0943/2012 - Associação ecológica entre características dos municípios e o risco de homicídios em homens adultos de 20-39 anos de idade no Brasil, 1999-2010 Association between ecological characteristics of the municipalities and the risk of homicide in adult males aged 20-39 years in Brazil, 1999-2010
• Elisabeth C. Duarte - Duarte, E. C. - Brasilia, DF - Universidade de Brasília - <eduarte@unb.br> +
Coautor(es):
• Leila Posenato Garcia - Garcia, L. P. - Brasília - DF, DF - Instituto de Pesquisa Econômica Aplicada (IPEA) - <leilapgarcia@gmail.com>
• Lúcia Rolim Santana de Freitas - FREITAS, L.R.S. - Instituto de Pesquisa Econômica Aplicada (IPEA); Doutoranda da Universidade de Brasília (UnB) - <lucia.rolim@gmail.com>
• Rosane Aparecida Monteiro - MONTEIRO, R.A. - Universidade de São Paulo (USP), Faculdade de Medicina de Ribeirão - <rosabsb@hotmail.com>
• Walter Massa Ramalho - RAMALHO, W.M. - Universidade de Brasília (UnB), Faculdade de Ceilândia - <walter.ramalho@gmail.com>
Área Temática:
Epidemiologia
Resumo:
No Brasil, a mortalidade por homicídios persiste como importante problema de saúde pública, principalmente entre homens adultos jovens. O objetivo do presente estudo foi analisar o risco de morte por homicídios entre homens de 20-39 anos de idade e sua associação com características sociodemográficas dos municípios brasileiros. Foi realizado estudo ecológico, tendo como unidades de análise todos os municípios do País. Foram estudadas as tendências temporais entre 1999-2010 e as associações do desfecho com indicadores dos municípios em análise transversal referente ao quatriênio 2007-2010. Entre os quatriênios 1999-2002 e 2007-2010, houve aumento das taxas medianas de mortalidade por homicídios entre homens de 20-39 anos, de 22,7 para 35,5 por 100 mil habitantes. No quatriênio 2007-2010, os riscos de homicídios foram estatisticamente superiores (p<0,001) nos municípios de maior porte populacional, maior taxa de fecundidade, baixa proporção de alfabetizados, maior desigualdade aferida pela renda 20/40 e maior urbanização. Para a proporção da população de baixa renda e renda média per capita, as associações indicam excessos nas estimativas de risco de homicídios nos municípios com valores intermediários desses indicadores. Os achados podem auxiliar na focalização de políticas públicas.
Palavras-chave:
Homicídio
Coeficiente de Mortalidade
Homens
Adulto
Estudos Ecológicos
Abstract:
Homicide mortality remains an important public health problem in Brazil, especially among young adult males. The aim of this study was to assess the homicide mortality risk (HMR), among males aged 20-39 years, and its associations with sociodemographic selected characteristics of the Brazilian municipalities. This is an ecologic study in which the unit of analysis was all municipalities in Brazil. Time trends (from 199-2002 to 2007-2010) and adjusted associations between HMR and sociodemographic characteristics of municipalities (in a sectional approach) were estimated in this study. Between 1999-2002 and 2007-2010, increasing trend of HMR medians from 22.7 to 35.5 per 100 thousand inhabitants was observed in Brazil. In 2007-2010, HMR were significantly higher (p<0.001) among the largest cities, with higher fertility rates, lower literacy rates, higher social inequality (as estimated by the 20/40 income ratio) and more-urbanized municipalities. Considering the proportion of low income population and the per capita average income, associations with the HMR identified excess of risks on the intermediary categories of these independent variables. Findings from this study may support the implementation of focal policies directed to more vulnerable municipalities.
Keywords:
Homicide
Mortality Rate
Men
Adult
Ecological Studies
Association between ecological characteristics of the municipalities and the risk of homicide in adult males aged 20-39 years in Brazil, 1999-2010
Resumo (abstract):
Homicide mortality remains an important public health problem in Brazil, especially among young adult males. The aim of this study was to assess the homicide mortality risk (HMR), among males aged 20-39 years, and its associations with sociodemographic selected characteristics of the Brazilian municipalities. This is an ecologic study in which the unit of analysis was all municipalities in Brazil. Time trends (from 199-2002 to 2007-2010) and adjusted associations between HMR and sociodemographic characteristics of municipalities (in a sectional approach) were estimated in this study. Between 1999-2002 and 2007-2010, increasing trend of HMR medians from 22.7 to 35.5 per 100 thousand inhabitants was observed in Brazil. In 2007-2010, HMR were significantly higher (p<0.001) among the largest cities, with higher fertility rates, lower literacy rates, higher social inequality (as estimated by the 20/40 income ratio) and more-urbanized municipalities. Considering the proportion of low income population and the per capita average income, associations with the HMR identified excess of risks on the intermediary categories of these independent variables. Findings from this study may support the implementation of focal policies directed to more vulnerable municipalities.
Palavras-chave (keywords):
Homicide
Mortality Rate
Men
Adult
Ecological Studies
Duarte, E. C., Garcia, L. P., FREITAS, L.R.S., Mansano, N.H, MONTEIRO, R.A., RAMALHO, W.M.. Associação ecológica entre características dos municípios e o risco de homicídios em homens adultos de 20-39 anos de idade no Brasil, 1999-2010. Cien Saude Colet [periódico na internet] (2012/jul). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/associacao-ecologica-entre-caracteristicas-dos-municipios-e-o-risco-de-homicidios-em-homens-adultos-de-2039-anos-de-idade-no-brasil-19992010/10731?id=10731