Gender differences in avoidable mortality in Brazil (1983-2005)

The aim of the article was to analyze gender differences in mortality in 117 Brazilian municipalities from 1983 to 2005, based on three groups of causes of avoidable death: (1) avoidable through early diagnosis and treatment, (2) avoidable by improvements in quality of treatment and medical care, an...

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Bibliographic Details
Published in:Cadernos de saúde pública 2009-12, Vol.25 (12), p.2672-2682
Main Authors: Abreu, Daisy Maria Xavier de, César, Cibele Comini, França, Elisabeth Barboza
Format: Article
Language:Portuguese
Subjects:
Adolescent
Adult
Age Distribution
Aged
Brazil
Cause of Death - trends
Child
Child, Preschool
Demographics
Female
Health Services Accessibility - standards
Heart disease
Humans
Infant
Infant, Newborn
Longevity
Male
Medical service
Middle Aged
Mortality
Quality of Health Care - standards
Sex differences
Sex Distribution
Sex Factors
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Summary:The aim of the article was to analyze gender differences in mortality in 117 Brazilian municipalities from 1983 to 2005, based on three groups of causes of avoidable death: (1) avoidable through early diagnosis and treatment, (2) avoidable by improvements in quality of treatment and medical care, and (3) ischemic heart disease. The association between avoidable mortality and demographic and socioeconomic conditions and healthcare variables was analyzed through negative binomial regression. The multiple decrement technique was used to evaluate the impact of avoidable causes on life expectancy for men and women. Men showed a higher risk of death for all three groups of avoidable causes, after controlling for selected variables. Women would gain more than men, with an increase of up to five years in life expectancy, if avoidable causes were eliminated by diagnosis and early treatment. Further research is needed in gender-related factors, which may be related to differential mortality rates in men and women.
ISSN:0102-311X
1678-4464
DOI:10.1590/S0102-311X2009001200014