Morbimortalidad por las causas externas: resultados del estudio
                     <i>Carga Global de las Enfermedades</i> en Brasil, 2008

Campos, Mônica Rodrigues; Doellinger, Vanessa dos Reis von; Mendes, Luiz Villarinho Pereira; Costa, Maria de Fatima dos Santos; Pimentel, Thiago Góes; Schramm, Joyce Mendes de Andrade

doi:10.1590/0102-311X00191113

Acessibilidade / Reportar erro

Brasil

Cadernos de Saúde Pública

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Article • Cad. Saúde Pública 31 (1) • Ene 2015 • https://doi.org/10.1590/0102-311X00191113 copiar

Morbimortalidad por las causas externas: resultados del estudio Carga Global de las Enfermedades en Brasil, 2008

Autoría SCIMAGO INSTITUTIONS RANKINGS

El objetivo de este artículo es estimar la carga global de las causas externas en el año 2008 en Brasil. La metodología calcula el indicador DALY (años de vida potencialmente perdidos). El YLL (años potenciales de vida perdidos) fue calculado siguiendo el método propuesto por Murray & López (1996). Sin embargo, para las YLD (años vividos con discapacidad) se han aplicado enfoques metodológicos teniendo en cuenta el contexto brasileño. El DALY fue de 195 por cada 100 mil habitantes, de ellos, 19 eran específicos de causas externas. El YLL estaba compuesto por un 48% de las lesiones intencionales y un 52% de las no intencionales. En el YLD, las lesiones no intencionales corresponden a 95%. El YLL contribuye al 90% del DALY. En el YLL, las causas más frecuentes fueron homicidios y la violencia (43%), seguida de accidentes de tráfico (31%). Las caídas son la mayor proporción del YLD (36%). Había una razón hombre, mujer de 4,8 en el DALY, y el grupo de edad predominante fue de 15 a 29 años. Las lesiones son prevenibles en general y estos resultados pueden contribuir a proporcionar información importante para los responsables políticos en los campos de la salud y la seguridad pública.

External causes	North	Northeast	Southeast	South	Central West	Brazil
External causes	%	%	%	%	%	%
Men
III DALYs per 100,000 inhabitants (n)	3,064	3,257	2,961	3,195	3,576	3,131
III (%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	23.9	25.0	30.1	32.7	31.7	28.6
IIIA02 accidental poisoning	0.4	0.2	0.3	0.3	0.4	0.3
IIIA03 falls	4.6	3.5	9.7	7.6	5.8	6.9
IIIA04 burns and frostbite	0.5	0.7	1.1	1.3	0.8	0.9
IIIA05 drowning	6.3	5.7	4.0	4.1	4.0	4.7
IIIA06 other unintentional causes	9.9	7.9	7.6	8.2	8.8	8.1
IIIA07 complications of medical care	0.2	0.4	0.8	0.3	0.3	0.5
IIIB01 suicide and self-inflicted injuries	6.0	5.5	6.2	9.7	6.8	6.5
IIIB02 homicide and violence	48.3	51.0	39.2	35.5	41.4	43.0
IIIB03 legal intervention and war	0.03	0.1	1.1	0.2	0.1	0.5
Total unintentional (sum of IIIA)	45.7	43.4	53.6	54.6	51.7	50.0
Total intentional (sum of IIIB)	54.3	56.6	46.4	45.4	48.3	50.0
Women
III DALYs per 100,000 inhabitants (n)	596	546	634	717	752	626
III (%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	31.4	29.0	30.2	33.4	37.5	31.2
IIIA02 accidental poisoning	0.9	0.6	0.6	0.6	0.5	0.6
IIIA03 falls	8.3	9.3	20.3	16.1	11.2	15.3
IIIA04 burns and frostbite	1.5	2.3	2.5	2.6	1.6	2.3
IIIA05 drowning	8.6	6.0	2.7	2.8	3.2	4.0
IIIA06 other unintentional causes	20.3	19.7	14.4	16.4	16.5	16.6
IIIA07 complications of medical care	0.6	2.2	3.0	1.2	1.6	2.2
IIIB01 suicide and self-inflicted injuries	7.6	9.2	8.4	10.8	8.6	8.9
IIIB02 homicide and violence	20.8	21.7	17.9	16.0	19.4	18.9
IIIB03 legal intervention and war	0.1	0.0	0.0	0.0	0.0	0.0
Total unintentional (sum of IIIA)	71.5	69.1	73.7	73.1	72.1	72.2
Total intentional (sum of IIIB)	28.5	30.9	26.3	26.9	27.9	27.8
Both sexes
III(n) DALYs per 100,000 inhabitants (n)	1,846	1,877	1,769	1,939	2,151	1,857
III(%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	25.1	25.6	30.1	32.8	32.7	29.1
IIIA02 accidental poisoning	0.4	0.3	0.3	0.3	0.4	0.3
IIIA03 falls	5.2	4.4	11.7	9.2	6.8	8.3
IIIA04 burns and frostbite	0.6	0.9	1.3	1.6	0.9	1.2
IIIA05 drowning	6.7	5.8	3.8	3.9	3.9	4.6
IIIA06 other unintentional causes	11.5	9.6	8.9	9.7	10.1	9.5
IIIA07 complications of medical care	0.2	0.7	1.2	0.5	0.5	0.8
IIIB01 suicide and self-inflicted injuries	6.2	6.0	6.6	9.9	7.1	6.9
IIIB02 homicide and violence	43.9	46.6	35.3	31.9	37.5	38.8
IIIB03 legal intervention and war	0.0	0.1	0.9	0.1	0.1	0.4
Total unintentional (sum of IIIA)	49.8	47.2	57.3	58.0	55.3	53.8
Total intentional (sum of IIIB)	50.2	52.8	42.7	42.0	44.7	46.2

