from the Brazilian National Men’s Health Policy’s Perspective

Abstract

To assess male mortality trend and its relationship with conditions sensitive to primary care (CSPC), considering Family Health Strategy (FHS) coverage and Brazilian National Policy for Comprehensive Men’s Health Care (PNAISH) implementation. This is an ecological time series study of male deaths, aged 20 to 59 years, according to CSPC, from 2009 to 2018. The relationship between CSPC mortality and FHS coverage was quantified by Spearman’s correlation. The trend in the number of deaths was adjusted by univariate Quasi-Poisson Regression models. CSPC accounted for 1,092,070 (19.2%) deaths in the municipalities, with an annual variation from − 4.89–3.06% and did not show a significant relationship with mean FHS coverage (r < 0.09; p < 0.160). FHS coverage showed a significant upward trend [95% CI; 1.03–1.09]. The trend of deaths in the study groups due to CSPC was generally stable (Exp (β) = 1.01; p > 0.593). FHS coverage expansion and the fact that PNAISH was implemented in all municipalities in the state of Goiás did not influence death rates due to CSPC in general.