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Methodology, Building on global estimates suggesting that Peru is not on target to meet the Sustainable Development Goal 3.4, we estimated the contribution of various NCDs to the change in unconditional probability of dying from NCDs in 25 regions . infoinei@inei.gob.pe. However, these country-level estimates may not reflect the full reality within each country, particularly in low- and middle-income countries where socio-economic inequalities play a relevant role in the distribution of cardio-metabolic risk factors and NCDs mortality [6]. In 2018, the United Nations hosted the third high-level meeting on NCDs [4], where progress on the original targets were evaluated and evidence signalled that many low- and middle-income countries may not meet the targets on time [5]. The reductions seen in high-income settings could relate to better access to management and treatment of major cardiovascular disease (e.g., ischaemic heart disease or stroke) and cancer, while diabetes may still be underdiagnosed emerging at the onset of diabetes-related complications. promoción y difusión de la información estadística, pone a disposición de los usuarios el Sistema de here. All regions have improved both the overall unconditional probability of dying and life expectancy at birth (Fig 5; S2 Table). ¿Qué es la Encuesta Nacional a Grandes, Medianas y Pequeñas Empresas? When the overall change was negative, it suggested that the overall probability has reduced (i.e., larger in 2006 than in 2016); conversely, when the overall change was positive, this suggested that the overall probability has increased (i.e., larger in 2016 than in 2006). Overall, between 2006 and 2016, the unconditional probability of dying between ages 30 and 69 from any of the selected NCDs has decreased for both men and women: a 21.4% and 23.2% reduction, respectively (Fig 3; S1 Table). Las Quintanas - Trujillo, Dirección: Av. No, Is the Subject Area "Peru" applicable to this article? Censos Nacionales de Población y Vivienda de 2005. Middlesex University, London, United Kingdom, Roles Yes No ethical approval was sought. cardiovascular disease, cancer, chronic respiratory disease, diabetes, and chronic kidney disease) to the Sustainable Development Goal 3.4 of reducing NCDs-related premature mortality; of note, this goal seeks a one-third reduction of premature mortality from selected non-communicable diseases by 2030 [3]. Correo electrónico: ICA@INEI.GOB.PE JUNÍN: Oficina Departamental de Estadística e Informática: Huancayo: Dirección: Calle Real N°601- 615 - Huancayo DDN: 064 Telefax: 216336 - 214179 Correo electrónico: JUNIN@INEI.GOB.PE LA LIBERTAD Writing – review & editing, Affiliation identificando las características de las viviendas y de población distribuida por sexo, edad, nivel Usted se encuentra aquí Portal Procedimientos: Señor/a informante, al visitar nuestra Página web institucional (www.inei.gob.pe), hacer doble clic con el mouse de su PC en el recuadro que muestra el logo del V CENEC - Encuesta Nacional, que se ubica en la parte izquierda inferior, el mismo que lo llevará al Portal de la encuesta. PLoS ONE 15(10): In all twenty-five regions, the overall unconditional probability of dying from the selected NCDs has decreased for men and women (Fig 3; S1 Table). Regions in blue are in the Coast; regions in brown are in the Andes and regions in green are in the Amazon. Gral. This method redistributes ill-defined (garbage) codes and under-reporting into the other categories. Peru is an upper-middle-income country (World Bank classification) in South America with a population of 32 million people, divided geo-politically into 25 regions (Fig 2) [8]. For more information about PLOS Subject Areas, click N° 4 Oficina N° 3 San Juan 2do. Sin embargo, su estructura es la misma de la Encuesta Económica Anual que el INEI lleva a cabo anualmente. We estimated the contribution of each NCD to the change in the unconditional probability of dying from any of these NCDs between 2006 and 2016. The unconditional probability refers to the probability of dying without any competing causes of death. endobj For example, regarding cancer and diabetes, in the Amazon the contribution was larger in men than in women (Fig 4; S1 Table). Santa Fortunata Mza. We used the same methods as in previous publications [23], based on standard techniques [21]. All authors approved the submitted version. Is the Subject Area "Noncommunicable diseases" applicable to this article? Producción de las industrias de elaborados de metal, maquinaria y equipo, maquinaria y aparatos eléctricos, y vehículos. Supervision, The positive contribution of chronic kidney diseases may be due to the advancement of policies to secure access to kidney replacement therapy [33], yet there has been limited long-term evaluation of these policies to quantify how they may have affected our findings. Peru has adopted several of the Best Buys interventions, Package of Essential NCDs Interventions for Primary Health Care, and