Cirrhosis of the liver in Brazil: mortality and productive years of life lost prematurely

摘要: This descriptive study was done using official data on mortality from cirrhosis of the liver for year 1989. Its objectives are: (a) to describe in Brazilian adults; (b) estimate productive years life lost (PYLL) prematurely (between 20 and 59 age) this cause; (c) show any regional differences or PYLL. The raw were adjusted by age sex, 1980 population Brazil as standard. Calculation PYLL based formula Romeder McWhinnie potential lost, modified author express lost. crude death rates higher Southeast North, all regions they males, countrywide male/female ratio being 4.5. Cirrhosis among males ranged a low 14.37 deaths per 100 000 Center-West high 35.86 Southeast; females 3.49 8.5 North. curves men showed leveling off decline after 60, except North where curve continued rise. Like latter curve, women also kept rising progressively with increasing age, most markedly Northeast. Overall, accounted 48.7% digestive system disorders 24.1% such women. Of 138 860 1989, 83.2% males; but average loss person dying nationwide, around 15.5 years, similar both sexes. Regionally, affected than it other regions. suggest that regions, is probably attributable largely alcoholism. Among there strong evidence viral etiology (hepatitis B C viruses) important. For women, suggests predominates.