Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013

Author:

Bensenor Isabela M.1,Goulart Alessandra C.2,Szwarcwald Célia Landmann3,Vieira Maria Lucia França Pontes4,Malta Deborah Carvalho5,Lotufo Paulo A.1

Affiliation:

1. Universidade de São Paulo, Brazil; Universidade de São Paulo, Brazil

2. Universidade de São Paulo, Brazil

3. Fundação Oswaldo Cruz, Brazil

4. Instituto Brasileiro de Geografia e Estatística, Brazil

5. Instituto Brasileiro de Geografia e Estatística, Brazil; Universidade Federal de Minas Gerais, Brazil

Abstract

There is scarce data about prevalence of stroke in Brazil. The National Health Survey (PNS) is a community-based epidemiological survey, with a nationally representative sample to assess the absolute numbers with respective prevalence rates of stroke and post-stroke disabilities. It was estimated 2,231.000 stroke and 568,000 stroke cases with severe disabilities. The point prevalences was 1.6% and 1.4% in men and women, respectively. The prevalences of post-stroke disabilities were 29.5% for men and 21.5% for women. Stroke prevalence rates increased with aging, low education level, among people living in urban areas with no difference according to self-reported skin color. The degree of post-stroke disability was not statistically different according to sex, race, education level or living area. This new data from PNS show high stroke prevalence rates especially in older individuals without formal education and urban dweller, but the degree of stroke disability was not determined by the sociodemographic characteristics of the Brazilian population.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Neurology (clinical)

Reference21 articles.

1. Stroke in Brazil: a neglected disease;Lotufo PA;São Paulo Med J,2005

2. A reappraisal of stroke mortality trends in Brazil (1979-2009);Lotufo PA;Int J Stroke,2013

3. Serial temporal analysis of ischemic heart disease and stroke death risk in five regions of Brazil from 1981 to 2001;Souza MF;Arq Bras Cardiol,2006

4. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013;Lancet,2015

5. Stroke mortality in Brazil: one example of delayed epidemiological cardiovascular transition;Lotufo PA;Int J Stroke,2009

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