Non-communicable chronic diseases: Mortality of older adult citizens in Brazil and Italy before the Covid-19 pandemic

Vicente Paulo Alves; Regina Célia de Oliveira; Dario Gregori

doi:10.1016/j.hpopen.2021.100041

Non-communicable chronic diseases: Mortality of older adult citizens in Brazil and Italy before the Covid-19 pandemic

Health Policy Open. 2021 Jun 20:2:100041. doi: 10.1016/j.hpopen.2021.100041. eCollection 2021 Dec.

Authors

Vicente Paulo Alves^{1

2}, Regina Célia de Oliveira³, Dario Gregori⁴

Affiliations

¹ Epidemiology and Public Health, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Italy.
² Pós-Graduate Program in Gerontology at the Catholic University of Brasília, Brazil.
³ JK Education Network - Brasília, Brazil.
⁴ Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Italy.

Abstract

The purpose of this study was to outline the main non-communicable chronic diseases that led older people to death in Brazil and Italy before the SARS-CoV-2 pandemic according to age gaps and region of residence. This study has identified that the highest mortality rate among Brazilian and Italian women took place in lower-income areas, potentially due to insufficient public policies to increase income and improve health, which would in turn reduce the risk of chronic diseases and increase life expectancy. Men showed higher mortality rates in different regions, and tended to die earlier. Our results highlight socioeconomic differences in the areas with the highest death rates due to non-communicable chronic diseases, emphasizing the relevance of public policies to meet the needs of the overall population.

Keywords: Economic differences; Mortality; Older adult; Public policies; Sex.