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[1996年巴西南里奥格兰德州阿雷格里港暴力死亡事件的空间聚集性检测]

[Spatial clusters detection of violent deaths in Porto Alegre, Rio Grande do Sul, Brazil, 1996].

作者信息

Santos S M, Barcellos C, Carvalho M S, Flôres R

机构信息

Departamento de Informações em Saúde, Centro de Informação Científica e Tecnológica, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, 21045-900, Brasil.

出版信息

Cad Saude Publica. 2001 Sep-Oct;17(5):1141-51. doi: 10.1590/s0102-311x2001000500015.

Abstract

Violence is of major importance in the health profile of Brazilian metropolitan areas and should be treated as a public health problem. Spatial analysis methods can be highly useful for the surveillance and prevention of violence. This paper analyzes the spatial distribution of victims' place of residence in relation to the main causes of violent death in Porto Alegre (1996) in order to identify vulnerable areas. For motor vehicle accidents, homicides, and suicide, the victim's place of residence was pinpointed using the municipal Geographic Information System. The point patterns of health events and population density were analyzed using a Kernel smoother, visually compared. Some areas with higher concentration of events are similar to population distribution but differ from each other in the remaining high concentration areas, thus indicating specific micro-areas at risk. Areas of higher homicide risk are mainly located on the periphery of the more urbanized area, with worse socioeconomic conditions. Motor vehicle accidents are concentrated in areas that are simultaneously commercial and residential and are traversed by streets with heavy traffic. Suicide deaths are more evenly distributed over the territory. Identification of risk areas provides meaningful information for developing preventive and health promotion measures focusing on the events for which health policies may play a central role.

摘要

暴力在巴西大都市地区的健康状况中至关重要,应被视为一个公共卫生问题。空间分析方法对于暴力行为的监测和预防可能非常有用。本文分析了阿雷格里港(1996年)受害者居住地的空间分布与暴力死亡主要原因之间的关系,以便确定脆弱地区。对于机动车事故、凶杀案和自杀事件,利用市政地理信息系统确定了受害者的居住地。使用核平滑器分析了健康事件的点模式和人口密度,并进行了直观比较。一些事件集中度较高的区域与人口分布相似,但在其余高集中度区域彼此不同,从而表明了特定的高风险微区域。凶杀风险较高的区域主要位于城市化程度较高地区的周边,社会经济条件较差。机动车事故集中在商业和住宅兼有的区域,且这些区域有交通繁忙的街道穿过。自杀死亡在整个地区分布更为均匀。识别风险区域为制定侧重于健康政策可能发挥核心作用的事件的预防和健康促进措施提供了有意义的信息。

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