Hospitalizations for Cardiovascular Diseases Sensitive to Primary Health Care in Paraná State, Brazil : A Bayesian Spatiotemporal Model
© 2024 Annals of Family Medicine, Inc..
PURPOSE: To analyze spatiotemporal trends in hospitalizations for cardiovascular diseases (CVD) sensitive to primary health care (PHC) among individuals aged 50-69 years in Paraná State, Brazil, from 2014 to 2019 and investigate correlations between PHC services and the Social Development Index.
METHODS: We conducted a cross-sectional ecological study using publicly available secondary data to analyze the municipal incidence of hospitalizations for CVD sensitive to PHC and to estimate the risk of hospitalization for this group of diseases and associated factors using hierarchical Bayesian spatiotemporal modeling with Markov chain Monte Carlo simulation.
RESULTS: There was a 5% decrease in the average rate of hospitalizations for PHC-sensitive CVD from 2014 to 2019. Regarding standardized hospitalization rate (SHR) according to population size, we found that no large municipality had an SHR >2. Likewise, a minority of these municipalities had SHR values of 1-2 (33%). However, many small and medium-sized municipalities had SHR values >2 (47% and 48%, respectively). A greater Social Development Index value served as a protective factor against hospitalizations, with a relative risk of 0.957 (95% credible interval, 0.929-0.984).
CONCLUSIONS: The annual risk of hospitalization decreased over time; however, small municipalities had the greatest rates of hospitalization, indicating an increase in health inequity. The inverse association between social development and hospitalizations for CVD sensitive to PHC raises questions about intersectionality in health care.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:22 |
|---|---|
| Enthalten in: |
Annals of family medicine - 22(2024), 2 vom: 25. März, Seite 140-148 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Bonfim, Samile [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Cardiovascular disease |
|---|
| Anmerkungen: |
Date Completed 27.03.2024 Date Revised 27.03.2024 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.1370/afm.3083 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM370173910 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM370173910 | ||
| 003 | DE-627 | ||
| 005 | 20240328000410.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240327s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1370/afm.3083 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1351.xml |
| 035 | |a (DE-627)NLM370173910 | ||
| 035 | |a (NLM)38527827 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Bonfim, Samile |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Hospitalizations for Cardiovascular Diseases Sensitive to Primary Health Care in Paraná State, Brazil |b A Bayesian Spatiotemporal Model |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 27.03.2024 | ||
| 500 | |a Date Revised 27.03.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024 Annals of Family Medicine, Inc. | ||
| 520 | |a PURPOSE: To analyze spatiotemporal trends in hospitalizations for cardiovascular diseases (CVD) sensitive to primary health care (PHC) among individuals aged 50-69 years in Paraná State, Brazil, from 2014 to 2019 and investigate correlations between PHC services and the Social Development Index | ||
| 520 | |a METHODS: We conducted a cross-sectional ecological study using publicly available secondary data to analyze the municipal incidence of hospitalizations for CVD sensitive to PHC and to estimate the risk of hospitalization for this group of diseases and associated factors using hierarchical Bayesian spatiotemporal modeling with Markov chain Monte Carlo simulation | ||
| 520 | |a RESULTS: There was a 5% decrease in the average rate of hospitalizations for PHC-sensitive CVD from 2014 to 2019. Regarding standardized hospitalization rate (SHR) according to population size, we found that no large municipality had an SHR >2. Likewise, a minority of these municipalities had SHR values of 1-2 (33%). However, many small and medium-sized municipalities had SHR values >2 (47% and 48%, respectively). A greater Social Development Index value served as a protective factor against hospitalizations, with a relative risk of 0.957 (95% credible interval, 0.929-0.984) | ||
| 520 | |a CONCLUSIONS: The annual risk of hospitalization decreased over time; however, small municipalities had the greatest rates of hospitalization, indicating an increase in health inequity. The inverse association between social development and hospitalizations for CVD sensitive to PHC raises questions about intersectionality in health care | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Social Development Index | |
| 650 | 4 | |a cardiovascular disease | |
| 650 | 4 | |a health care disparities | |
| 650 | 4 | |a hospitalizations | |
| 650 | 4 | |a primary health care | |
| 650 | 4 | |a spatiotemporal analysis | |
| 700 | 1 | |a Massago, Miyoko |e verfasserin |4 aut | |
| 700 | 1 | |a de Carvalho Dutra, Amanda |e verfasserin |4 aut | |
| 700 | 1 | |a Arruda, Matheus Henrique Beltrame |e verfasserin |4 aut | |
| 700 | 1 | |a Oliveira, Fernanda Silva |e verfasserin |4 aut | |
| 700 | 1 | |a Thomaz, Érika Bárbara Abreu Fonseca |e verfasserin |4 aut | |
| 700 | 1 | |a de Souza, Eniuce Menezes |e verfasserin |4 aut | |
| 700 | 1 | |a Nihei, Oscar Kenji |e verfasserin |4 aut | |
| 700 | 1 | |a de Andrade, Luciano |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Annals of family medicine |d 2003 |g 22(2024), 2 vom: 25. März, Seite 140-148 |w (DE-627)NLM147385709 |x 1544-1717 |7 nnns |
| 773 | 1 | 8 | |g volume:22 |g year:2024 |g number:2 |g day:25 |g month:03 |g pages:140-148 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1370/afm.3083 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 22 |j 2024 |e 2 |b 25 |c 03 |h 140-148 | ||