Faria Neice Müller Xavier, Victora Cesar Gomes, Meneghel Stela Nazareth, de Carvalho Lenine Alves, Falk João Werner
Universidade Federal de Pelotas, Pelotas, Brasil.
Cad Saude Publica. 2006 Dec;22(12):2611-21. doi: 10.1590/s0102-311x2006001200011.
Rio Grande do Sul State has the highest suicide rates in Brazil. Previous studies have suggested a possible role of agricultural activities, especially tobacco farming, where pesticide use is intensive. An ecological study was designed to assess associations between age-adjusted suicide rates based on death certificates and socioeconomic and agricultural factors. Suicide rates in males and females were inversely associated with schooling level and directly associated with divorce/marital separation. Rates for men were higher in areas where traditional Protestant religious were more prevalent, and rates for women were lower in areas with a higher proportion of single-inhabitant households. Multivariate analyses showed no associations between increased suicide rates and any of the agricultural variables. These results confirm the role of socioeconomic determinants of suicide, but do not support the hypothesis of a specific role of agricultural practices.
南里奥格兰德州是巴西自杀率最高的州。先前的研究表明农业活动可能起到了一定作用，尤其是烟草种植，在那里农药使用密集。一项生态研究旨在评估基于死亡证明的年龄调整自杀率与社会经济和农业因素之间的关联。男性和女性的自杀率与受教育程度呈负相关，与离婚/婚姻分居呈正相关。在传统新教更为盛行的地区男性自杀率较高，而在单人居住家庭比例较高的地区女性自杀率较低。多变量分析显示自杀率上升与任何农业变量之间均无关联。这些结果证实了自杀的社会经济决定因素的作用，但不支持农业实践具有特定作用的假设。
