Mortality from chronic non-transmissible diseases in italian and brazilian elderly: a pre-pandemic analysis Sars-Cov-2

Aim: Analyze some data available by the main Italian and Brazilian agencies on mortality of elderly people in both countries before the SARS-CoV-2 pandemic from non-communicable chronic diseases (NCD). Materials and methods: Descriptive and comparative study, retrieved from the database of the National Italian Institute of Statistics (Istituto Nazionale di Statistica) and for the Brazilian population, from the database of the Department of Informatics of the Unified Health System (DATASUS). The results acquired in the databases were organized in a table according to the region / country and age group / sex. We used multiple correspondence analysis (ACM) to explore the relationship between six age / sex variables (eg, male general, male 60-69, male 70-79, female general, female 60-69, female 70-79) and 13 regions / country. Results: It was possible to draw some inferences about what are the main incidences of diseases related to sex and economic regions: there is a different relationship between mortality rate and age group between the different Brazilian and Italian regions. The highest mortality among Italian and Brazilian women is in low-income regions. Men have higher mortality in other regions, with an early mortality compared to women. Discussion: The results indicate that the relationship between mortality rate and age group differs between the different regions of Brazil and Italy. If, on the one hand, women over 70 had higher mortality from NCDs in 2017 in the South and in the Italian islands (Sardinia and Sicily), men in a similar age group had higher mortality in the Center and Northwest of Italy. In Brazil, higher mortality in women was observed in the Northeast, while men aged 60 to 69 years had a higher mortality rate in all other regions, except for Brasília. Conclusion: The findings indicate that the relationship between mortality rate and age group diverge between different Brazilian and Italian regions. Higher mortality in Italian and Brazilian women was found in regions with low income. On the other hand, men have higher mortality in other regions.