HEARTS Technical package for cardiovascular disease management in primary health care [27]. REDATAM. Información Geográfica para Emprendedores. Q3A Lote. Derechos Reservados, Deberán presentar el formulario diligenciado desde el 12 de setiembre al 12 de diciembre de 2022, ELECTRICIDAD Y GENERACIÓN DE ENERGÍA, Oficina Departamental de EstadÃstica e Informática, Dirección: Jr. Amazonas N° 417, Chachapoyas. Because of data availability of death rates at the regional level, rather than at the country level available through WHO, we focused on Peru; yet, our findings and conclusions can be informative for other countries with similar geographic and epidemiological profiles, both in Latin American and in other world regions. With the outputs of the unconditional probability of dying formula, we estimated the overall change in the unconditional probability of dying between ages 30 to 69 from any of the selected causes of death between 2006 and 2016 (Table 1). The positive contribution of chronic respiratory diseases and chronic kidney disease to the overall change has been negligible in many regions. Tel: (51-1) 652-0000. infoinei@inei.gob.pe. Aparecerá un mensaje en la parte central de la pantalla, el mismo que indicará donde fue almacenado el documento exportado. We present life expectancy estimates to compare these with the unconditional probability of dying, and not to replace those provided by national authorities. In other words, diabetes mortality is lagging the overall reduction in the unconditional probability of dying from the selected NCDs. El Instituto Nacional de Estadística e Informática (INEI), en el marco de sus actividades para la After this event, the World Health Organization established nine voluntary goals, including to achieve a 25% reduction in the overall mortality from key NCDs: cardiovascular diseases, cancer, chronic respiratory diseases and diabetes [2]. Ingrese su número de RUC para consultar si está obligado a informar y acceda a su formulario, Copyright © INEI, 2022. We developed five region-, age- and sex-specific counterfactual scenarios to determine the relative contribution of each condition to the total. José Balta N° 658, 1er.Piso- Chiclayo, Dirección: Av. Municipalidad N° 209-213 - Ica, Dirección: Calle Real N°601- 615 - Huancayo, Dirección: Avda. Piso, Yanacancha, Dirección: Calle El Parque N° 212 - Urbanización Santa Isabel Piura, Dirección: Calle Lima N° 531-541 -Puno, Dirección: Jr. San MartÃn N° 533-Tarapoto, Dirección: Jr. San MartÃn N° 520 - Tacna, Dirección: Av. Garzón 654 - 658, Jesús María Lima-Perú Teléfono: 652 0000 - 203 2640 infoinei@inei.gob.pe Discover a faster, simpler path to publishing in a high-quality journal. Nonetheless, the other possible explanation is that the other diseases are not improving as fast or as much as needed [39]. The selected causes of death were cardiovascular diseases (International Classification of Diseases 10th (ICD-10): I00-99), cancer (ICD-10: C00-97), diabetes (ICD-10: 10-14), chronic respiratory diseases (ICD-10: J30-98) and chronic kidney disease (ICD-10: N18). Consistently in men and women and across regions, diabetes moved in the opposite direction of the overall reduction in the unconditional probability of dying from any selected NCD. In addition, we estimated the change for each counterfactual scenario in relation to all the scenarios (Table 1). The contribution to the overall change of the unconditional probability of dying from the selected NCDs between 2006 and 2016 differed between men and women and by region (Fig 4; S1 Table). Entidades Relacionadas. Autorizan ejecución de la "Encuesta Nacional a Grandes, Medianas y Pequeñas Empresas V Censo Nacional Económico - V CENEC"-RESOLUCION JEFATURAL-Nº 117-2022-INEI https://doi.org/10.1371/journal.pone.0240494.g005. Although the unconditional probability of dying from any selected NCD has decreased, diabetes would prevent Peru from meeting international targets. INEI inicia segunda fase del V Censo Nacional Económico. INEI, PERÚ. Dirección Ejecutiva de Censos y Encuestas de Empresas y Establecimientos. endobj Ingrese su número de RUC para consultar si su empresa está seleccionada. Finally, in 2016, chronic kidney disease accounted for 1.8% and 1.7% of all deaths in men and women, respectively; these numbers in 2006 were 2.5% and 2.8%. En junio del presente año la producción nacional creció 3,44%. Roles 2 0 obj %���� The prevalence of diabetes is higher in women than men (8.1% vs 7.2%) [11]. %PDF-1.5 Data curation, Strong evidence suggests that the prevalence of this condition has increased in the last decades [11, 34], driven by the concomitant obesity burden at the national and sub-national level [10, 35, 36]. No other specific population-based policies or interventions have been implemented targeting diabetes, including, for example, providing opportunities for physical activity. Chronic respiratory diseases accounted for 4.3% and 4.1% of all deaths in men and women in 2016; with little variation from 2006 (4.6% and 3.9%). Chronic