BACKGROUND Noncommunicable diseases (NCDs) were responsible for 72.3% of global deaths in 2016, with cardiovascular diseases accounting for almost half of those deaths and low- and middle-income countries carrying the biggest burden. As a result, the prevention and control of NCDs is recognized as urgent, while better surveillance at the country level could result in more effective policies. Hence, the objective of this study was to obtain more detailed information on the distribution of the prevalence of hypertension and diabetes among the population of two large districts of the city of São Paulo in Brazil, and to compare these findings to the results of a citywide health survey. METHODS AND FINDINGS This cross-sectional study used primary health care (PHC) routinely-collected data. The study population included 187,110 individuals 20 years of age or older registered in 13 public PHC facilities at two districts of the city of São Paulo in 2015. Data extracted from SIAB, a primary care database, was used to calculate age and sex directly standardized prevalences for diabetes and hypertension for each PHC facility. The prevalence of hypertension among women was significantly higher than the prevalence among men in the entire study population, and in every PHC facility. There was great variation among PHC facilities that was more pronounced among women. The prevalence of diabetes among women was significantly higher than the prevalence among men in the entire study population, and in every PHC facility, but there was little variation among PHC facilities. CONCLUSIONS This study provided information that could help with policy planning and allocation of resources, and demonstrated the use of PHC routinely-collected data to generate important insights that if replicated could have a substantial impact given the broad coverage of the national public PHC program in Brazil.

中文翻译：

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根据初级卫生保健常规收集的数据，巴西圣保罗市两个大区高血压和糖尿病负担的变化。

背景 2016年，非传染性疾病（NCD）占全球死亡人数的72.3%，其中心血管疾病几乎占死亡人数的一半，低收入和中等收入国家负担最大。因此，非传染性疾病的预防和控制被认为是紧迫的，而在国家一级更好的监测可以带来更有效的政策。因此，本研究的目的是获得有关巴西圣保罗市两个大区人口中高血压和糖尿病患病率分布的更详细信息，并将这些发现与全市范围内的调查结果进行比较健康调查。方法和结果 这项横断面研究使用了初级卫生保健 (PHC) 常规收集的数据。研究人群包括 2015 年在圣保罗市两个区的 13 个公共初级保健机构登记的 187,110 名 20 岁或以上的个体。从初级保健数据库 SIAB 提取的数据用于计算年龄和性别直接标准化患病率每个初级卫生保健机构的糖尿病和高血压。在整个研究人群以及每个初级卫生保健机构中，女性高血压患病率显着高于男性高血压患病率。初级卫生保健设施之间存在很大差异，在女性中更为明显。在整个研究人群以及每个初级保健机构中，女性糖尿病患病率显着高于男性，但初级保健机构之间差异不大。结论 这项研究提供了有助于政策规划和资源分配的信息，并展示了如何使用初级卫生保健常规收集的数据来产生重要的见解，鉴于巴西国家公共初级卫生保健计划的广泛覆盖，如果复制这些数据，可能会产生重大影响。