Mortality from Stroke in Pará, Brazilian Amazon: a Joinpoint Analysis

Abstract

Introduction: Stroke is a significant cause of death worldwide. Temporal studies show a downward trend in mortality rates in recent decades, with variability between countries. The State of Pará, in northern Brazil, has a low human development index and high mortality from stroke; however, little research is reported. Objective: This study aims to analyze the trend in stroke mortality in the adult population of Pará, between 2000 and 2021. Method: This is an ecological, time series study based on official secondary population data. Joinpoint regression models were used to identify the trend of each coefficient segment of the mortality rate and years of potential life lost. Results: There were 49,259 deaths in this period, with an absolute increase in fatalities during the time series and an increase in the age group. The mortality coefficient showed a stationary mortality trend of 0.4% between 2000 and 2021 (p=0.576); however, after 2008, the trend decreased -1.0% (p=0.003). In the stratified analysis, a decreasing mortality trend was detected: -2.3% between 30 and 39 years old (p<0.001), -2.8% between 40 and 49 years old (p<0.001), -2.1% between 50 and 59 years old (p<0.001) and -1.4% between 60 and 69 years old (p<0.001), between the year 2000 and 2021. In the other age groups, the trend decreased -2.5% between 20 and 29 years old after 2006 (p= 0.003), -1.8% between 70 and 79 years old after 2008 (p=0.001), and -5.1% among 80 years old and over after 2016 (p=0.010). Conclusion: The mortality trend attributed to stroke among adults in Pará State remained stable from 2000 to 2021. Despite this stability, the absolute number of deaths remained consistently high, underscoring the critical need to mitigate risk factors and enhance the care and management of affected individuals.

Sex Disparity in Stroke Mortality among Adults: A Time Series Analysis in the Greater Vitoria Region, Brazil (2000–2021)

“…Disparities in stroke mortality between sexes have been discussed and published in the scientific literature [ 6 , 7 ]. The decrease in the mortality rate and proportional mortality has different magnitudes between men and women in various countries [ 8 , 9 , 10 , 11 ].…”

“…Socioeconomic and health inequalities between individuals from different locations can result in different magnitudes of the annual percentage change in stroke mortality between sexes [ 16 , 17 ]. Updated information on the temporal trend of stroke mortality for both sexes has been published for the north and northeast regions of Brazil [ 6 , 7 ]. The disease burden, as evidenced by the disability-adjusted life years indicator, was reported for several populations in Brazil, including the southeast region [ 18 ].…”

Beyond ultra-processed foods: the new direction of the basic food basket in Brazil

“…The diversity of the subjects addressed mirrors the complexity of challenges within the field of public health. Through a transdisciplinary approach, the studies highlight the interconnection between health, nutrition, environment, and society, reaffirming the transdisciplinary nature of the Journal of Human Growth and Development as a crucial vehicle for scientific dissemination and the recording of ideas and current research proposals in the field of public health [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] . Therefore, we invite our readers to explore these articles, which not only complement the central theme of this edition but also broaden our understanding of the complex dynamics that influence health and well-being in modern societies.…”