Made available in DSpace on 2012-09-06T01:10:54Z (GMT). No. of bitstreams: 2 license.txt: 1748 bytes, checksum: 8a4605be74aa9ea9d79846c1fba20a33 (MD5) 96.pdf: 1769575 bytes, checksum: 5237a83e6f6115df1b7bcdec2784e5e5 (MD5) Previous issue date: 1998 / Contribui com indicadores epidemiológicos acerca do Diabetes Mellitus, um dos principais problemas de saúde pública em tempos atuais, foi realizado estudo baseado nas informaçöes contidas nas declaraçöes de óbitos. O Diabetes Mellitus foi analisado segundo a técnica de causas múltiplas de morte através das declaraçöes de óbitos de residentes do município de Niterói (RJ), referentes ao ano de 1993. Esta abordagem da mortalidade objetivou demonstrar que o Diabetes Mellitus é subestimado enquanto afecçäo que participa do processo que culmina com o óbito. A razäo de mençäo de causa básica (RMCB) estimada para o município de Niterói (RJ) foi 2,21 em 1993. O Diabetes Mellitus como causa múltipla de morte havia sido mais freqüentemente citado em declaraçöes de óbito femininas, e sua mençäo aumentava conforme o incremento nas faixas etárias analisadas, para ambos os gêneros. As principais afecçöes descritas nos atestados médicos de óbito de diabéticos foram as doenças do aparelho circulatório. Nas declaraçöes de óbito codificadas com o Diabetes Mellitus como causa básica as doenças cerebrovasculares foram as mais freqüentes afecçöes coexistentes; e para as declaraçöes de óbito que mencionavam o Diabetes Mellitus como causa associada as principais causas básicas de morte descritas foram as doenças cardíacas. / In order to contribute with epidemiological indicators that can evaluate the importance of the Diabetes mellitus, one of the main public health problems of the world nowadays, a study was carried out based on death certificate informations. The Diabetes mellitus mortality was estabilished by the analisys of the multiple causes of death based on informations of death certificates of residents of Niterói (RJ) city in 1993. This aspect of the analysis was carried out in order to demonstrate that the disease is often underreported as an afecction that contributes to death processes, when studied only as underlying cause of death. The “ratio of reported to underlying cause” for Niterói (RJ) city was 2,21 in 1993. The mention of Diabetes mellitus as multiple cause of death was frequently observed among death certificates of women and increased with age. Such pattern described in others studies were also observed in Niterói (RJ) city in 1993. Many studies of Diabetes mellitus as multiple causes of death demonstrate that the main afecctions mentioned in death certificates of diabetic persons are cardiovascular diseases, mainly cardiac diseases. For Niterói (RJ) city in 1993 the main afecctions mentioned in death certificates of diabetic were cardiovascular diseases. In death certificates which had Diabetes mellitus as underlying cause, cerebrovascular diseases were the most frequent among coexistent afecctions; in death certificates with Diabetes mellitus as an associated cause, the principal underlying causes of death were cardiac diseases.