Self-reported occupational accidents among Brazil's adult population based on data from the 2013 National Health Survey

Malta, Deborah Carvalho; Stopa, Sheila Rizzato; Silva, Marta Maria Alves da; Szwarcwald, Célia Landmann; Franco, Marco da Silveira; Santos, Flavia Vinhaes; Machado, Elaine Leandro; Gómez, Carlos Minayo

doi:10.1590/1413-81232017221.17862015

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Free Themes • Ciênc. saúde colet. 22 (1) • Jan 2017 • https://doi.org/10.1590/1413-81232017221.17862015 copy

Self-reported occupational accidents among Brazil's adult population based on data from the 2013 National Health Survey

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to provide an overview of occupational accidents among Brazil's adult population.

Methods:

descriptive study using data from the 2013 National Health Survey.

Results:

A total of 4.9 million workers mentioned having suffered some kind of work-related accident, which is equivalent to 3.4% (CI95% 4.6-5.6) of Brazil's adult population. Prevalence rates were higher among men, young adults aged between 18 and 39 years, and black people and in the North Region of the country. Prevalence was highest in the State of Para and lowest in the State of Rio de Janeiro State. Around one third of all accidents were commuting accidents, 50.4% (CI95% 45.3-55.5) of people who had suffered an occupational accident were prevented from carrying out some kind of routine activity due to the accident, 8.8% (CI95% 6.4-11.2) were hospitalized and 19% (CI95% 15.3-22.7) had sequelae resulting from occupational accidents.

Conclusion:

the data provided by the National Health Survey comprises an unprecedented and invaluable source of information on these issues in Brazil. The results of the survey confirm that occupational accidents are underreported, since official figures do not cover individuals working in the informal sector.

Key words
Occupational accidents; Notification of occupational accidents; Work; Health surveys; Epidemiological surveillance

Sociodemographic characteristics	%	CI 95%^* * 95% Confidence Interval.		N Expanded (x1,000)
Sociodemographic characteristics	%	LI	LS	N Expanded (x1,000)
Sex
Male	5.1	4.6	5.6	3,493
Female	1.9	1.6	2.1	1,455
Age group (years)
18-29	4.4	3.8	5.0	1,676
30-39	4.5	3.9	5.1	1,417
40-59	3.1	2.7	3.5	1,572
60 and over	1.1	0.7	1.4	283
Level of education
Has not completed primary education	3.1	2.7	3.4	1,744
Has completed primary education but has not completed secondary education	4.4	3.6	5.3	1,006
Has completed secondary education but has not completed further education	3.7	3.2	4.3	1,791
Has completed further education	2.2	1.6	2.8	407
Color or race
White	2.9	2.5	3.3	2,018
Black	4.6	3.5	5.8	625
Brown	3.7	3.3	4.1	2,256
Place of residence
Urbana	3.3	3.0	3.6	4,182
Rural	3.8	3.2	4.4	766
Region
North	4.9	4.0	5.7	530
Northeast	3.3	2.9	3.7	1,282
Southeast	2.8	2.3	3.3	1,798
South	4.2	3.5	4.9	907
Centerwest	4.0	3.4	4.6	431
Brazil	3.4	3.1	3.6	4,948

Sociodemographic characteristics	%	CI 95%^* * 95% Confidence Interval.		N Expanded (x1,000)
Sociodemographic characteristics	%	LI	LS	N Expanded (x1,000)
Sex
Male	2.1	1.8	2.4	1,441
Female	0.6	0.5	0.7	445
Age group(years)
18-29	1.9	1.5	2.3	723
30-39	1.9	1.5	2.3	612
40-59	1.0	0.8	1.2	482
60 or over	0.3	0.1	0.4	70
Level of education
Has not completed primary education	0.8	0.6	0.9	441
Has completed primary education but has not completed secondary education	1.5	1.1	1.9	341
Has completed secondary education but has not completed further education	1.8	1.4	2.1	849
Has completed further education	1.4	0.9	1.9	255
Color or race
White	1.2	0.9	1.4	815
Black	1.7	1.0	2.3	225
Brown	1.3	1.1	1.6	823
Place of residence
Urban	1.3	1.2	1.5	1,688
Rural	1.0	0.7	1.3	198
Region
North	2.0	1.5	2.5	219
Northeast	1.2	1.0	1.5	486
Southeast	1.1	0.8	1.4	703
South	1.3	0.9	1.8	284
Centerwest	1.8	1.4	2.2	193
Brazil	1.3	1.1	1.4	1,886

Sociodemographic characteristics	Prevented from carrying out routine activities			Involving hospitalization			Resulting in sequela/disability
Sociodemographic characteristics	%	CI 95%^* * 95% Confidence Interval.		%	CI 95%^* * 95% Confidence Interval.		%	CI 95%^* * 95% Confidence Interval.
	%	LI	LS	%	LI	LS	%	LI	LS
Sex
Male	52.8	46.6	59.1	10.4	7.1	13.7	19.8	15.1	24.6
Female	45.6	37.4	53.7	5.5	2.5	8.6	17.3	11.4	23.1
Age group(years)
18-29	41.4	33.1	49.6	5.1	2.3	7.8	9.7	5.7	13.8
30-39	51.7	42	61.4	7.0	3.3	10.7	17.8	11.8	23.9
40-59	56.4	46.9	65.8	10.5	6.7	14.3	25.5	18.2	32.9
60 and over	56.3	39.0	73.6	24.4	8.7	40.1	31.7	12.3	51.1
Level of education
Has not completed primary education	59.0	52.0	66.1	11.3	6.9	15.7	23.7	17.3	30.1
Has completed primary education but has not completed secondary education	43.9	31.9	55.8	9.4	4.2	14.6	11.4	6.1	16.7
Has completed secondary education but has not completed further education	44.5	36.1	52.8	5.6	2.6	8.6	16.7	11.3	22.2
Has completed further education	44.7	26.6	62.9	5.6	0.0	11.7	25.8	5.1	46.4
Color or race
White	52.1	44.4	59.8	8.0	4.8	11.2	20.2	14.2	26.2
Black	38.1	24.0	52.3	7.7	1.3	14.0	15.0	6.6	23.4
Brown	52.5	45.5	59.6	10.0	6.0	14.0	19.4	14.0	24.8
Place of residence
Urban	47.8	42.1	53.6	7.8	5.6	10.1	17.2	13.4	21.0
Rural	62.1	53.0	71.2	13.2	5.2	21.2	27.1	17.4	36.7
Region
North	57.8	43.9	71.6	19.2	6.5	31.8	20.9	14.5	27.4
Northeast	47.1	37.5	56.7	7.9	4.0	11.8	15.0	10.2	19.8
Southeast	45.2	35.1	55.4	4.4	1.5	7.3	20.1	11.6	28.5
South	60.1	51.2	68.9	11.1	5.8	16.4	22.0	14.8	29.2
Centerwest	50.4	40.1	60.7	11.8	4.4	19.1	16.9	9.5	24.4
Brazil	50.4	45.3	55.5	8.8	6.4	11.2	19.0	15.3	22.7

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[1] Collaborations

DC Malta was involved in study conception, data analysis and interpretation, and critically revised this article and approved the version to be published. EL Machado and SR Stopa helped carry out the literature review, the data analysis and in drafting the article. MMA Silva, CL Szwarcwald, MS Franco, FV Santos and C Minayo contributed to data analysis and the final revision of the text. All authors approved the final version of the text.