Gender inequalities in external cause mortality in Brazil, 2010

Moura, Erly Catarina de; Gomes, Romeu; Falcão, Marcia Thereza Couto; Schwarz, Eduardo; Neves, Alice Cristina Medeiros das; Santos, Wallace

doi:10.1590/1413-81232015203.11172014

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Article • Ciênc. saúde coletiva 20 (3) • Mar 2015 • https://doi.org/10.1590/1413-81232015203.11172014 copy

Gender inequalities in external cause mortality in Brazil, 2010

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective:

To estimate mortality rate by external causes in Brazil.

Methods:

Mortality national 2010's data corrected by underreport and adjusted by direct method were evaluated by sex according to age, region of residence, race/skin color, education and conjugal situation.

Results:

The standardized mortality coefficient of external causes is higher among men (178 per thousand inhabitants) than among women (24 per thousand inhabitants), being higher among young men (20 to 29 years old) in all regions and decreasing with aging. The mortality rate reaches almost nine times higher among men comparably to women, being higher in North and Northeast regions. The death incidence by external causes is higher among men (36.4%) than among women (10.9%), meaning 170% more risk for men. The risk is also higher among the youngest: 6.00 for men and 7.36 for women. The main kind of death by external causes among men is aggressions, followed by transport accidents, the opposite of women.

Conclusions:

Besides sex, age is the more important predictive factor of precocious death by external causes, pointing the need of many and various sectors in order to construct new identities of non violence.

Men's health; Mortality; External causes; Gender; Brazil

			Men					Women
		Crude			Adjusted		Crude			Adjusted
Location			Age (years)				Age (years)				Risk
Location		30-39 40-49 50-59					30-39 40-49 50-59				Risk
	20-29	30-39 40-49 50-59				20-29	30-39 40-49 50-59				ratio^*
North	294	218	194	172	229	28	24	24	27	26	8.9
RO	272	230	237	207	241	27	37	33	61	37	6.5
AC	158	187	120	139	154	32	24	11	17	22	6.9
AM	262	184	158	147	197	21	19	20	25	21	9.4
RR	243	235	203	154	216	41	45	49	43	44	4.9
PA	333	239	202	170	249	29	23	23	18	24	10.3
AP	294	211	179	208	230	21	12	28	26	21	11.1
TO	269	183	213	203	221	35	30	26	35	31	7.0
Northeast	308	223	174	156	227	28	24	24	27	26	8.8
MA	285	204	158	138	208	29	28	23	27	27	7.7
PI	217	177	140	142	175	24	24	20	28	24	7.3
CE	301	238	189	189	238	26	20	27	31	25	9.4
RN	228	188	167	140	188	28	26	21	26	26	7.3
PB	307	221	158	147	221	25	19	23	24	23	9.7
PE	306	216	179	155	226	27	23	26	26	25	8.9
AL	458	303	239	176	316	32	32	24	22	29	11.1
SE	283	248	199	176	235	29	27	25	35	29	8.2
BA	334	225	163	145	232	28	24	24	26	26	9.0
Southeast	172	137	120	117	140	21	19	21	22	21	6.8
MG	193	151	129	123	155	25	25	25	25	25	6.2
ES	305	223	199	185	237	35	36	33	30	34	7.0
RJ	228	153	126	118	165	22	17	23	23	21	7.8
SP	130	117	106	107	117	18	15	17	19	17	6.9
South	197	160	136	119	159	27	23	24	23	24	6.5
PR	258	193	150	134	194	33	25	25	24	27	7.1
SC	148	140	127	113	135	26	23	26	27	25	5.3
RS	168	139	129	109	141	21	21	21	21	21	6.7
Center-West	246	184	160	155	193	31	30	29	27	29	6.6
MS	220	169	168	149	182	32	29	28	24	29	6.3
MT	274	220	202	199	229	32	40	35	27	34	6.7
GO	273	194	151	152	202	35	30	29	30	31	6.4
DF	178	135	120	109	141	21	18	21	24	21	6.7
Brazil	230	173	144	132	178	25	22	23	24	24	7.5

			Male				Female
	%	RI	RIaj	IC95%	%	RI	RIaj	IC95%

Total	36.4	4.7			10.9	1
Age (years)
50-59	12.2	1	1		4.2	1	1
40-49	26.9	2.2	2.15	2.09-2.21	8.8	2.1	2.01	1.88-2.15
30-39	53.7	4.4	4.27	4.16-4.38	18.4	4.4	4.01	3.76-4.28
20-29	77.5	6.3^*	6.00	5.86-6.16	34.9	8.3^*	7.36	6.92-7.83
Region of residence
SE	29.2	1	1		9.2	1	1
S	34.3	1.2	1.19	1.17-1.21	11.5	1.2	1.24	1.17-1.31
CO	41.1	1.4	1.10	1.08-1.13	14.2	1.5	1.22	1.14-1.32
NE	43.9	1.5	1.15	1.13-1.16	11.9	1.3	1.14	1.08-1.20
N	47.6	1.6^*	1.18	1.16-1.21	12.9	1.4^*	1.00	0.93-1.08
Race/Colour
Black	28.5	1	1		6.5	1	1
Yellow	23.2	0.8	0.90	0.77-1.06	10.1	1.5	1.37	0.96-1.96
White	29.8	1.0	1.08	1.05-1.11	10.4	1.6	1.47	1.35-1.61
Mixed	44.8	1.6	1.28	1.25-1.31	12.9	2.0	1.66	1.52-1.82
Native	42.5	1.5^*	1.09	0.96-1.24	15.1	2.3^*	1.66	1.13-2.44
Study (years)
≤ 8	28.6	1	1		6.7	1	1
> 8	39.4	1.4^*	1.20	1.18-1.22	12.4	1.8^*	1.44	1.37-1.51
Stable civil status
Yes	23.5	1	1		8.0	1	1
No	43.1	1.8^*	1.03	1.02-1.05	12.6	1.6*	1.17	1.12-1.23

ABRASCO - Associação Brasileira de Saúde Coletiva Av. Brasil, 4036 - sala 700 Manguinhos, 21040-361 Rio de Janeiro RJ - Brazil, Tel.: +55 21 3882-9153 / 3882-9151 - Rio de Janeiro - RJ - Brazil
E-mail: cienciasaudecoletiva@fiocruz.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] CollaborationsEC Moura contributed in conception and planning, analysis and interpretation of data; R Gomes and MT Couto in analysis and interpretation of data. ACM Neves and W Santos in elaboration of the draft. E Schwarz contributed in approval of the final version of the manuscript.