| Author | Flores-Ortiz, Renzo | |
| Author | Fiaccone, Rosemeire L. | |
| Author | Leyland, Alastair | |
| Author | Millett, Christopher | |
| Author | Hone, Thomas | |
| Author | Schmidt, Maria Inês | |
| Author | Ferreira, Andrêa J. F. | |
| Author | Ichihara, Maria Y. | |
| Author | Teixeira, Camila | |
| Author | Sanchez, Mauro N. | |
| Author | Pescarini, Julia | |
| Author | Aquino, Estela M. L . | |
| Author | Malta, Deborah C . | |
| Author | Velasquez-Melendez, Gustavo | |
| Author | Oliveira, Juliane Fonseca de | |
| Author | Craig, Peter | |
| Author | Silva, Rita C. Ribeiro | |
| Author | Barreto, Mauricio L | |
| Author | Katikireddi, Srinivasa Vittal | |
| Access date | 2024-04-18T17:21:07Z | |
| Available date | 2024-04-18T17:21:07Z | |
| Document date | 2023 | |
| Citation | FLORES-ORTIZ, Renzo et al. Subsidised housing and diabetes mortality: a retrospective cohort study of 10 million low-income adults in Brazil. BMJ Open Diabetes Research and Care, v. 11, p. 1-10, 2023. | en_US |
| ISSN | 2052-4897 | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/63569 | |
| Sponsorship | National Institute for Health Research (NIHR).
Medical Research Council.
Brazilian Ministry of Health.
Bill & Melinda Gates.
Wellcome Trust. | en_US |
| Language | eng | en_US |
| Publisher | BMJ Publishing Group | en_US |
| Rights | open access | en_US |
| Subject in Portuguese | Habitação subsidiada | en_US |
| Subject in Portuguese | Diabetes | en_US |
| Subject in Portuguese | Mortalidade | en_US |
| Subject in Portuguese | Estudo de coorte | en_US |
| Subject in Portuguese | Adultos de baixa renda | en_US |
| Subject in Portuguese | Brasil | en_US |
| Title | Subsidised housing and diabetes mortality: a retrospective cohort study of 10 million low-income adults in Brazil | en_US |
| Type | Article | en_US |
| DOI | 10.1136/bmjdrc-2022-003224 | |
| Abstract | Introduction Housing-related factors can be predictors of health, including of diabetes outcomes. We analysed the association between subsidised housing residency and diabetes mortality among a large cohort of low-income adults in Brazil. Research design and methods A cohort of 9 961 271 low-income adults, observed from January 2010 to December 2015, was created from Brazilian administrative records of social programmes and death certificates. We analysed the association between subsidised housing residency and time to diabetes mortality using a Cox model with inverse probability of treatment weighting and regression adjustment. We assessed inequalities in this association by groups of municipality Human Development Index. Diabetes mortality included diabetes both as the underlying or a contributory cause of death. Results At baseline, the mean age of the cohort was 40.3 years (SD 15.6 years), with a majority of women (58.4%). During 29 238 920 person-years of follow-up, there were 18 775 deaths with diabetes as the underlying or a contributory cause. 340 683 participants (3.4% of the cohort) received subsidised housing. Subsidised housing residents had a higher hazard of diabetes mortality compared with non-residents (HR 1.17; 95% CI 1.05 to 1.31). The magnitude of this association was more pronounced among participants living in municipalities with lower Human Development Index (HR 1.30; 95% CI 1.04 to 1.62). Conclusions Subsidised housing residents had a greater risk of diabetes mortality, particularly those living in low socioeconomic status municipalities. This finding suggests the need to intensify diabetes prevention and control actions and prompt treatment of the diabetes complications among subsidised housing residents, particularly among those living in low socioeconomic status municipalities. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Matemática. Salvador, BA, Brasil. | en_US |
| Affilliation | University of Glasgow. Glasgow, UK. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil / Public Health Policy Evaluation Unit. Department of Primary Care and Public Health. School of Public Health. Imperial College London. London, UK. | en_US |
| Affilliation | Public Health Policy Evaluation Unit. Department of Primary Care and Public Health. School of Public Health. Imperial College London. London, UK. | en_US |
| Affilliation | Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Porto Alegre, PR, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade de Brasília. Centro de Medicina Tropical. Brasília, DF, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | en_US |
| Affilliation | Universidade Federal de Minas Gerais. Escola de Enfermagem. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | Universidade Federal de Minas Gerais. Escola de Enfermagem. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil / Center of Mathematics of University of Porto (CMUP). University of Porto. Porto, Portugal. | en_US |
| Affilliation | MRC/CSO Social and Public Health Sciences Unit. University of Glasgow. Glasgow, UK. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil / Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Gonçalo Moniz Instituto. Centro de Integração de Dados e Conhecimento para a Saúde (CIDACS). Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | en_US |
| Affilliation | MRC/CSO Social and Public Health Sciences Unit. University of Glasgow. Glasgow, UK. | en_US |
| Subject | Subsidised housing | en_US |
| Subject | Diabetes | en_US |
| Subject | Mortality | en_US |
| Subject | Cohort study | en_US |
| Subject | Low-income adults | en_US |
| Subject | Brazil | en_US |
| DeCS | Habitação social | en_US |
| DeCS | Diabetes Mellitus | en_US |
| DeCS | Mortalidade | en_US |
| DeCS | Estudos de Coortes | en_US |
| DeCS | Fatores sociais | en_US |
| DeCS | Brasil | 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 | |
| xmlui.metadata.dc.subject.ods | 11 Cidades e comunidades sustentáveis | |
