Mortality due to hypertension in women: a multiple cause analysis

Revista Brasileira de Epidemiologia

Gotlieb, Sabina Léa Davidson¹  Oliveira, Bruno Zoca de¹  Jorge, Maria Helena Prado de Mello¹  Laurenti, Ruy¹ 

[1] USP, São Paulo

关键词: Hypertension;    Multiple causes of death;    Epidemiology;   

DOI  :  10.1590/S1415-790X2009000400006

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

INTRODUCTION:Hypertension is a public health problem due to its magnitude and difficultiesin its control.
OBJECTIVE: The objectives were to verify the quality of death certificates(DC) and gain in information when the multiple cause of death methodology isperformed, in DC of women from 10 to 49 years filled out with hypertension asan underlying or an associated cause of death.
METHODS: The database consisted of 7,332 DC of the first semester of2002 collected in the "Study of women in childbearing age, living in the capitalsof all Brazilian States and Federal District". The RAMOS methodology was adoptedand household interviews and hospital records were collected. With the new information,a new death certificate was filled out. Two data sets were built (DC-ORIGINALand DC-NEW) and comparisons of the distributions of deaths according to causesof death and source (DC-O, DC-N) were done.
RESULTS: Some physicians are not filling out DC appropriately. The analysisof multiple causes of death allows the attainment of much more information.Campaigns to motivate physicians are necessary to improve the quality of DCs,as well as mortality studies have to be analyzed according to underlying causesof death, and also by means of the multiple causes of death methodology.

【 授权许可】

CC BY