REGIONAL DISPARITIES AND TEMPORAL STABILITY IN MORTALITY AMONG OLDER ADULTS DUE TO HYPERTENSIVE HEART DISEASES IN BRAZIL BETWEEN 2020 AND 2023

Abstract

In Brazil, hypertensive heart diseases (HHD) represent a major public health problem in the context of rapid population aging. In this scenario, the analysis of temporal and spatial patterns of this condition can support the development of more equitable and effective public policies. This study aimed to analyze regional disparities and the temporal stability of mortality rates due to HHD among older adults in Brazil from 2020 to 2023. This exploratory ecological study was based on secondary data obtained from the SISAP-Idoso system. Statistical analysis included nonparametric tests to compare mortality rates across federative units, years, and sex. The results indicated stability in the annual mean mortality rates, alongside persistent regional inequalities. Mortality rates were consistently higher among men, with statistically significant differences observed in 2020 and 2023. It is concluded that the stability of HHD mortality among older adults reflects the persistence of structural factors, possibly exacerbated by underreporting during the COVID-19 pandemic, highlighting the need for policies focused on equity, strengthening Primary Health Care, and reducing regional and gender disparities.