Oliveira Paulo Rogério Albuquerque de, Portela Margareth Crisóstomo, Corrêa Filho Heleno Rodrigues, Souza William Rosa de
Ministério da Economia, Brasília, Brasil.
Universidade Paulista, Brasília, Brasil.
Cad Saude Publica. 2021 May 14;37(5):e00191119. doi: 10.1590/0102-311X00191119. eCollection 2021.
The Brazilian National Social Security Institute has used the Social Security Epidemiological Technical Nexus (NTEP) since 2007 to associate risks of the occurrence of work-related disability to classes of economic activities. This study aimed to identify the main risks of this type in Brazilian companies. We conducted a dynamic census cohort study with secondary national data from the Single Benefit System (SUB) and the National Registry of Social Information (CNIS). The Worker's Identification Number (NIT) allowed linking the occurrence of disabling conditions (International Classification of Diseases, 10th revision - ICD-10) to economic activities (National Classification of Economic Activities, CNAE). The NTEP was established with the highest risks between the seven most populous CNAE classes and seven largest ICD-10 among social security benefits from 2000 to 2016. During the period, Brazil had entitled employees with 30,815,310.06 employment contracts per year with 512,967,233.15 contract days. The most populous CNAE were: "retail commerce - hypermarkets", "roadway collective passenger transportation", "multipurpose banks with commercial portfolios", "pork and poultry slaughtering", "job selection and hiring", "nonhazardous waste collection", and "automobile, pickup truck, and utility vehicle manufacturing". The most prevalent disabling conditions were: back disorders, wrist and hand injuries, knee and leg injuries, soft tissue disorders, mood disorders, joint disorders, and neurotic disorders. Among the 49 combinations of ICD-10 and CNAE, the NTEP was established for 27 (55.1%). The study corroborates the accuracy and consistency of NTEP for identifying risks and etiological fractions.
自2007年以来，巴西国家社会保障局一直使用社会保障流行病学技术关联系统（NTEP），将与工作相关的残疾发生风险与经济活动类别相关联。本研究旨在确定巴西公司中此类主要风险。我们利用单一福利系统（SUB）和国家社会信息登记处（CNIS）的二级国家数据进行了一项动态普查队列研究。工人识别号（NIT）使我们能够将致残状况（国际疾病分类第10版 - ICD - 10）与经济活动（国民经济活动分类，CNAE）联系起来。NTEP是根据2000年至2016年社会保障福利中人口最多的七个CNAE类别和七个最大的ICD - 10之间的最高风险建立的。在此期间，巴西每年有30,815,310.06份就业合同的员工享有512,967,233.15个合同日。人口最多的CNAE类别为：“零售商业 - 大型超市”、“道路集体客运”、“拥有商业投资组合的多功能银行”、“猪肉和家禽屠宰”、“工作筛选和招聘”、“无害废物收集”以及“汽车、皮卡和多用途车辆制造”。最普遍的致残状况为：背部疾病、手腕和手部损伤、膝盖和腿部损伤、软组织疾病、情绪障碍、关节疾病和神经症。在ICD - 10和CNAE的49种组合中，为27种（55.1%）建立了NTEP。该研究证实了NTEP在识别风险和病因分数方面的准确性和一致性。
