Diferenciais regionais na mortalidade por causas externas no Brasil: anos de vida perdidos e efeitos na expectativa de vida
The external causes of morbidity and mortality are configured as a public health problem, and have repercussions on demographic and social dynamics by causing disabilities and deaths. Aiming to analyze the regional differentials in mortality from external causes in Brazil in terms of years of lif...
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/52856 |
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| Resumo: | The external causes of morbidity and mortality are configured as a public health
problem, and have repercussions on demographic and social dynamics by causing
disabilities and deaths. Aiming to analyze the regional differentials in mortality from
external causes in Brazil in terms of years of life lost and the effects on life expectancy,
this is a quantitative study in the major regions of Brazil, with data on mortality from all
causes and from external causes (chapter XX) of the 10th Revision of the International
Statistical Classification of Diseases and Related Health Problems (ICD-10), using the
Mortality Information System (SIM), by residence, gender and group. Population data
were obtained from the 2000 and 2010 Censuses of the Brazilian Institute of
Geography and Statistics (IBGE) and 2019 from the National Household Sample
Survey (PNAD). Data ignored by sex and age group were proportionally distributed.
For mortality data subject to underreporting, correction was performed using the
Adjusted Extinct Generations (GE-Aj) method by Hill, You & Choi (2009). Life tables
with single and multiple decrements, excluding deaths from external causes, were
calculated to compare life expectancies in each region of Brazil by year and by sex.
Years of life lost due to external causes were also estimated. The estimates produced
for the years 2000, 2010 and 2019 represented gains in years in life expectancy for all
regions when deaths from external causes were excluded. For males, the greatest
gains occurred for the North and Northeast regions in 2010, reaching more than 4
years in gains, considering the absence of deaths. For females, the greatest gains
occurred for the northern region in 2010, reaching almost 2 years. The Midwest region
showed an increase in gains in years for the year 2019. As for Years of Life Lost due
to the occurrence of deaths from external causes for both males and females, the
Southeast represents the region with the highest number of years lost, but for men it
is also the one that showed the greatest drop among the years of this study. On the
opposite side, the northern region, which had a low number of lost years, increased in
2010 and 2019. The Northeast and Midwest regions had an increase for 2010 and
maintained it in 2019. For females, an increase in years of life lost was observed in all
regions from 2000 to 2010 and from 2010 to 2019. The average number of Years of
Lost Life had the highest average number for men aged 23.69 years in the north region
in 2000 and the lowest in the south region with a loss of average number of 19.96
years in 2000. For women, 2010 represented the year with the highest average number of years lost in all regions except the Southeast region, and on average each dead
woman lost 19.02 years of life in the North region in 2000. This study may support
intersectoral strategic planning/actions aimed at external causes, since that it is evident
that the impacts of external causes on the formation of mortality rates in Brazil reflect
regional differences and inequalities and that, in turn, impact on the creation and
implementation of public policies that are linked to a greater or lesser extent to regional
political interests and economic resources for investments and are often influenced by
the living conditions of the population, especially young people and young adults who
are most affected by deaths from external causes. |
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