{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T17:32:06Z","timestamp":1786642326014,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Brazilian Ministry of Health, Department of Science and Technology, Secretariat of Science, Technology and Strategic Inputs","award":["404965\/2012-1 and TED 28\/2017"],"award-info":[{"award-number":["404965\/2012-1 and TED 28\/2017"]}]},{"name":"Brazilian Ministry of Health, Healthcare Coordination of Older Adults, Department of Strategic and Programmatic Actions, Secretariat of Health Care","award":["20836, 22566, 23700, 25560, 25552, and 27510"],"award-info":[{"award-number":["20836, 22566, 23700, 25560, 25552, and 27510"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Aging Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Amenable mortality, deaths preventable through timely and effective healthcare, is a widely used indicator of health system performance, yet evidence is lacking on its individual-level determinants in Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil), a representative cohort of adults aged 50 and older. Deaths were classified as amenable using both the Brazilian and the Pan American Health Organization\u2019s definitions. Semi-parametric competing risks regression modeled the hazard of amenable death while accounting for non-amenable death as a competing event and adjusting for covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 872 deaths during follow-up, 30% to 39% were classified as amenable, with rates ranging from 2.5 (50\u201359 yrs) to 32.3 (80+) per 1,000 person-years. Older age, male sex, unpartnered status, lower income, multi-morbidity, and tobacco use were associated with higher risk of amenable mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Amenable mortality constitutes a substantial and inequitably distributed share of deaths among older Brazilians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08982643261476542","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T04:26:23Z","timestamp":1786422383000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Amenable Mortality Among Older Brazilians: Evidence From the Brazilian Longitudinal Study of Aging (ELSI-Brazil)"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8055-5441","authenticated-orcid":false,"given":"James","family":"Macinko","sequence":"first","affiliation":[{"name":"UCLA Fielding School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00edram","family":"Beltr\u00e1n-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"UCLA Fielding School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3856-3816","authenticated-orcid":false,"given":"Fl\u00e1via Cristina","family":"Drumond Andrade","sequence":"additional","affiliation":[{"name":"University of Illinois at Urbana-Champaign"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisrael","family":"Passarelli-Araujo","sequence":"additional","affiliation":[{"name":"Center for Development and Regional Planning - Federal University of Minas Gerais (Cedeplar\/UFMG)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Fernanda","family":"Lima Costa","sequence":"additional","affiliation":[{"name":"Oswaldo Cruz Foundation and Federal University of Minas Gerais"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"issue":"3","key":"e_1_3_6_2_1","first-page":"12","article-title":"Examining the role of amenable mortality as an indicator of health system effectiveness","volume":"9","author":"Allin S.","year":"2014","unstructured":"Allin S., Grignon M. 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