Trends in asthma mortality in young people in southern Brazil

BACKGROUND: Mortality from asthma increased and is now declining in some countries, but little is known about these trends in South America.

OBJECTIVE: We aimed to assess trends in mortality from asthma in southern Brazil in children and young adults.

METHODS: Death certificates of 425 people in the state of Rio Grande do Sul aged between 5 and 39 years in whom asthma was reported to be the underlying cause of death during the period 1970 to 1992 were reviewed. Population data were available in 10-year age groups. Testing for trends in mortality rates was conducted using linear and log-linear regression procedures.

RESULTS: Asthma mortality rates in the age groups 5 to 19 and 20 to 39 years ranged between 0.04 and 0.39/100,000 and 0.28 to 0.75/100,000, respectively, and were nonuniformly distributed over the study period. The mean annual increase in rate in 5- to 19-year olds was +0.01 (95% CI 0.003 to 0.016), an average annual percentage increase of +6.8% (95% CI 3% to 11%), with a total increase of 352% between 1970 and 1992. This increase was not due to a shift in labeling from bronchitis to asthma. In the 20 to 39-year age group, asthma and bronchitis mortality rates showed no trend to increase or decrease.

CONCLUSIONS: Asthma mortality in southern Brazil is low, but rose significantly between 1970 and 1992 in the 5 to 19-year age group. This trend differs from that found in other states of Brazil and several other Latin American countries. Reasons for this difference remain unclear.

Errataetall:

CommentIn: Ann Allergy Asthma Immunol. 1999 Dec;83(6 Pt 1):572-3. - PMID 10619352

Medienart:

Artikel

Erscheinungsjahr:

1999

Erschienen:

1999

Enthalten in:

Zur Gesamtaufnahme - volume:82

Enthalten in:

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology - 82(1999), 3 vom: 01. März, Seite 287-92

Sprache:

Englisch

Beteiligte Personen:

Chatkin, J M [VerfasserIn]
Barreto, S M [VerfasserIn]
Fonseca, N A [VerfasserIn]
Gutiérrez, C A [VerfasserIn]
Sears, M R [VerfasserIn]

Themen:

Adult
Age Factors
Americas
Biology
Brazil
Causes Of Death
Child
Death Rate--changes
Demographic Factors
Developing Countries
Journal Article
Latin America
Mortality
Physiology
Population
Population Characteristics
Population Dynamics
Pulmonary Effects
Research Report
Research Support, Non-U.S. Gov't
Respiratory Insufficiency
South America
Youth

Anmerkungen:

Date Completed 15.04.1999

Date Revised 15.11.2006

published: Print

CommentIn: Ann Allergy Asthma Immunol. 1999 Dec;83(6 Pt 1):572-3. - PMID 10619352

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM100274072