kidney disease was included because it shares risk factors with the other four causes and its burden is increasing in Peru [17, 18]. Methodology, Tríptico de la Encuesta Económica Anual 2021. Bienvenido al portal web de la Encuesta Nacional a Grandes, Medianas y Pequeñas Empresas Fase 2 del V CENEC 2022. Writing – review & editing, Affiliation All ‘% of the overall change’ add up to 1 (or 100%). Tuberculosis is a risk factor for chronic respiratory diseases; if tuberculosis decreases, chronic respiratory diseases would decrease as well, and so would mortality because of chronic respiratory diseases. Muchas salas de redacción y periodistas usan . In 2016, cancers were responsible for 21.9% and 39.6% of all deaths in men and women, respectively (24.7% and 42.3% in 2006). Using national death registries and census data, we estimated the unconditional probability of dying between ages 30 and 69 from any and from each of the following NCDs: cardiovascular, cancer, diabetes, chronic respiratory diseases and chronic kidney disease. No, Is the Subject Area "Death rates" applicable to this article? Diabetes contributed a rise in the unconditional probability of 3.6% in men and 2.1% in women. e0240494. Esta investigación, capta información económica y financiera de las empresas formales a nivel nacional, Usted se encuentra aquí Portal ¿Qué es la Encuesta Nacional a Grandes, Medianas y Pequeñas Empresas? According to the national estimate Peru is not on track to meet the Sustainable Development Goal 3.4 by 2030, yet is has improved in the last years [5]. Writing – review & editing, Roles Writing – review & editing, Affiliations The estimates obtained in this work complement the global evidence and strengthen knowledge to assess public health strategic interventions and policies in the effort of reducing premature mortality from NCDs and at national and subnational levels in Peru. Montesinos S/N°, referencia a 1/2 cuadra del Complejo Deportivo del IPD - Barrio de Santa Ana - Huancavelica, Dirección: 28 de Julio N° 835 - Huánuco, Dirección: Av. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Of note, this approach was used by the United Nations Population Division, the World Health Organization [24], the Human Mortality Database [25], and The Lancet Series on aging [26]. Regarding the unfavourable diabetes contribution across regions, this is consistent with the high obesity prevalence in Peru [35, 41], and with the increasing number of diabetes cases documented in several regions [34, 42, 43]. Dirección de Censos y Encuestas de Empresas y Establecimientos. Sistema desarrollado por el INEI, que facilita el uso de la información estadística generada a partir de los resultados de los Censos Nacionales, proporcionando datos a nivel nacional, departamental, provincial, distrital y centros poblados. Los Pinos, Manzana A2 Lote 1 - Chimbote (Altura del Vivero Forestal de Chimbote - Zona La Antena), Dirección: Av. Resolución Jefatural. Manuel Vera EnrÃquez N° 504 - Urb. Chronic kidney disease (1.5% in men and 2.3% in women) and chronic respiratory diseases (1.3% in men and 0.6% in women) contributed smaller proportions to the reduction in the overall unconditional probability of dying (Fig 3; S1 Table). SISTEMA DE CONSULTA. To the best of our knowledge there has not been a systematic and consistent analysis of the impact of the “Plan Esperanza”, though the wide and sustained implementation of this program across the country may account for (or some of) our findings regarding the contribution of cancer mortality. An increase in diabetes-associated mortality has also been reported in Peru [37]. To be consistent with the Sustainable Development Goal 3.4 we focused on people aged 30 to 69 years, though we acknowledge that the selected NCDs also represent a large burden of morbidity and mortality among older people [5, 44]. The overall unconditional probability of dying improved for men (21.4%) and women (23.3%). In the meantime, people at high risk of diabetes should be identified so that appropriate primary or secondary prevention strategies can be implemented. For this, it requires mortality data and life tables (account for the expected number of deaths), which were available from the Peruvian Institute of Statistics and informatics [19, 20]. For example, in order to examine the impact of changes in cancer on the total, the counterfactual scenario included death rates of cancer in 2016, but death rates of cardiovascular disease, diabetes, chronic respiratory diseases, and chronic kidney disease in 2006 (Table 1). identificar a nivel de areas geográficas personalizadas las potencialidades del mismo, ya sea Producción de las industrias de minerales no metálicos y metales comunes. This finding calls to strengthen policies to improve screening, early diagnosis, adequate control and to prevent complications in people with diabetes. El Instituto Nacional de Estadística e Informática (INEI) informó que, en el mes de junio de 2022, la producción nacional se incrementó 3,44%, debido a la evolución favorable de la . Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom, 6 del CC.PP. Yes negocio, personal ocupado y el volumen anual de ventas de los establecimientos circundantes. No, Is the Subject Area "Life expectancy" applicable to this article? In 2015 the United Nations issued the Sustainable Development Goals, which included health-related targets of reducing premature mortality from NCDs by 2030, with emphasis on the same four diseases [3]. Where diabetes moved in the opposite direction of the overall trend, was largely in women from Moquegua (14.5%), though where diabetes positively contributed the most, i.e. 9. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0240494, https://www.who.int/nmh/events/un_ncd_summit2011/en/, https://www.who.int/nmh/global_monitoring_framework/en/, https://sustainabledevelopment.un.org/?menu=1300, https://www.who.int/ncds/governance/third-un-meeting/en/, http://ais.paho.org/phip/indicators/Premature_mortality_ncd_definition.pdf?ua=1, http://censos.inei.gob.pe/Censos2007/redatam/, https://www.who.int/nmh/ncd-tools/definition-targets/en/, https://www.dge.gob.pe/portal/docs/asis/Asis_mortalidad.pdf, https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1665/index.html, http://www.mortality.org/Public/Docs/MethodsProtocol.pdf, https://extranet.who.int/sree/Reports?op=Replet&name=%2FWHO_HQ_Reports%2FG2%2FPROD%2FEXT%2FTBCountryProfile&ISO2=PE&LAN=EN&outtype=html, http://www.dge.gob.pe/portal/index.php?option=com_content&view=article&id=598&Ite-mid=353. Peru has made several efforts to implement policies to improve the overall scenario of non-communicable diseases, allocating further resources will require the commitment of policymakers and practitioners. https://doi.org/10.1371/journal.pone.0240494.g004. Building on global estimates suggesting that Peru is not on target to meet the Sustainable Development Goal 3.4, we estimated the contribution of various NCDs to the change in unconditional probability of dying from NCDs in 25 regions in Peru. El SIGE toma como principales fuentes de información los Censos Nacionales de Población y Vivienda 2007 y el IV Censo Nacional Económico 2008, aplicados sobre espacios geográficos urbanos definidos que el usuario podrá definir, con la finalidad de facilitar la toma de decisiones de inversión de los jóvenes emprendedores de negocio. CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru, Yes Each counterfactual scenario included death rates in 2016 for one cause and death rates for the other causes in 2006. We reckon this would be a limitation of any work, both local and global, looking at mortality in Peru. We used the above described counterfactual scenarios to estimate the unconditional probability of dying. These regions can be grouped in three macro-regions: coast (high income regions at sea level), Andes or highlands (regions with low income and several at high altitude above the sea level), and the Amazon (middle-income regions mostly at sea level). CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru, Roles San Antonio- Moquegua, Dirección: Centro Comercial Edif. here. El Instituto Nacional de Estadística e Informática (INEI) como parte de las actividades destinadas a la promoción y difusión de la información estadística, pone a disposición de los/las usuarios/as y público en general, el Sistema de Consulta de Centros Poblados que brinda información geográfica, demográfica y social de los centros . RMC-L had full access to all the data in the study and had final responsibility for the decision to submit for publication. Consultas y contacto directo con la EEA 2021. No, Is the Subject Area "Diabetes mellitus" applicable to this article? 28-05-2018. Citation: Carrillo-Larco RM, Bennett JE, Di Cesare M, Gregg EW, Bernabe-Ortiz A (2020) The contribution of specific non-communicable diseases to the achievement of the Sustainable Development Goal 3.4 in Peru. In June 2019, the Peruvian government initiated a policy to promote healthy foods that will likely take several years to have benefits. stream The overall life expectancy in 2016 was 75 (73 in 2006) in men and 82 (78 in 2006) in women. Tumbes Norte Nº 534 - 546 - Tumbes, Dirección: Jr. Tacna N° 865 -865- CallerÃa -Pucallpa. Garzón 654 - 658, Jesús María Lima-Perú Teléfono: 652 0000 - 203 2640 infoinei@inei.gob.pe Policies are needed to prevent diabetes and to strengthen healthcare to avoid diabetes-related complications and delay mortality. VISIÓN Electricidad, Gas y Agua. broad scope, and wide readership – a perfect fit for your research every time. Conceptualization, followed the trend of the overall reduction, was in men from Tumbes (7.7%) (Fig 3; S1 Table). El Instituto Nacional de Estadística e Informática (INEI) llevó a cabo la ejecución de los Censos Nacionales 2005: X de Población y V de Vivienda, a través de una investigación estadística que se extendió a lo largo de 32 días calendarios, del 18 de julio al 20 de agosto del 2005. VER TODAS LAS NOTAS DE PRENSA. Background Non-communicable diseases (NCDs) have received