0178/2018 - Fatores associados à mortalidade por causas inespecíficas e mal definidas no estado do Amazonas, de 2006 a 2012. Factors associated with unspecified and ill defined causes of death in the state of Amazonas, Brazil,2006 to 2012.
Objetivou-se investigar fatores associados à mortalidade por causas inespecíficas e mal definidas no estado do Amazonas (AM). Desenvolveu-se um estudo seccional incluindo 90.439 registros de óbitos não fetais, com residência e ocorrência no AM entre 2006 e 2012. Foram estimadas razões de chances de causas inespecíficas e mal definidas por meio de regressão logística multinomial hierárquica. A proporção de causas mal definidas e inespecíficas foi, respectivamente, 16,6% e 9,1%. A ocorrência de causas mal definidas diminuiu ao longo dos anos e a de causas inespecíficas somente no último biênio. As causas inespecíficas associaram-se com residência e ocorrência do óbito fora da capital, via pública, sexo feminino, dos 10 aos 49 anos, cor parda e quando atestadas por legistas. As causas mal definidas associaram-se com residência e ocorrência fora da capital, em domicílios, a partir de 40 anos, cor não branca, não ser solteiro, baixa escolaridade, assistência médica e falta de informação sobre o atestante. A mortalidade por causas mal definidas e inespecíficas no AM declinou entre 2006 e 2012, associando-se às dimensões espacial e temporal, fatores demográficos, socioeconômicos e à assistência médica na ocasião do óbito.
Palavras-chave:
Mortalidade, Atestado de Óbito, Causa Básica de Morte, Sistemas de Informação em Saúde, Classificação Internacional de Doenças.
Abstract:
This study identifies factors associated with unspecified and ill defined causes of death in the state of Amazonas (AM), Brazil. A cross-sectional study was developed including 90,439 non foetal deaths of residents in AM2006 to 2012. Hierarchical multinomial logistic modelling provided odds ratios estimates of unspecified and ill defined causes of death. Ill defined and unspecified cause of death proportional mortality was, respectively, 16.6% and 9.1%. Ill defined causes presented a decreasing trend, restricted to the last two years for unspecified causes. Unspecified causes of death were associated with residence and occurrence of death outside capital, public streets and roads, female sex, ages between 10 and 49 years, brown colour and when certified by forensic doctors. Ill defined causes of death were associated with residence and occurrence outside capital, at home, ages 40 years and older, non white colour, not being single, low education level, under medical assistance and when the certifier was unknown. Ill defined and unspecified cause mortality decreased between 2006 and 2012 in AM, and were associated with space, time, demographic, socioeconomic and health care related characteristics.
Keywords:
Mortality, Death Certificates, Underlying Cause of Death, Health Information Systems, International Classification of Diseases.
Factors associated with unspecified and ill defined causes of death in the state of Amazonas, Brazil,2006 to 2012.
Resumo (abstract):
This study identifies factors associated with unspecified and ill defined causes of death in the state of Amazonas (AM), Brazil. A cross-sectional study was developed including 90,439 non foetal deaths of residents in AM2006 to 2012. Hierarchical multinomial logistic modelling provided odds ratios estimates of unspecified and ill defined causes of death. Ill defined and unspecified cause of death proportional mortality was, respectively, 16.6% and 9.1%. Ill defined causes presented a decreasing trend, restricted to the last two years for unspecified causes. Unspecified causes of death were associated with residence and occurrence of death outside capital, public streets and roads, female sex, ages between 10 and 49 years, brown colour and when certified by forensic doctors. Ill defined causes of death were associated with residence and occurrence outside capital, at home, ages 40 years and older, non white colour, not being single, low education level, under medical assistance and when the certifier was unknown. Ill defined and unspecified cause mortality decreased between 2006 and 2012 in AM, and were associated with space, time, demographic, socioeconomic and health care related characteristics.
Palavras-chave (keywords):
Mortality, Death Certificates, Underlying Cause of Death, Health Information Systems, International Classification of Diseases.
Balieiro, PCS, Silva, LCF, Sampaio, VS, Monte, EX, Pereira, EMS, Queiroz, L, Saraiva, R, Costa, AJL. Fatores associados à mortalidade por causas inespecíficas e mal definidas no estado do Amazonas, de 2006 a 2012.. Cien Saude Colet [periódico na internet] (2018/abr). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/fatores-associados-a-mortalidade-por-causas-inespecificas-e-mal-definidas-no-estado-do-amazonas-de-2006-a-2012/16711?id=16711
