de Morais Neto Otaliba Libânio, Montenegro Marli de Mesquita Silva, Monteiro Rosane Aparecida, Siqueira Júnior João Bosco, da Silva Marta Maria Alves, de Lima Cheila Marina, Miranda Luiz Otávio Maciel, Malta Deborah Carvalho, da Silva Junior Jarbas Barbosa
Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás, Rua Delenda Rezende de Melo s/n, Setor Universitário, 74605-050 Goiania GO.
Cien Saude Colet. 2012 Sep;17(9):2223-36. doi: 10.1590/s1413-81232012000900002.
To analyze the temporal trends of mortality due to Road Traffic Accidents (RTA) as well as identify the existence and location of high risk death clusters for RTA using spatial analysis.
Descriptive study of temporal trends by RTA, pedestrians, motorcyclists, motorists and passengers and spatial analysis for 2000 and 2010. The data was obtained from the Mortality Information System, and standardized rates were calculated by age in Brazilian states and municipalities grouped by population size.
The mortality rates due to RTA between 2000 and 2010 varied from 18 to 22.5 deaths/100,000 inhabitants. The risk of death for pedestrians decreased in recent years, though motorists, motorcyclists and passengers saw a rising trend. A higher risk of death by RTA occurred in municipalities with populations up to 20,000 inhabitants and in those from 20,000 to 100,000 inhabitants. Spatial analysis revealed risk clusters for RTA and motorcyclists and pillion riders with an increase between 2000 and 2010 and enlargement of the areas most at risk in the Northeast.
Increase in the rates of mortality by RTA mostly in the Northeast. Coordinated action between government, civil society and the citizens themselves is required to tackle this problem.
分析道路交通事故（RTA）所致死亡率的时间趋势，并通过空间分析确定RTA高风险死亡聚集区的存在及位置。
对2000年和2010年RTA、行人、摩托车手、驾车者及乘客的时间趋势进行描述性研究，并进行空间分析。数据来自死亡率信息系统，按巴西各州和各市人口规模分组计算年龄标准化率。
2000年至2010年期间，RTA所致死亡率在每10万居民18至22.5例死亡之间变化。近年来行人的死亡风险有所下降，而驾车者、摩托车手和乘客的死亡风险呈上升趋势。RTA导致的较高死亡风险发生在人口达2万及2万至10万居民的市。空间分析揭示了RTA以及摩托车手和后座乘客的风险聚集区，2000年至2010年期间有所增加，且东北部风险最高的区域有所扩大。
RTA死亡率大多在东北部上升。需要政府、民间社会和公民自身采取协调行动来解决这一问题。
