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      Carga de la enfermedad en afiliados al Instituto Mexicano del Seguro Social (IMSS): asociación con indicadores socioeconómicos. México 2000 Translated title: Burden of disease in Mexican Social Insurance Institute affiliated: relation with socioeconomic indicators. México 2000 Translated title: Carga da doença nos filiados ao Instituto Mexicano do Seguro Social (IMSS): associação com indicadores socioeconômicos. México 2000

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          Abstract

          Se estimó la carga de enfermedad en el IMSS en el año 2000. Resultados: similitud con subregión AMRO A y Australia en primeros diagnósticos, AVISAS Totales y APMP; mayor semejanza en AVD con subregiones AMRO B y D; esperanzas de vida totales similares a subregión AMRO A; esperanzas de vida con discapacidad semejantes a subregiones AMRO B y D; en entidades federativas, a mayor desarrollo socioeconómico, mayor AVD y esperanzas de vidas con discapacidad y menor APMP. Conclusión: Los afiliados al IMSS acumulan una carga de morbilidad mayor a lo esperado y en entidades federativas se asocia directamente con el desarrollo socioeconómico. Se infiere que, en el 2000, los afiliados al IMSS experimentaban baja mortalidad con expansión de morbilidad.

          Translated abstract

          The burden of disease was estimated in people affiliated to the Mexican Social Insurance Institute -IMSS- in 2000.Main results: Similarities with AMRO A subregion and Australia in first causes of burden, total DALY and years lost due to premature mortality; similarities with AMRO B and D subregions in disability live expectancy; highest socioeconomic development associated with highest magnitude of years lived with disability and disability live expectancy at federative entities level. Conclusion: An unexpective high burden of morbidity with disability was found in people affiliated to IMSS; in federative entities, the burden of morbidity is associated with socioeconomic level. These results permit to infer, ecologically, that this population is experimented low levels of mortality with an expansion of morbidity.

          Translated abstract

          Estimou-se a carga de doença no IMSS em 2000. Resultados: semelhanças com sub-região AMRO A e Austrália nos primeiros diagnósticos, AVISAS Totais e APMP; maior semelhança em AVD com sub-regiões AMRO B e D; expectativa de vida total similar a sub-região AMRO A; expectativa de vida com deficiência semelhantes às sub-regiões AMRO B e D; em entidades federativas, quanto maior desenvolvimento socioeconômico, maior AVD e expectativa de vidas com deficiência e menor APMP. Conclusão: Os filiados ao IMSS acumulam una carga de morbilidade superior à esperada e em entidades federativas associa-se diretamente com o desenvolvimento socioeconômico. Infere-se que, em 2000, os filiados ao IMSS experimentavam baixa mortalidade com expansão de morbilidade.

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          Most cited references60

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          The world health report 2002 - reducing risks, promoting healthy life.

          J Guilbert (2003)
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            The increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986.

            There is an inverse relation between socioeconomic status and mortality. Over the past several decades death rates in the United States have declined, but it is unclear whether all socioeconomic groups have benefited equally. Using records from the 1986 National Mortality Followback Survey (n = 13,491) and the 1986 National Health Interview Survey (n = 30,725), we replicated the analysis by Kitagawa and Hauser of differential mortality in 1960. We calculated direct standardized mortality rates and indirect standardized mortality ratios for persons 25 to 64 years of age according to race, sex, income, and family status. The inverse relation between mortality and socioeconomic status persisted in 1986 and was stronger than in 1960. The disparity in mortality rates according to income and education increased for men and women, whites and blacks, and family members and unrelated persons. Over the 26-year period, the inequalities according to educational level increased for whites and blacks by over 20 percent in women and by over 100 percent in men. In whites, absolute death rates declined in persons of all educational levels, but the reduction was greater for men and women with more education than for those with less. Despite an overall decline in death rates in the United States since 1960, poor and poorly educated people still die at higher rates than those with higher incomes or better educations, and this disparity increased between 1960 and 1986.
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              Chronic disease prevention: health effects and financial costs of strategies to reduce salt intake and control tobacco use.

              In 2005, WHO set a global goal to reduce rates of death from chronic (non-communicable) disease by an additional 2% every year. To this end, we investigated how many deaths could potentially be averted over 10 years by implementation of selected population-based interventions, and calculated the financial costs of their implementation. We selected two interventions: to reduce salt intake in the population by 15% and to implement four key elements of the WHO Framework Convention on Tobacco Control (FCTC). We used methods from the WHO Comparative Risk Assessment project to estimate shifts in the distribution of risk factors associated with salt intake and tobacco use, and to model the effects on chronic disease mortality for 23 countries that account for 80% of chronic disease burden in the developing world. We showed that, over 10 years (2006-2015), 13.8 million deaths could be averted by implementation of these interventions, at a cost of less than US$0.40 per person per year in low-income and lower middle-income countries, and US$0.50-1.00 per person per year in upper middle-income countries (as of 2005). These two population-based intervention strategies could therefore substantially reduce mortality from chronic diseases, and make a major (and affordable) contribution towards achievement of the global goal to prevent and control chronic diseases.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Journal
                rgps
                Revista Gerencia y Políticas de Salud
                Rev. Gerenc. Polit. Salud
                Pontificia Universidad Javeriana (Bogotá )
                1657-7027
                December 2009
                : 8
                : 17
                : 123-139
                Affiliations
                [1 ] Pontificia Universidad Javeriana Colombia
                [2 ] Pontificia Universidad Javeriana Colombia
                [3 ] Pontificia Universidad Javeriana Colombia
                Article
                S1657-70272009000200008
                3c574258-a83e-49df-b4f8-166aa18efa65

                http://creativecommons.org/licenses/by/4.0/

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                SciELO Colombia

                Self URI (journal page): http://www.scielo.org.co/scielo.php?script=sci_serial&pid=1657-7027&lng=en
                Categories
                PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

                Public health
                disability adjusted live years,economic indicators,survival,life table,morbidity,ecologic study,sick leave,economics,anos de vida perdidos por incapacidade,indicadores econômicos,morbilidade,tabela de vida,sobrevida,estudo ecológico,ausência por doença,economia,años de vida perdidos por incapacidad,indicadores económicos,morbilidad,tabla de vida,estudio ecológico,ausencia por enfermedad,economía

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