political attention and commitment, yet surveillance is needed to measure progress and set priorities. A negative change in the overall probability of dying (black dot) means that the probability of dying has decreased between 2006 and 2016 (i.e., favourable change). ����L ؽ.h��n�ȳ�����1�(��0�%(�����&=x�����A�7xJthRv; Dc��$. https://doi.org/10.1371/journal.pone.0240494.g003. The contribution of diabetes, on the other hand, moved in the opposite direction of the overall reduction in the unconditional probability of dying, contributing an increase to the overall change of 3.6% in men and 2.1% in women (Fig 3; S1 Table). One interpretation of our results is that diabetes is moving in the opposite direction of the overall improvement in the unconditional probability of dying; that is, diabetes may be, at best, slowing down the pace to meet the Sustainable Development Goal 3.4. The global burden of non-communicable diseases (NCDs) has garnered increasing attention because of their impact on individuals, health systems, and national economies alike. The Peruvian government has been implementing “improved kitchens” in places where families were still using solid fuels [32], which are also a risk factor for chronic respiratory diseases. Additional population-based policies are needed to reduce the diabetes burden while supporting the seemingly decreasing burden of cardiovascular diseases, cancers, chronic respiratory diseases and chronic kidney disease. This work analysed publicly available de-identified data, thus of low risk for human subjects. 10-08-2021. The contribution of chronic respiratory diseases and chronic kidney disease did not exhibit much variability across regions between men and women (Fig 4; S1 Table). El proceso censal contempla dos fases: En la primera fase, se realizará el . Conceptualization, Información General. El SIGE toma como principales fuentes de información los Censos Nacionales de Población y El V Censo Nacional Económico contempla dos fases: Primera Fase: Censo Nacional de Establecimientos 2022 Se empadronarán todas las empresas y establecimientos, independientemente de la actividad económica que desarrollen, mediante entrevista directa, utilizando un formulario único censal, en un dispositivo móvil de captura de datos (tableta). To estimate the contribution of each counterfactual scenario, and of each condition to the overall change in the probability of dying, we multiplied the change of each counterfactual scenario with the overall change of the unconditional probability. Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom, Roles Supervision, Av. One policy example is the “Plan Esperanza” (Hope Plan), implemented by the Peruvian government since 2012 which allocates resources and set as a priority the prevention, early detection, diagnosis, treatment and palliative care for cancer patients [28]. This is particularly relevant in today’s context in which the health system in Peru is investing much resources to control the COVID-19 pandemic, while unfortunately, other diseases may not be receiving as much as attention as before. Supervision, Madre de Dios is not included in the figure for women; life expectancy could not be estimated for this region because of very few or no deaths in the oldest age group. Writing – review & editing, Affiliations Rodrigo M Carrillo-Larco is supported by a Wellcome Trust International Training Fellowship (214185/Z/18/Z). However, people aged 70 years and above account for about 5% of the Peruvian population, thus their inclusion in the analysis would have had little impact. Yet the implementation of these policies and interventions may vary greatly across regions and time; also, how much they have contributed to lessen the burden of cardiovascular diseases has not been quantified. both population and mortality data in 2006). Non-communicable diseases (NCDs) have received political attention and commitment, yet surveillance is needed to measure progress and set priorities. Ingrese su número de RUC para consultar si está obligado a informar y acceda a su formulario We did not use mortality records and population data for the same exact years; however, this should have not biased the results because the overall population structure would not have substantially changed from one year to the next one. In 2016, cardiovascular diseases were responsible for 16.0% of all deaths in men and 13.7% in women; these numbers in 2006 were 20.5% and 17.3%, respectively. https://doi.org/10.1371/journal.pone.0240494.g001, https://doi.org/10.1371/journal.pone.0240494.t001. Tiene problemas con la instalación o llenado de formularios, o cualquier otra consulta?, revise las siguientes opciones por favor: Because risk stratification tools are available [38], the clinical community could foster their use and inclusion in local guidelines. El Instituto Nacional de Estadística e Informática (INEI), es un organismo técnico especializado con personería jurídica de derecho público. Moreover, mortality records were adjusted for under-reporting and garbage codes following standard methods [19, 20]. Although we thoroughly worked to improve our mortality data inputs [19, 20], interpretation and implementation of our results need to consider the limitations of the original data sources. �Lpc4�\�Yf�$�:,n��?