51. Burden of non-communicable diseases attributed to alcohol consumption in 2019 for the Brazilian Unified Health System.
- Author
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Vegi, A.S.F., Guedes, L.F.F., Felisbino-Mendes, M.S., Malta, D.C., Fernandes, E.L., and Machado, I.E.
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HEALTH systems agencies , *LIFE expectancy , *POPULATION health , *SEX distribution , *GLOBAL burden of disease , *DESCRIPTIVE statistics , *AGE distribution , *POPULATION geography , *NON-communicable diseases , *EXPERIMENTAL design , *RESEARCH methodology , *ALCOHOL drinking , *SOCIAL support , *PEOPLE with disabilities - Abstract
To estimate the health and economic burden of non-communicable diseases (NCDs) attributed to alcohol consumption in 2019 for the Brazilian Unified Health System (SUS) stratified by states. Observational, descriptive, and ecological study. We used population attributable fractions (PAFs) of NCDs due to alcohol consumption from the Global Burden of Disease study. We applied the PAFs to the costs of hospitalizations and outpatient procedures of medium to high complexity paid by SUS for each outcome, obtained from official databases. We also calculated the disability-adjusted life years (DALYs) and mortality caused by alcohol-related NCDs. We converted the costs into international dollars (Int$) using the purchasing parity power in 2019. Alcohol-related NCDs accounted for 8.48% of deaths and 7.0% of DALYs among men, and 1.33% of deaths and 1.6% of DALYs among women. The main diseases were substance use, digestive, and neoplastic diseases. The SUS spent Int$202.0 million on alcohol-related NCDs, mostly on hospitalizations. The highest health burden was observed in the states of the Northeast region, and the highest expenses in the states from the South. The burden and cost values varied by sex, age group, and state. The study showed that alcohol consumption has a significant impact on Brazilian population morbidity and mortality and SUS expenditures, especially among men. These results can support policies for the prevention and control of alcohol consumption and health promotion at the subnational level, prioritizing strategies that are more appropriate to local realities. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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