Fiorio Nathalia Modenesi, Flor Luisa Sorio, Padilha Monique, de Castro Denise Silveira, Molina Maria Del Carmen Bisi
Secretaria Municipal de Saúde de Vitória, Vitória, ES, Brasil.
Rev Bras Epidemiol. 2011 Sep;14(3):522-30. doi: 10.1590/s1415-790x2011000300016.
To analyze mortality by cause and sex among groups of race or color from the mortality information system (MIS) in Vitória (Brazil), in the period from 2003 to 2006.
We calculated and analyzed the mortality rates according to underlying cause, sex and race/color, and the mean and median age of death by underlying cause, sex and race. We calculated the relative risk (RR) for age, sex and underlying cause (p<0.05 and CI 95%).
The completeness of race/color in SIM ranged from 1% in 1996 to 81% in 2006. There was a greater RR of death among blacks for mental and behavioral disorders (RR=9.29), Ill-defined causes (RR=8.71), and external causes (RR=5.71). For black women, we highlight the external causes (RR=2.38). We found a variation of up to 33 years (nervous system) between whites and blacks.
This study confirms the existence of unequal racial/ethnic mortality, highlighting the mortality from mental disorders and external causes, in addition to early mortality that occurs in the black population.
根据巴西维多利亚市死亡信息系统（MIS）的数据，分析2003年至2006年期间不同种族或肤色群体按病因和性别的死亡率。
我们根据潜在病因、性别和种族/肤色计算并分析了死亡率，以及按潜在病因、性别和种族划分的死亡平均年龄和中位年龄。我们计算了年龄、性别和潜在病因的相对风险（RR）（p<0.05和95%置信区间）。
SIM中种族/肤色信息的完整性从1996年的1%到2006年的81%不等。黑人因精神和行为障碍（RR=9.29）、死因不明（RR=8.71）和外部原因（RR=5.71）导致的死亡相对风险更高。对于黑人女性，我们突出了外部原因（RR=2.38）。我们发现白人和黑人之间在死亡年龄上的差异高达33岁（神经系统疾病）。
本研究证实了种族/族裔死亡率不平等的存在，突出了精神障碍和外部原因导致的死亡率，以及黑人人群中的过早死亡情况。