�٢� �HTa��2�T��Zb�@J�E�6 C���E�:z�Ά��Ln��`�螋[��]�b�}���q��Y�^ Yes <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Publicaciones de interes. Data on cause of deaths by region, year, age and sex were requested and received from the Peruvian Ministry of Health mortality records in 2006 and 2016 (latest available year). PUBLICACIONES. Estimates are available in S1 Table. Yes Our work builds on this to explore the contribution of five key NCDs responsible for not meeting the target at national and subnational level. en la encuesta. 1 0 obj Desde el 16 de junio y hasta fin de año el Instituto Nacional de Estadística e Informática (INEI) ejecutará la Encuesta Nacional a Grandes, Medianas y Pequeñas Empresas, la actividad forma parte de la segunda fase del V Censo Nacional Económico (V CENEC) 2022, en la cual se estima . Hacer clic en ACEPTAR. The overall change in the probability of dying has mostly improved in the Coast, where there are cities with higher income and better access to healthcare. Population data were from the national census in 2007 and 2017 (total population) [13, 14]. Therefore, to complement the global evidence and to also strengthen local knowledge to inform policies and interventions, we analysed the unconditional probability of dying from selected NCDs in 25 regions in Peru. EXPORTAR LA PLANTILLA DEL BALANCE DE COMPROBACIÓN INEI Luego de guardar la plantilla del Balance de Comprobación INEI, realizar la exportación haciendo clic en el botón EXPORTAR. Av. The positive contribution of chronic respiratory diseases, we hypothesize, could be explained by the reduction in tuberculosis incidence and the implementation of policies to improve access to clean fuels [31, 32]. Death registries were adjusted to account for under-reporting and garbage codes following standard method. While policies and resources are much needed to improve health outcomes, they should be carefully thought and wisely allocated thereby contributing to close gaps and to improve health across regions and socio-economic stratum. Dirección: Jr. Dámaso Antunez N° 723 Barrio de Belén - Huaraz, Dirección: Urb. Using national death registries and census data we computed the unconditional probability of dying from any and each selected NCD in 25 regions in Peru [7]; also, we estimated the contribution of the selected NCDs to understand which followed a favourable trend and which moved in an opposite direction the change in the overall unconditional probability of dying from any of the selected NCDs between 2006 and 2016. Yes The proportion of garbage codes ranged from 9% (Tacna) to 26% (Junin) in 2006, and from 12% (Tacna) to 79% (Ucayali); overall, the proportion was 18%, with not large differences between 2006 (18%) and 2016 (18%). Our life expectancy estimates are slightly larger than those reported by Peruvian authorities; this could reflect different data sources, data preparation and processing as well as procedures to compute life expectancy. Producción de las industrias del petróleo, sustancias y productos químicos. Instituto Nacional de Estadística e Informática (INEI) perteneciente a la segunda fase del V Censo Nacional Económico 2022. Es la investigación estadística que forma parte del V Censo Nacional Económico 2022, que mediante un diseño muestral, recopilará información económica y financiera de las empresas que desarrollaron alguna . Population data in 2007 [13] were combined with death records in 2006, whilst population data in 2017 [14] were combined with death records in 2016. Censos Nacionales 2017: XII de Población, VII de Vivienda y III de Comunidades Indígenas . Click through the PLOS taxonomy to find articles in your field. We have analysed official mortality records and census data, following a consistent methodology, and building on global evidence to provide specific results for 25 regions in Peru. Acerca de. Circunvalación, Manzana U Lote 21 - Abancay, Dirección: Santo Domingo 103, Ofic.412 - Arequipa, Dirección: Jr. Callao N° 226 - Ayacucho, Dirección: Jr. Comercio N° 629 - Cajamarca, Dirección: Psje. Across regions, in both men and women, diabetes represents a key barrier to the achievement of global goals aiming to reduce premature mortality from NCDs [3]. Writing – original draft, . a los correos electrónicos mservan@inei.gob.pe o eportocarrero@inei.gob.pe Las autoridades municipales que requieran información adicional podrán llamar a los teléfonos 978880147 o 954747949 de funcionarios del INEI - Oficina Departamental de Amazonas. https://doi.org/10.1371/journal.pone.0240494.g002. These socio-economic-geographic inequalities have been documented for child health and nutrition [40], though most likely persist and affect morbidity and mortality in adults too. The first four are part of the World Health