Abstract：
Deaths from diseases of the circulatory system and ischemic heart diseases are declining, but slowly in developing countries, emphasizing its probable relationship with determinants of social vulnerability.
To analyze the temporal progression of mortality rates of diseases of the circulatory system and ischemic heart diseases from 1980 to 2019 and the association of the rates with the Municipal Human Development Index and Social Vulnerability Index in Brazil.
We estimated the crude and standardized mortality rates of diseases of the circulatory system and ischemic heart diseases and analyzed the relationship between the obtained data and the Municipal Human Development Index and Social Vulnerability Index. Data on deaths and population were obtained from the DATASUS. The Municipal Human Development Index and the Social Vulnerability Index of each federative unit were extracted from the websites Atlas Brazil and Atlas of Social Vulnerability, respectively.
The age-standardized mortality rates of diseases of the circulatory system and ischemic heart diseases showed a downward trend nationwide, which was unequal across the federative units. There was an inversely proportional relationship between the standardized mortality rates of diseases of the circulatory system and ischemic heart diseases and the Municipal Human Development Index. The downward mortality trend was observed when the indices were greater than 0.70 and 0.75, respectively. The Social Vulnerability Index was directly proportional to the standardized mortality rates of diseases of the circulatory system and ischemic heart diseases. An upward mortality trend was observed with a Social Vulnerability Index greater than 0.35.
Social determinants represented by the Municipal Human Development Index and the Social Vulnerability Index were related to mortality from diseases of the circulatory system and ischemic heart diseases across the Brazilian federative units. The units with most development and least social inequalities had the lowest mortality from these causes. The most vulnerable die the most.
To analyze the temporal progression of mortality rates of diseases of the circulatory system and ischemic heart diseases from 1980 to 2019 and the association of the rates with the Municipal Human Development Index and Social Vulnerability Index in Brazil.
We estimated the crude and standardized mortality rates of diseases of the circulatory system and ischemic heart diseases and analyzed the relationship between the obtained data and the Municipal Human Development Index and Social Vulnerability Index. Data on deaths and population were obtained from the DATASUS. The Municipal Human Development Index and the Social Vulnerability Index of each federative unit were extracted from the websites Atlas Brazil and Atlas of Social Vulnerability, respectively.
The age-standardized mortality rates of diseases of the circulatory system and ischemic heart diseases showed a downward trend nationwide, which was unequal across the federative units. There was an inversely proportional relationship between the standardized mortality rates of diseases of the circulatory system and ischemic heart diseases and the Municipal Human Development Index. The downward mortality trend was observed when the indices were greater than 0.70 and 0.75, respectively. The Social Vulnerability Index was directly proportional to the standardized mortality rates of diseases of the circulatory system and ischemic heart diseases. An upward mortality trend was observed with a Social Vulnerability Index greater than 0.35.
Social determinants represented by the Municipal Human Development Index and the Social Vulnerability Index were related to mortality from diseases of the circulatory system and ischemic heart diseases across the Brazilian federative units. The units with most development and least social inequalities had the lowest mortality from these causes. The most vulnerable die the most.
摘要：
循环系统疾病和缺血性心脏病的死亡人数正在下降，但是在发展中国家，强调其与社会脆弱性决定因素的可能关系。
分析1980年至2019年循环系统疾病和缺血性心脏病死亡率的时间进展，以及该比率与巴西市政人类发展指数和社会脆弱性指数的关联。
我们估计了循环系统疾病和缺血性心脏病的粗略和标准化死亡率，并分析了获得的数据与城市人类发展指数和社会脆弱性指数之间的关系。有关死亡和人口的数据来自DATASUS。每个联邦单位的市政人类发展指数和社会脆弱性指数来自网站AtlasBrazil和社会脆弱性地图集，分别。
在全国范围内，循环系统疾病和缺血性心脏病的年龄标准化死亡率呈下降趋势，这在联邦单位中是不平等的。循环系统疾病和缺血性心脏病的标准化死亡率与市政人类发展指数之间存在成反比的关系。当指数分别大于0.70和0.75时，观察到死亡率下降趋势。社会脆弱性指数与循环系统疾病和缺血性心脏病的标准化死亡率成正比。观察到死亡率上升趋势，社会脆弱性指数大于0.35。
以市政人类发展指数和社会脆弱性指数为代表的社会决定因素与整个巴西联邦单位的循环系统疾病和缺血性心脏病的死亡率有关。发展最多、社会不平等最少的单位因这些原因死亡率最低。最脆弱的人死亡最多。
分析1980年至2019年循环系统疾病和缺血性心脏病死亡率的时间进展，以及该比率与巴西市政人类发展指数和社会脆弱性指数的关联。
我们估计了循环系统疾病和缺血性心脏病的粗略和标准化死亡率，并分析了获得的数据与城市人类发展指数和社会脆弱性指数之间的关系。有关死亡和人口的数据来自DATASUS。每个联邦单位的市政人类发展指数和社会脆弱性指数来自网站AtlasBrazil和社会脆弱性地图集，分别。
在全国范围内，循环系统疾病和缺血性心脏病的年龄标准化死亡率呈下降趋势，这在联邦单位中是不平等的。循环系统疾病和缺血性心脏病的标准化死亡率与市政人类发展指数之间存在成反比的关系。当指数分别大于0.70和0.75时，观察到死亡率下降趋势。社会脆弱性指数与循环系统疾病和缺血性心脏病的标准化死亡率成正比。观察到死亡率上升趋势，社会脆弱性指数大于0.35。
以市政人类发展指数和社会脆弱性指数为代表的社会决定因素与整个巴西联邦单位的循环系统疾病和缺血性心脏病的死亡率有关。发展最多、社会不平等最少的单位因这些原因死亡率最低。最脆弱的人死亡最多。
