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Objetivos de Desarrollo Sostenible
03 Saúde e Bem-Estar10 Redução das desigualdades
11 Cidades e comunidades sustentáveis
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DIFFERENCES IN THE PREVALENCE OF NON-COMMUNICABLE DISEASE BETWEEN SLUM DWELLERS AND THE GENERAL POPULATION IN A LARGE URBAN AREA IN BRAZIL
Autor
Afiliación
University of California. Division of Epidemiology. Berkeley, CA, USA
University of California. Department of Medicine. San Francisco, CA, USA
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil
Federal University of Bahia. Faculty of Pharmacy. Salvador, BA, Brasil / Federal University of Bahia. School of Medicine. Salvador, BA, Brasil
University of California. Division of Infectious Diseases and Vaccinology. Berkeley, CA, USA
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Federal University of Bahia. School of Medicine. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Yale University School of Public Health. Department of the Epidemiology of Microbial Diseases. New Haven, CT, USA
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
University of California. Department of Medicine. San Francisco, CA, USA
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil
Federal University of Bahia. Faculty of Pharmacy. Salvador, BA, Brasil / Federal University of Bahia. School of Medicine. Salvador, BA, Brasil
University of California. Division of Infectious Diseases and Vaccinology. Berkeley, CA, USA
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Federal University of Bahia. School of Medicine. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Yale University School of Public Health. Department of the Epidemiology of Microbial Diseases. New Haven, CT, USA
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Resumen en ingles
Residents of urban slums are at greater risk for disease than their non-slum dwelling
urban counterparts. We sought to contrast the prevalences of selected non-communicable diseases
(NCDs) between Brazilian adults living in a slum and the general population of the same city,
by comparing the age and sex-standardized prevalences of selected NCDs from a 2010 survey in
Pau da Lima, Salvador Brazil, with a 2010 national population-based telephone survey. NCD
prevalences in both populations were similar for hypertension (23.6% (95% CI 20.9–26.4) and
22.9% (21.2–24.6), respectively) and for dyslipidemia (22.7% (19.8–25.5) and 21.5% (19.7–23.4)). Slum
residents had higher prevalences of diabetes mellitus (10.1% (7.9–12.3)) and of overweight/obesity
(46.5% (43.1–49.9)), compared to 5.2% (4.2–6.1) and 40.6% (38.5–42.8) of the general population in
Salvador. Fourteen percent (14.5% (12.1–17.0)) of slum residents smoked cigarettes compared to 8.3%
(7.1–9.5) of the general population in Salvador. The national telephone survey underestimated the
prevalence of diabetes mellitus, overweight/obesity, and smoking in the slum population, likely in
part due to differential sampling inside and outside of slums. Further research and targeted policies
are needed to mitigate these inequalities, which could have significant economic and social impacts
on slum residents and their communities.
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