Organization Global Monitoring Framework for NCDs and the United Nations Sustainable Development Goal 3.4 [15, 16]. Until 2014 the epidemiology of cancer in Peru had a mixed profile, with mortality rates due to some neoplasms decreasing and others increasing [29]; recent evidence suggests that the cancer standardized mortality rates have decreased in Peru [30]. https://doi.org/10.1371/journal.pone.0240494.s001, https://doi.org/10.1371/journal.pone.0240494.s002, https://doi.org/10.1371/journal.pone.0240494.s003. National estimates indicate that NCD deaths accounted for 70% of all deaths in 2017 [9]. Regions in blue are in the Coast; regions in brown are in the Andes and regions in green are in the Amazon. No, Is the Subject Area "Cardiovascular diseases" applicable to this article? The region-specific estimates will help to guide policies, set priorities and allocate resources so that global targets are met on time or shortly after. Universidad Científica del Sur, Lima, Peru. A shared limitation with other national, regional or global analysis of diabetes-related mortality based on administrative data, is that it relies on awareness of the disease. Methodology, CONVENIOS SUSCRITOS CON ASOCIACIONES, CONFEDERACIONES, ORGANIZACIONES, COMUNIDADES INDIGENAS Y COLEGIOS A diferencia de los sistemas clásicos, este sistema utiliza un Data Warehouse que permite realizar . Funding: Rodrigo M. Carrillo-Larco has been supported by Strategic Award, Wellcome Trust-Imperial College Centre for Global Health Research (100693/Z/12/Z), and Imperial College London Wellcome Trust Institutional Strategic Support Fund [Global Health Clinical Research Training Fellowship] (294834/Z/16/Z ISSF ICL). An early evaluation of this policy or its guidelines is beyond the scope of this work; however, our results provide baseline information for future assessments. Copyright: © 2020 Carrillo-Larco et al. <> Publicaciones y Principales Resultados. Visualization, Formal analysis, Diabetes may prevent Peru from achieving global targets to reduce NCDs mortality. Yes In women in 2016, the lowest life expectancy was in Callao (Coast) and Ica (Coast) with 80 years, whereas the highest was in Tumbes with 85 years. When the contribution of a given selected diseases was in the same direction as the overall change (e.g., both negative), it meant that such condition has followed the trend of the overall change; conversely, when the contribution of a given cause moved in the opposite direction of the overall change (e.g., overall change was negative and the cause-specific was positive), it meant that such cause has stagnated the overall change. We believe that unawareness could have underestimated diabetes mortality, thus the unconditional probability of dying estimates may be conservative and suggest a larger burden. General Garzón 658 Jesús María Lima, Perú. Vivienda 2007 y el IV Censo Nacional Económico 2008, aplicados sobre espacios geográficos x��W�n�8}��G�X���Yxa�I��E�"�K/h��߹���� ��uc;@m��I�s�pfI�+z�r4�&c��^�Ÿ������[�}�3)d��� )�Yj�ш`))}�ϳ�^Ч^�4�B�������M>�]�[���AP+JX�o_.|�D Competing interests: The authors have declared that no competing interests exist. inversión de los jóvenes emprendedores de negocio. Of all deaths in 2016, diabetes was responsible for 5.8% in men and 6.4% in women, approximately twice that of the 2006 estimates (2.7% and 3.5%, respectively). urbanos definidos que el usuario podrá definir, con la finalidad de facilitar la toma de decisiones de 3 0 obj From the perspective of health policy or implementation, it may be very challenging to further improve the reduction in other conditions. Es el V Censo Nacional Económico que permitirá obtener información sobre ingresos y gastos, personal ocupado, remuneraciones, producción, valor agregado, activos fijos, entre otras variables, con el mayor nivel de desagregación geográfica y actividad económica. Para ingresar al sistema por favor haga click en Ingresar. The quality of mortality records in Peru is not optimal [45], yet it has improved in the last years both in quantity (deaths certificates) and quality (garbage codes). Para . Methodology, Formal analysis, This information, at national and sub-national level may aid in the prioritization of resources to meet international targets to reduce the burden of NCDs in Peru. Entidades Relacionadas. No, Is the Subject Area "Chronic kidney disease" applicable to this article? Finally, our results are based on purely arithmetical procedures hence the lack of credible intervals. No, Is the Subject Area "Renal cancer" applicable to this article? Following the methodology used in other papers [5, 7, 21], we computed the unconditional probability of dying between ages 30 to 69 from any of the selected causes in 2006 and 2016. Over the period of analysis, cardiovascular diseases and cancer mortality have largely driven the improvement in the overall unconditional probability of dying, particularly in the Coast and Amazon regions. This became clear in 2011 at the first United Nations high-level meeting on non-communicable