Santana Vilma Souza, Araújo-Filho José Bouzas, Silva Marlene, Albuquerque-Oliveira Paulo Rogério, Barbosa-Branco Anadergh, Nobre Letícia Coelho da Costa
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Rua Augusto Vianna s/n, Salvador, Bahia, Brazil.
Cad Saude Publica. 2007 Nov;23(11):2643-52. doi: 10.1590/s0102-311x2007001100012.
This study of occupational accidents presents estimates for mortality, years of potential life lost, and cumulative incidence of severe cases (over 15 workdays lost) in Bahia State, Brazil, 2000. A correction factor was produced by comparing different data sources. Data were taken from compensation claims in the National Social Security Unified Benefits System (SUB), death certificates from the Ministry of Health Mortality Information System, and national census. Occupational accident-related mortality was estimated as 0.79 per 100,000 workers using the Mortality Information System, but increased to 13.17 per 100,000 using the SUB database. Assuming the latter result for the entire workforce produced a correction factor of 16.67 for the Mortality Information System database. Years of potential life lost were 23,249, and the cumulative incidence of severe occupational accidents was 2.3%. Occupational accidents are preventable, but still common in Brazil. Underreporting is widespread, and corrected statistics need to be published, thereby turning this neglected public health problem into a policy priority.
本研究针对2000年巴西巴伊亚州的职业事故给出了死亡率、潜在寿命损失年数以及严重事故(损失超过15个工作日)累积发病率的估算值。通过比较不同数据源得出了一个校正因子。数据取自国家社会保障统一福利系统(SUB)的赔偿申请、卫生部死亡率信息系统的死亡证明以及全国人口普查。使用死亡率信息系统估算出的与职业事故相关的死亡率为每10万名工人0.79例,但使用SUB数据库时该死亡率增至每10万名工人13.17例。假设将后者的结果应用于全体劳动力,得出死亡率信息系统数据库的校正因子为16.67。潜在寿命损失年数为23,249年,严重职业事故的累积发病率为2.3%。职业事故是可预防的,但在巴西仍很常见。漏报情况普遍存在,需要公布校正后的统计数据,从而将这个被忽视的公共卫生问题转变为政策重点。