Abstract
To estimate the prevalences of hypertension and diabetes for small areas in Belo Horizonte, according to the Health Vulnerability Index (HVI). Ecological study with data from the Surveillance of Risk and Protection Factors for Chronic Diseases by Telephone Survey (Vigitel) conducted in Belo Horizonte, from 2006 to 2013. The self-reported diagnosis of diabetes and hypertension were evaluated. The estimates of prevalence and the 95% confidence interval (95%CI) were calculated using the direct and indirect method by HVI grouped into four categories: low, medium, high and very high health risk. During the period evaluated, 26% (95%CI 25.2 - 26.8) and 6.1% (95%CI 6.7 - 6.5) of the adult population from Belo Horizonte reported being hypertensive and diabetic, respectively. According to the indirect method to obtain estimates of hypertension and diabetes prevalences per HVI, it was found that areas of very high risk had a higher prevalence of adults with hypertension (38.6%; 95%CI 34.8 - 42.4) and diabetes (16.2%; 95%CI 13.1 - 19.3) when compared to the low risk (28.2%; 95%CI 27.0 - 29.4 and 6%; 95%CI 5.4 - 6.7, respectively). The adult population living in areas at high risk for health had a higher prevalence of hypertension and diabetes compared to those with a lower risk.
Highlights
Noncommunicable diseases (NCD) are the main causes of morbidity and mortality worldwide, in addition to causing premature deaths, disabilities and high costs and financial burdens for individuals, societies, and health systems[1]
The present study investigated arterial hypertension (AH), as it is considered the most prevalent risk factor for cardiovascular diseases, being responsible, in Brazil, for 2,283.48 (95%CI 2,050.77 – 2,496.19) disability-adjusted life years (DALYs)/100 thousand, in 201911; and diabetes mellitus (DM), for being responsible for 1,076.51 (95%CI 915.36 – 1,256.42) DALYs/100 thousand, in 201911, in addition to both presenting high prevalence in the Brazilian population[6,7]
The present study estimated the prevalence of AH and DM, according to the Health Vulnerability Index (HVI), in Belo Horizonte
Summary
Noncommunicable diseases (NCD) are the main causes of morbidity and mortality worldwide, in addition to causing premature deaths, disabilities and high costs and financial burdens for individuals, societies, and health systems[1]. An example is the fact that NCD more frequently affect low-income populations, as they are more vulnerable, exposed to risks, and have less access to health services and health promotion and disease prevention practices[5]. NCD and their risk factors have been monitored in the country by large national surveys, which are essential to aggregate evidence on individual and collective health[6,7]; national surveys do not allow estimates by municipalities or for smaller areas within the sampled cities. It is necessary to advance the monitoring of these diseases in small geographic areas, in order to identify the existing inequalities, which are often masked by national or state average statistics[8,9]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
