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[2000年至2015年期间巴西北里奥格兰德州自杀死亡率的时空分析]

[Space-time analysis of mortality by suicide in the State of Rio Grande do Norte, Brazil, in the period from 2000 to 2015].

作者信息

Santos Emelynne Gabrielly de Oliveira, Barbosa Isabelle Ribeiro, Severo Ana Kalliny Sousa

机构信息

Faculdade de Ciências da Saúde do Trairi, Universidade Federal do Rio Grande do Norte. Avenida Rio Branco, Centro. 59200-000, Santa Cruz, RN, Brasil.

出版信息

Cien Saude Colet. 2020 Feb;25(2):633-643. doi: 10.1590/1413-81232020252.11042018. Epub 2018 Jun 3.

Abstract

The objective of this study was to analyze the space-time distribution of mortality by suicide in the State of Rio Grande do Norte (RN) between 2000 and 2015. This is a mixed ecological study that evaluated the deaths due to suicide registered in RN. Spatial analysis was performed using crude and standardized rates. Univariate analysis was conducted using the Moran Global and Local Index, and spatial bivariate analysis was assessed using the cross-referencing of sociodemographic variables and mortality rates. By applying Joinpoint Regression, it was possible to verify the suicide mortality trend. There were 2,266 suicide deaths from 2000 to 2015, and spatial analysis showed poor spatial autocorrelation (I <0.3) for the Standardized Mortality Rates for both sexes, with formation of spatial clusters in the Seridó Region. The bivariate analysis showed the formation of clusters in the Seridó Region with HDI and Aging variables. In addition, there was a trend of increased male mortality up to 2003 (APC = 15.3%, CI = 9.2-21.8), followed by a period of stability.

摘要

本研究的目的是分析2000年至2015年期间北里奥格兰德州(RN)自杀死亡率的时空分布。这是一项混合生态研究,评估了RN登记的自杀死亡情况。使用粗率和标准化率进行空间分析。使用莫兰全局和局部指数进行单变量分析,并通过社会人口学变量与死亡率的交叉引用评估空间双变量分析。通过应用Joinpoint回归,可以验证自杀死亡率趋势。2000年至2015年期间有2266例自杀死亡,空间分析显示,两性标准化死亡率的空间自相关性较差(I<0.3),在塞里多地区形成了空间聚集。双变量分析显示,在塞里多地区,HDI和老龄化变量形成了聚集。此外,到2003年男性死亡率呈上升趋势(APC=15.3%,CI=9.2-21.8),随后是一段稳定期。

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