Article
Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil
Registro en:
SNYDER, R. E. et al. Differences in the Prevalence of Non-Communicable Disease between Slum Dwellers and the General Population in a Large Urban Area in Brazil. Tropical Medicine and Infectious Diseases, v. 2, p. 47, 2017.
2414-6366
Autor
Snyder, Robert E
Rajan, Jayant V
Costa, Federico
Lima, Helena Cristina Alves Vieira
Calcagno, Juan I
Couto, Ricardo David
Riley, Lee W
Reis, Mitermayer Galvão dos
Ko, Albert Icksang
Ribeiro, Guilherme de Sousa
Resumen
Oswaldo Cruz Foundation, Brazilian Ministry of Health; the Coordination for the Improvement of Higher Education Personnel (CAPES), Brazilian Ministry of Education; the National Counsel of Technological and Scientific Development (CNPq); the National Institutes of Health (NIH) (grants R01 AI052473, U01 AI088752, R01 TW009504, R24 TW007988, R25 TW009338, and D43 TW00919 to A.I.K.). 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.