disease prevention and control [1]. On the other hand, regions in the Andes, with lower income, had smaller overall reductions. https://doi.org/10.1371/journal.pone.0240494, Editor: Chaisiri Angkurawaranon, Chiang Mai University Faculty of Medicine, THAILAND, Received: July 3, 2020; Accepted: September 26, 2020; Published: October 12, 2020. Estimates are Available in S2 Table. MISIÓN Producir y difundir información estadística oficial que el país necesitan con calidad, oportunidad y cobertura requerida. <> Av. Using life tables informed by the analysed population data, we estimated life expectancy in Peru and in each region (after the 2017 national census) [22]. Institución a cargo del sector: INSTITUTO NACIONAL DE ESTADÍSTICA E INFORMÁTICA (INEI) Dirección Nacional de Censos y Encuestas En Lima y Callao CREACIÓN DE INFORMES EN WORD Y HTML CON R-MARKDOWNBasado en el lenguaje markdown - funcionalidad que busca convertir rápida y fácilmente texto plano tipo bloc de notas a formato HTML - RMarkdown es un tipo de documento de RStudio que permite integrar texto con código de R. Knitr. The ‘Contribution’ is the multiplication of each ‘% of the overall change’ times the ‘overall change between 2006 and 2016’. Fig 1 presents a summary of the methods while Table 1 shows the formulas used in the analysis. endobj <>>> educativo e ingresos promedio, así como el grado de concentración de los principales giros de Data Availability: Mortality data can be requested through here: access to open access data from the minister of health: https://bit.ly/3hVKotn; data from the last three years can be downloaded here: https://bit.ly/35ZOoa4. Despite these promising numbers, between 2006 and 2016 the contribution of diabetes mortality to the overall unconditional probability of dying was mostly unfavourable (Fig 3; S1 Table). Este sistema constituye una herramienta fundamental para un estudio de mercado, pues permite The national mean body mass index (BMI) ranges between 26.4 kg/m2 and 27.3 kg/m2; also, 25.1% and 15.8% of the female and male adult Peruvian population are obese (BMI≥30 kg/m2) [10]. En el presente año, el INEI, ha implementado innovaciones en la ejecución del V Censo Nacional Económico 2022, en su Segunda Fase: Encuesta Nacional a Grandes, Medianas y Pequeñas Empresas, las mismas que permiten sistematizar el registro de información directamente de la contabilidad de la empresa a los formularios de la In fact, a work which assessed the Sustainable Development Goal 3.4 in all countries considered that Peru had low vital registration data quality [5]. In 2016 the lowest life expectancy in men was in Callao (Coast), Ica (Coast), Lambayeque (Coast), and La Libertad (Coast) with 74 years; the highest was in Apurimac (Andes), Moquegua (Coast), Pasco (Andes), Tumbes (Coast) and Ucayali (Amazon) with 77 years. Conversely, the national prevalence of raised blood pressure is higher in men than in women (16.1% vs 11.2%) [12]. Although this intervention has not been delivered to the whole country yet, it could have played a role to explain our findings regarding chronic respiratory diseases. 4 0 obj This reduction was largely promoted by cardiovascular diseases and cancer; the former contributed with ~10% (11.3% for men and 8.8% for women) and the latter ~12% (10.9% for men and 13.6% for women) of the total reduction (Fig 3; S1 Table). V CENSO NACIONAL ECONÓMICO. EVENTOS. Nonetheless, we acknowledge some limitations. Cancer accounted for 10.9% in men and 13.7% in women of the overall reduction; cardiovascular diseases also contributed substantially: 11.3% in men) and 9.8% in women. The methods used are based on life tables informed by age-specific death rates (Table 1) [21]. Population (census) data can be found here (2007): https://bit.ly/3018AEt; and also here (2017): https://bit.ly/2RVxktf. For men, in eighteen regions (4/5 in the Amazon, 7/9 in the Andes and 7/11 in the coast), the diabetes contribution moved to the opposite direction of the overall reduction in the unconditional probability of dying; this number of regions for women was sixteen (2/5 in the Amazon, 7/9 in the Andes and 7/11 in the coast). Información General. General Garzón N° 654- 658 - 2 PISO Jesús MarÃa, Dirección: Pasaje Túpac Amaru N° 121 Huacho -Huara, Dirección: Jr. Arequipa 154-Puerto Maldonado, Dirección: Av. Gral. Yes PLOS ONE promises fair, rigorous peer review, We examined the positive or negative contribution of five specific chronic conditions (i.e. For more information about PLOS Subject Areas, click Visualization, This decision was taken because of data availability and to use the original census data instead of an extrapolation to match the exact same years (i.e. Diabetes, on the other hand, consistently contributed to an increase in the unconditional probability of dying from any selected non-communicable disease. The funder of the study had no role in study design, data collation, data analysis, data interpretation, or writing of the report.
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