Estimativas de prevalência de hipertensão e diabetes mellitus segundo Índice de Vulnerabilidade da Saúde em Belo Horizonte, Brasil

Crizian Saar  Gomes; Regina Tomie Ivata  Bernal; Alexandra Dias Moreira; Renato Azeredo   Teixeira; Laís Santos de Magalhães  Cardoso; Antonio Luiz Pinho  Ribeiro; Deborah Carvalho  Malta

doi:10.1590/1980-549720210015.supl.1

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Crizian Saar Gomes Programa de Pós-Graduação, Faculdade de Medicina, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
Regina Tomie Ivata Bernal Programa de Pós-Graduação, Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
Alexandra Dias Moreira Departamento de Enfermagem Materno Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
Renato Azeredo Teixeira Programa de Pós-Graduação, Faculdade de Medicina, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
Laís Santos de Magalhães Cardoso Programa de Pós-Graduação, Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.
Antonio Luiz Pinho Ribeiro Hospital das Clínicas e Faculdade de Medicina, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil
Deborah Carvalho Malta Departamento de Enfermagem Materno Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil https://orcid.org/0000-0002-8214-5734

DOI:

https://doi.org/10.1590/1980-549720210015.supl.1

Keywords:

Hypertension, Diabetes Mellitus, Small-Area Analysis, Health Surveys, Logistic Models

Abstract

Objective: To estimate the prevalence of hypertension and diabetes for small areas in Belo Horizonte, using the Health Vulnerability Index (HVI). Methods: Ecological study with data from the Surveillance of Risk and Protection Factors for Chronic Diseases by Telephone Survey (Vigitel) conducted in Belo Horizonte, from 2006 to 2013. The self-reported diagnosis of diabetes and hypertension were evaluated. The estimates of prevalence and the 95% confidence interval (95% CI) were calculated using the direct and indirect method by HVI grouped into four categories: low, medium, high and very high health risk. Results: During the period evaluated, 26.0% (95% CI 25.2 - 26.8) and 6.1% (95% CI 6.7% - 6.5%) of the adult population in Belo Horizonte reported being hypertensive and diabetic, respectively. According to the indirect method to obtain estimates of hypertension and diabetes due to HVI, it was found that areas of very high risk had a higher prevalence of adults with hypertension (38.6; 95% CI: 34.8 - 42.4) and diabetes (16.2%; 95% CI: 13.1 - 19.3) when compared to the low risk (28.2; 95% CI: 27.0– 29.4) and (6.0%; 95% CI: 5.4 - 6.7), respectively. Conclusions: The adult population living in areas at high risk for health had a higher prevalence of hypertension and diabetes compared to those with a lower risk.