External causes	North	Northeast	Southeast	South	Central West	Brazil
External causes	%	%	%	%	%	%
Men
III YLLs per 100,000 inhabitants (n)	2,819	3,060	2,633	2,868	3,268	2,848
III (%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	25.4	25.6	31.5	35.3	33.7	30.0
IIIA02 accidental poisoning	0.2	0.2	0.3	0.2	0.4	0.3
IIIA03 falls	2.7	2.3	5.6	3.7	3.5	3.9
IIIA04 burns and frostbite	0.4	0.5	0.7	0.9	0.6	0.6
IIIA05 drowning	6.9	6.1	4.5	4.6	4.4	5.2
IIIA06 other unintentional causes	5.8	5.1	5.5	4.9	5.3	5.3
IIIA07 complications of medical care	0.2	0.3	0.3	0.1	0.2	0.3
IIIB01 suicide and self-inflicted injuries	6.3	5.8	6.9	10.8	7.4	7.1
IIIB02 homicide and violence	52.1	54.0	43.4	39.3	44.5	46.8
IIIB03 legal intervention and war	0.0	0.1	1.2	0.2	0.1	0.6
Total unintentional (sum of IIIA)	41.5	40.1	48.4	49.8	48.0	45.5
Total intentional (sum of IIIB)	58.5	59.9	51.6	50.2	52.0	54.5
Women
III YLLs per 100,000 inhabitants (n)	457	435	463	533	599	475
III (%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	39.2	34.3	37.4	42.6	45.3	38.3
IIIA02 accidental poisoning	0.8	0.6	0.7	0.6	0.6	0.7
IIIA03 falls	4.2	5.6	10.0	7.3	6.1	7.7
IIIA04 burns and frostbite	1.5	2.0	1.8	1.7	1.4	1.8
IIIA05 drowning	11.2	7.5	3.7	3.7	4.0	5.3
IIIA06 other unintentional causes	6.5	9.4	9.6	7.8	6.9	8.8
IIIA07 complications of medical care	0.7	2.4	2.3	1.0	1.2	1.9
IIIB01 suicide and self-inflicted injuries	9.5	11.5	11.2	14.3	10.7	11.6
IIIB02 homicide and violence	26.3	26.7	23.4	20.9	23.9	24.1
IIIB03 legal intervention and war	0.1	0.0	0.0	0.0	0.0	0.0
Total unintentional (sum of IIIA)	64.1	61.9	65.4	64.8	65.4	64.3
Total intentional (sum of IIIB)	35.9	38.1	34.6	35.2	34.6	35.7
Both sexes
III YLLs per 100,000 inhabitants (n)	1,652	1,724	1,521	1,684	1,922	1,641
III (%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	27.3	26.7	32.4	36.5	35.5	31.2
IIIA02 accidental poisoning	0.3	0.3	0.3	0.3	0.4	0.3
IIIA03 falls	2.9	2.7	6.3	4.3	3.9	4.5
IIIA04 burns and frostbite	0.5	0.7	0.8	1.0	0.7	0.8
IIIA05 drowning	7.5	6.3	4.4	4.4	4.3	5.2
IIIA06 other unintentional causes	5.9	5.6	6.1	5.3	5.6	5.8
IIIA07 complications of medical care	0.2	0.6	0.6	0.3	0.4	0.5
IIIB01 suicide and self-inflicted injuries	6.7	6.5	7.6	11.3	7.9	7.8
IIIB02 homicide and violence	48.6	50.4	40.3	36.3	41.2	43.4
IIIB03 legal intervention and war	0.0	0.1	1.0	0.1	0.1	0.5
Total unintentional (sum of IIIA)	44.6	42.9	51.1	52.2	50.7	48.3
Total intentional (sum of IIIB)	55.4	57.1	48.9	47.8	49.3	51.7

