A mortalidade por causas externas no Espírito Santo de 1979 a 2003
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Data
2005-06-09
Autores
Tavares, Fábio Lúcio
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Universidade Federal do Espírito Santo
Resumo
This is a descriptive, longitudinal and observational study aiming at describing the pattern of mortality by external causes in Espírito Santo in a historical series ranging from 1979 to 2003, with transversal cuts in 1979, 1983, 1988, 1993, 1998 and 2003, according to the characteristics of people, spatial distribution and basic cause of death. The data source utilized was the System of Information on Mortality from the Health Department (SIM/Datasus) for the years ranging from 1979 to 1998 and the System of Information on Mortality from the State Secretary of Health of Espírito Santo (SIM/SESA), for 2003. The proportional mortality and the coefficients of mortality (per 100 thousand inhabitants) were calculated according to gender, age group, level of instruction , occupation, basic cause of death, location of the death occurrence, medical assistance, month of the occurrence of deaths and their geographical distribution. Our work revealed that, along the analyzed years, the external causes always held the 2nd position in the death register from Espírito Santo, presenting an increase of 49,8% on the coefficients of mortality in that period, in which homicides appear as being the main cause of death. Most victims of external causes were men, presenting coefficients of mortality (per 100 thousand inhabitants) which were 380% higher than those of women. Considering the age group, those who are younger than 1 year of age deserve prominence, with an increment of 79% on the coefficient of mortality; the age group ranging from 15 to 49 years of age, which concentrated about 70% of deaths resulting from external causes, and those who are older than 70 years of age, where we verified an important increase on mortality, mainly due to accidental falls and accidents on transportation. In general terms, deaths caused by external causes happened, for the most part, with people with no education or with those who had the primary level only (48,8%) and who had as their occupation “retired or pensioner”, “farm worker”, “housewife” or “manual worker”. Concerning the municipalities where deaths occurred, Cariacica, Vila Velha, Linhares and Serra were the ones which presented the highest increment on the coefficients of mortality (per 100 thousand inhabitants). The data indicate that external causes have significant importance on the mortality profile in Espírito Santo, what points to an urgent need of public policies directed to prevention of lethal violence in the State.
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Mortality – External causes , Espírito Santo – Historical series , Mortalidade - Causas externas , Espírito Santo - Série histórica , Mortalidade - Espírito Santo (Estado) - 1979-2003 , Epidemiologia - Espírito Santo (Estado) - 1979-2003