0091/2023 - Complicações por diabetes mellitus no Brasil: estudo de base nacional, 2019 Complicationsdiabetes mellitus in Brazil: a national-based study, 2019
O manejo inadequado da diabetes mellitus (DM) pode levar a complicações que afetam a qualidade de vida. A prevalência da DM e suas complicações está aumentando, apresentando distribuição desigual na população. O objetivo foi estimar a prevalência de complicações devido à DM e avaliar as desigualdades na população brasileira. Estudo transversal, com dados da Pesquisa Nacional de Saúde (PNS), de 2019. As complicações avaliadas foram: coma diabético, infarto/Acidente Vascular Cerebral/derrame; problema nos rins; problema na visão e úlcera nos pés ou amputação. As exposições foram a escolaridade e renda. Foram calculadas as prevalências das complicações separadamente, combinação em duplas, presença de alguma complicação e número de complicações. A desigualdade foi estimada por meio de análise ajustada e dos índices: slope index (SII) e o concentration index (CIX). A amostra foi composta por 6.317 pessoas com DM. Mais de um terço (37,8%) referiu ter alguma complicação. O problema na visão (30,6%) e nos rins (9,7%) foram os mais prevalentes. As prevalências de ter “uma” e “duas ou mais” complicações foram 25,4% e 12,4%. Foram evidenciadas desigualdades com maior prevalência de complicações entre os menos escolarizados e mais pobres.
Palavras-chave:
Doenças não Transmissíveis; Diabetes Mellitus; Complicações do Diabetes; Estudos Transversais.
Abstract:
Inadequate management of diabetes mellitus (DM) can lead to complications that affect quality of life. The prevalence of DM and its complications is increasing, presenting an uneven distribution in the population. The objective was to estimate the prevalence of complications due to DM and to assess inequalities in the Brazilian population. Cross-sectional study, with datathe National Health Survey (NHS), 2019. The complications evaluated were: diabetic coma, infarction/cerebrovascular accident/stroke; kidney problem; vision problem and foot ulcer or amputation. The exposures were schooling and income. The prevalence of complications was calculated separately, combination in pairs, presence of any complications and number of complications. Inequality was estimated through adjusted analysis and the indices: slope index (SII) and concentration index (CIX). The sample consisted of 6,317 people with DM. More than a third (37.8%) reported having some complication. Vision problems (30.6%) and kidney problems (9.7%) were the most prevalent. The prevalences of having “one” and “two or more” complications were 25.4% and 12.4%. Inequalities were evidenced with a higher prevalence of complications among the least educated and the poorest.
Keywords:
Non-Communicable Diseases; Diabetes Mellitus; Complications of Diabetes; Cross-sectional Studies.
Complicationsdiabetes mellitus in Brazil: a national-based study, 2019
Resumo (abstract):
Inadequate management of diabetes mellitus (DM) can lead to complications that affect quality of life. The prevalence of DM and its complications is increasing, presenting an uneven distribution in the population. The objective was to estimate the prevalence of complications due to DM and to assess inequalities in the Brazilian population. Cross-sectional study, with datathe National Health Survey (NHS), 2019. The complications evaluated were: diabetic coma, infarction/cerebrovascular accident/stroke; kidney problem; vision problem and foot ulcer or amputation. The exposures were schooling and income. The prevalence of complications was calculated separately, combination in pairs, presence of any complications and number of complications. Inequality was estimated through adjusted analysis and the indices: slope index (SII) and concentration index (CIX). The sample consisted of 6,317 people with DM. More than a third (37.8%) reported having some complication. Vision problems (30.6%) and kidney problems (9.7%) were the most prevalent. The prevalences of having “one” and “two or more” complications were 25.4% and 12.4%. Inequalities were evidenced with a higher prevalence of complications among the least educated and the poorest.
Palavras-chave (keywords):
Non-Communicable Diseases; Diabetes Mellitus; Complications of Diabetes; Cross-sectional Studies.
Neves, R.G, Tomasi, E., Duro, S.M.S, Saes-Silva, E., Saes, M.O. Complicações por diabetes mellitus no Brasil: estudo de base nacional, 2019. Cien Saude Colet [periódico na internet] (2023/abr). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/complicacoes-por-diabetes-mellitus-no-brasil-estudo-de-base-nacional-2019/18717?id=18717&id=18717
