Objetivo: Avaliar o impacto da covid-19 na mortalidade das pessoas privadas de liberdade (PPL) no estado do Rio de Janeiro e comparar as taxas observadas com as a população geral. Método: Estudo quantitativo, retrospectivo que associa análise de série histórica 2016-2021 de taxa anual de mortalidade, estudo seccional comparando 2016-2017 vs. 2020-2021 e análise de dados individuais obtidos a partir de fontes primárias e secundárias de informação. A razão de mortalidade padronizada entre PPL e população geral foi estimada para os grupos de causa. Resultados: Série histórica mostrou queda anual (13%) da mortalidade de 2016 a 2019, tendência que se inverteu em 2020 devido à covid-19, responsável por 20% do total de mortes. Das PPL que morreram por covid-19, 54,8% eram idosas e/ou portadoras de comorbidade. A mortalidade por covid-19 foi semelhante entre PPL e a população geral, mas a mortalidade por tuberculose e HIV permaneceu muito mais elevada entre as PPL. Conclusão: A pandemia foi provavelmente determinante para a reversão da tendência de queda na mortalidade observada entre 2016 e2019. A utilização da mortalidade como indicador de saúde e direitos humanos nas prisões por órgãos da saúde, justiça e organizações da sociedade civil implica no aprimoramento da informação sobre PPL no SIM.
Objective: To evaluate the impact of covid-19 on the mortality of people deprived of their liberty (PDL) in the state of Rio de Janeiro and compare the rates observed with those of the general population. Method: Quantitative, retrospective study that combines analysis of the 2016-2021 historical series of annual mortality rate, sectional study comparing 2016-2017 vs. 2020-2021 and analysis of individual data obtained from primary and secondary sources of information. The standardized mortality ratio between PDL and general population was estimated for the cause groups. Results: Historical series showed an annual drop (13%) in mortality from 2016 to 2019, a trend that was reversed in 2020 due to covid-19, responsible for 20% of total deaths. Of the PDL who died from Covid-19, 54.8% were elderly and/or had comorbidities. Mortality from Covid-19 was similar between PDL and the general population, but mortality from tuberculosis and HIV remained much higher among PDL. Conclusion: The pandemic was probably decisive in reversing the downward trend in mortality observed between 2016 and 2019. The use of mortality as an indicator of health and human rights in prisons by health, justice and civil society organizations implies the improvement of information on PDL in the SIM.
Impact of the covid-19 epidemic on mortality in prisons
Resumo (abstract):
Objective: To evaluate the impact of covid-19 on the mortality of people deprived of their liberty (PDL) in the state of Rio de Janeiro and compare the rates observed with those of the general population. Method: Quantitative, retrospective study that combines analysis of the 2016-2021 historical series of annual mortality rate, sectional study comparing 2016-2017 vs. 2020-2021 and analysis of individual data obtained from primary and secondary sources of information. The standardized mortality ratio between PDL and general population was estimated for the cause groups. Results: Historical series showed an annual drop (13%) in mortality from 2016 to 2019, a trend that was reversed in 2020 due to covid-19, responsible for 20% of total deaths. Of the PDL who died from Covid-19, 54.8% were elderly and/or had comorbidities. Mortality from Covid-19 was similar between PDL and the general population, but mortality from tuberculosis and HIV remained much higher among PDL. Conclusion: The pandemic was probably decisive in reversing the downward trend in mortality observed between 2016 and 2019. The use of mortality as an indicator of health and human rights in prisons by health, justice and civil society organizations implies the improvement of information on PDL in the SIM.
Sánchez, A., Toledo, C.R.S, Brito, C., Pereira, E.L, Tostes, T.A, Camacho, L.A.B, Larouze, B.. Impacto da epidemia de covid-19 sobre a mortalidade nas prisões. Cien Saude Colet [periódico na internet] (2023/out). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/impacto-da-epidemia-de-covid19-sobre-a-mortalidade-nas-prisoes/18945?id=18945
