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Previous issue date: 2016-08-31 / A transi??o demogr?fica que vem ocorrendo no mundo e no Brasil traz consigo
uma modifica??o no padr?o de doen?as encontradas nas popula??es. As doen?as cr?nicas
n?o-transmiss?veis (DCNT) tem aparecido com bastante destaque nesse cen?rio de transi??o
epidemiol?gica, e suas morbidades t?m afetado de forma consider?vel os indiv?duos, como ?
o caso do Diabetes Mellitus (DM), associado ao p? diab?tico e ?s amputa??es. O objetivo
deste trabalho foi analisar a distribui??o espa?o-temporal das taxas de preval?ncia do p?
diab?tico e amputa??es por diabetes mellitus no Brasil, antes e ap?s a lei n? 11.347/06, que
disp?e sobre a distribui??o gratuita de medicamentos e materiais para sua aplica??o e
monitora??o da glicemia capilar aos portadores de DM. Trata-se de um estudo ecol?gico, que
utilizou como unidades de an?lise 161 Regi?es de Articula??o Urbana intermedi?rias e dados
do DATASUS de indiv?duos acima de 40 anos em 2003-2012. Utilizou-se os testes de Moran
Global e Local, e an?lise joinpoint das taxas no pa?s. Realizou-se an?lise espacial bivariada
entre as vari?veis principais e taxas de cobertura da aten??o b?sica
(profissionais/estabelecimentos). Os resultados mostraram que em 2003, as taxas de
preval?ncia do p? diab?tico e amputa??es foram as mais elevadas (2,47/100.000 e
1,66/100.000, respectivamente). Observou-se redu??o anual de 9,4% na taxa de preval?ncia
do p? diab?tico e de 7,3% em rela??o ? taxa de amputa??es de 2003 a 2012. Houve uma
maior concentra??o espacial das taxas do p? diab?tico nas regi?es norte, nordeste e centrooeste.
Observou-se autocorrela??o negativa quando realizada a an?lise bivariada com a taxa
de estabelecimentos na aten??o b?sica (variando entre I= -0,07 a -0,12, p< 0,05). O que sugere
importante rela??o entre o baixo n?mero de estabelecimentos nas regi?es e as maiores
preval?ncias. Conclui-se que apesar da diminui??o nas taxas de preval?ncias, n?o foi poss?vel
identificar influ?ncia direta da lei na redu??o das taxas do p? diab?tico e amputa??es por
diabetes mellitus no Brasil. / The demographic transition that has taken place in the world and in Brazil brings
with it a change in the pattern of diseases found in populations. The chronic noncommunicable
diseases (NCDs) has appeared rather prominently in this epidemiological
transition scenario, and its morbidities have affected considerably individuals, such as
Diabetes Mellitus (DM) associated with diabetic foot and amputations. The aim of study was
analyze the space-time distribution of prevalence rates of diabetic foot and amputations for
diabetes mellitus in Brazil, before and after the law 11.347/06, which talking about the free
distribution of medicines and materials for its implementation and monitoring of blood
glucose to DM. This is an ecological study, which used as units of analysis 161 Urban
Articulation Regions intermediate and DATASUS data of individuals over 40 years in 2003-
2012. We used the Global Moran and Local Moran tests and joinpoint analysis of rates in the
country. We conducted bivariate spatial analysis of the main variables and primary care
coverage rates (professionals/institutions). The results showed that in 2003, the prevalence
rates of diabetic foot and amputations were higher (2.47/100.000 and 1.66/100.000,
respectively). There was an annual reduction of 9.4% in the prevalence of diabetic foot and
7.3% in the amputation rate from 2003 to 2012. There was a higher spatial concentration of
diabetic foot rates in the North, Northeast and Midwest. There was negative autocorrelation
when performed bivariate analysis with the rate of establishments in primary care (ranging
from I= -0,07 a -0,12, p< 0,05). This suggests important relationship between the small
number of establishments in the regions and the highest prevalence. It concludes that despite
the decrease in prevalence rates, it was not possible to identify direct influence of the law on
reduced rates of diabetic foot and amputations for diabetes mellitus in Brazil.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22636 |
| Date | 31 August 2016 |
| Creators | Lucas, Erotides Tereza de Oliveira Damasceno |
| Contributors | 70406030472, http://lattes.cnpq.br/4264395963141865, Ferreira, Maria Angela Fernandes, 39817270459, http://lattes.cnpq.br/4036539286429296, Vianna, Rodrigo Pinheiro de Toledo, 10498178854, http://lattes.cnpq.br/3915051035089861, Lyra, Clelia de Oliveira |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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