External causes	North	Northeast	Southeast	South	Central West	Brazil
External causes	%	%	%	%	%	%
Men
III YLDs per 100,000 inhabitants (n)	246	197	328	329	307	283
III (%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	6.8	15.2	18.8	9.8	10.7	15.1
IIIA02 accidental poisoning	1.7	0.3	0.2	0.6	0.3	0.4
IIIA03 falls	26.7	23.3	42.3	41.1	30.9	36.3
IIIA04 burns and frostbite	1.6	3.1	4.2	5.3	3.3	3.9
IIIA05 drowning	0.0	0.2	0.1	0.0	0.0	0.1
IIIA06 other unintentional causes	56.6	51.4	24.6	37.5	45.4	35.9
IIIA07 complications of medical care	0.3	1.5	4.6	1.9	0.9	2.9
IIIB01 suicide and self-inflicted injuries	2.1	0.4	0.4	0.6	0.3	0.5
IIIB02 homicide and violence	4.2	4.7	4.8	3.1	8.3	4.7
IIIB03 legal intervention and war	0.0	0.0	0.0	0.1	0.0	0.0
Total unintentional (sum of IIIA)	93.6	94.9	94.8	96.2	91.5	94.7
Total intentional (sum of IIIB)	6.4	5.1	5.2	3.8	8.5	5.3
Women
III YLDs per 100,000 inhabitants (n)	138	111	171	184	153	152
III (%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	5.4	8.0	10.9	6.6	7.0	8.9
IIIA02 accidental poisoning	1.2	0.3	0.4	0.6	0.3	0.5
IIIA03 falls	22.1	23.6	48.2	41.7	31.0	39.0
IIIA04 burns and frostbite	1.4	3.7	4.4	5.3	2.2	4.0
IIIA05 drowning	0.0	0.2	0.0	0.1	0.0	0.1
IIIA06 other unintentional causes	65.9	60.2	27.4	41.2	54.3	41.2
IIIA07 complications of medical care	0.1	1.4	4.9	1.9	3.4	3.2
IIIB01 suicide and self-inflicted injuries	1.4	0.2	0.9	0.7	0.2	0.7
IIIB02 homicide and violence	2.5	2.3	2.9	1.9	1.4	2.5
IIIB03 legal intervention and war	0.0	0.0	0.0	0.1	0.0	0.0
Total unintentional (sum of IIIA)	96.0	97.5	96.2	97.3	98.3	96.8
Total intentional (sum of IIIB)	4.0	2.5	3.8	2.7	1.7	3.2
Both sexes
III YLDs per 100,000 inhabitants (n)	193	153	248	255	229	217
III (%)	100.0	100.0	100.0	100.0	100.0	100.0
IIIA01 road traffic accidents	6.3	12.6	16.0	8.6	9.4	12.9
IIIA02 accidental poisoning	1.5	0.3	0.3	0.6	0.3	0.4
IIIA03 falls	25.0	23.4	44.4	41.3	30.9	37.3
IIIA04 burns and frostbite	1.5	3.3	4.3	5.3	2.9	4.0
IIIA05 drowning	0.0	0.2	0.1	0.0	0.0	0.1
IIIA06 other unintentional causes	59.9	54.6	25.6	38.9	48.4	37.8
IIIA07 complications of medical care	0.2	1.4	4.7	1.9	1.7	3.0
IIIB01 suicide and self-inflicted injuries	1.9	0.3	0.5	0.7	0.3	0.6
IIIB02 homicide and violence	3.6	3.8	4.1	2.7	6.0	3.9
IIIB03 legal intervention and war	0.0	0.0	0.0	0.1	0.0	0.0
Total unintentional (sum of IIIA)	94.5	95.9	95.3	96.6	93.8	95.4
Total intentional (sum of IIIB)	5.5	4.1	4.7	3.4	6.2	4.6

Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Rua Leopoldo Bulhões, 1480 , 21041-210 Rio de Janeiro RJ Brazil, Tel.:+55 21 2598-2511, Fax: +55 21 2598-2737 / +55 21 2598-2514 - Rio de Janeiro - RJ - Brazil
E-mail: cadernos@ensp.fiocruz.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Correspondence L. V. P. Mendes Núcleo de Estudos em Carga de Doença, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. Av. Brasil 4036, sala 904, Rio de Janeiro, RJ 21040-361, Brasil. luizvillarinho@gmail.com