| Author | Pescarini, Julia M. | |
| Author | Campbell, Desmond | |
| Author | Amorim, Leila D. | |
| Author | Falcão, Ila R . | |
| Author | Ferreira, Andrêa J. F. | |
| Author | Allik, Mirjam | |
| Author | Shaw, Richard J. | |
| Author | Malta, Deborah C. | |
| Author | Ali, M. Sanni | |
| Author | Smeeth, Liam | |
| Author | Barreto, Mauricio L. | |
| Author | Leyland, Alastair | |
| Author | Craig, Peter | |
| Author | Aquino, Estela M. L. | |
| Author | Katikireddi, Srinivasa Vittal | |
| Access date | 2023-01-10T18:11:49Z | |
| Available date | 2023-01-10T18:11:49Z | |
| Document date | 2022 | |
| Citation | PESCARINI, Julia M. et al. Impact of Brazil’s Bolsa Familia programme on cardiovascular and all-cause mortality: a natural experiment study using the 100 million Brazilian cohort. International Journal of Epidemiology, p. 1-15, 2022. | en_US |
| ISSN | 1464-3685 | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/56427 | |
| Sponsorship | National Institute for Health Research (NIHR).
Medical Research Council and Scottish Government Chief Scientist Office.
UK Medical Research Council.
the Scottish Government Chief Scientist Office.
Wellcome Trust UK.
Conselho Nacional de Desenvolvimento Científico e Tecnológico Desenvolvimento (CNPq).
Ministério da Saúde (MS).
Bill & Melinda Fundação Gates.
National Health Service Research Scotland. | en_US |
| Language | eng | en_US |
| Publisher | Oxford University Press | en_US |
| Rights | open access | en_US |
| Subject in Portuguese | Doença cardiovascular | en_US |
| Subject in Portuguese | Mortalidade | en_US |
| Subject in Portuguese | Transferência condicional de dinheiro | en_US |
| Subject in Portuguese | Programa bolsa família | en_US |
| Subject in Portuguese | Estratégia saúde da família | en_US |
| Title | Impact of Brazil’s Bolsa Famılia programme on cardiovascular and all-cause mortality: a natural experiment study using the 100 million brazilian cohort | en_US |
| Type | Article | en_US |
| DOI | 10.1093/ije/dyac188 | |
| Abstract | Background: Cardiovascular disease (CVD) has a disproportionate effect on mortality among the poorest people. We assessed the impact on CVD and all-cause mortality of the world's largest conditional cash transfer, Brazil’s Bolsa Família Programme (BFP). Methods: We linked administrative data from the 100 Million Brazilian Cohort with BFP receipt and national mortality data. We followed individuals who applied for BFP between 1 January 2011 and 31 December 2015, until 31 December 2015. We used marginal structural models to estimate the effect of BFP on all-age and premature (30–69 years) CVD and all-cause mortality. We conducted stratified analyses by levels of material deprivation and access to healthcare. We checked the robustness of our findings by restricting the analysis to municipalities with better mortality data and by using alternative statistical methods. Results: We studied 17 981 582 individuals, of whom 4 855 324 were aged 30–69 years. Three-quarters (76.2%) received BFP, with a mean follow-up post-award of 2.6 years. We detected 106 807 deaths by all causes, of which 60 893 were premature; and 23 389 CVD deaths, of which 15 292 were premature. BFP was associated with reductions in premature all-cause mortality [hazard ratio (HR) = 0.96, 95% CI = 0.94–0.98], premature CVD (HR = 0.96, 95% CI = 0.92–1.00) and all-age CVD (HR = 0.96, 95% CI = 0.93–1.00) but not all-age all-cause mortality (HR = 1.00, 95% CI = 0.98–1.02). In stratified and robustness analyses, BFP was consistently associated with mortality reductions for individuals living in the two most deprived quintiles. Conclusions: BFP appears to have a small to null effect on premature CVD and all-cause mortality in the short term; the long-term impact remains unknown. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Departments of Infectious Disease Epidemiology (JMP) and Epidemiology and Population Health (LS). Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, UK. | en_US |
| Affilliation | MRC/CSO Social & Public Health Sciences Unit. University of Glasgow. Glasgow, UK. | en_US |
| Affilliation | Universidade Federal da Bahia. Instituto de Matemática e Estatística. Departamento de Estatística. Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil. | en_US |
| Affilliation | MRC/CSO Social & Public Health Sciences Unit. University of Glasgow. Glasgow, UK. | en_US |
| Affilliation | MRC/CSO Social & Public Health Sciences Unit. University of Glasgow. Glasgow, UK. | en_US |
| Affilliation | Universidade Federal de Minas gerais. Departamento materno infantil e Saúde pública. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | Departments of Infectious Disease Epidemiology (JMP) and Epidemiology and Population Health (LS). Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, UK. | en_US |
| Affilliation | Departments of Infectious Disease Epidemiology (JMP) and Epidemiology and Population Health (LS). Faculty of Epidemiology and Population Health. London School of Hygiene & Tropical Medicine. London, UK / Health Data Research (HDR). London, UK. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Muniz. Centro de Integração de Dados e Conhecimentos para a Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | en_US |
| Affilliation | MRC/CSO Social & Public Health Sciences Unit. University of Glasgow. Glasgow, UK. | en_US |
| Affilliation | MRC/CSO Social & Public Health Sciences Unit. University of Glasgow. Glasgow, UK. | en_US |
| Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | en_US |
| Affilliation | MRC/CSO Social & Public Health Sciences Unit. University of Glasgow. Glasgow, UK. | en_US |
| Subject | Cardiovascular disease | en_US |
| Subject | Mortality | en_US |
| Subject | Conditional cash transfer | en_US |
| Subject | Bolsa famılia programme | en_US |
| Subject | Family health strategy | en_US |
| DeCS | Anormalidades cardiovasculares | en_US |
| DeCS | Mortalidade | en_US |
| DeCS | Programas sociais | en_US |
| DeCS | Estratégias de saúde nacionais | en_US |
| xmlui.metadata.dc.subject.ods | 01 Erradicação da pobreza | |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
| xmlui.metadata.dc.subject.ods | 10 Redução das desigualdades | |
