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巴西阿马帕州工人的流行病学概况、职业事故及社会经济特征:时间序列分析(2007 - 2017年)

Epidemiological profile, occupational accidents, and socioeconomic characteristics of workers in the state of Amapá, Brazil: a time series analysis (2007-2017).

作者信息

da Cunha Arthur Arantes, Corona Rodolfo Antonio, Alves Giovana Carvalho, Castilho-Martins Emerson Augusto

机构信息

Curso de Medicina, Departamento de Ciências Biológicas e da Saúde, Universidade Federal do Amapá, Macapá, AP, Brazil.

Programa de Pós-Graduação em Ciências da Saúde, Departamento de Pós-Graduação, Universidade Federal do Amapá, Macapá, AP, Brazil.

出版信息

Rev Bras Med Trab. 2021 Aug 4;19(2):181-190. doi: 10.47626/1679-4435-2020-583. eCollection 2021 Apr-Jun.

Abstract

INTRODUCTION

The state of Amapá is located in Brazil's Legal Amazon and comprises 16 municipalities. Its history is marked by social vulnerability and industrial mining; therefore, its current socioeconomic and occupational context should be analyzed considering possible sociohistorical and geographic influences.

OBJECTIVES

To analyze and/or describe the epidemiological profile of workers, occupational accidents, the socioeconomic context, and time evolution of the number of workers in the state and their relationship with the state's gross domestic product.

METHODS

This is an analytic time series study based on official public data. We used a simple regression test to analyze the relationship between the number of workers and gross domestic product and to assess the time trend of the number of workers. The studied period was from 2007 to 2017.

RESULTS

The number of workers presented an increasing trend over time (R = 0.902; p < 0.001), with a relative increase of 49.8% between 2007 and 2017. We observed a positive relationship between the annual increase in the number of workers and the state's gross domestic product (R = 0.899; p < 0.001). The economic activity with the highest mean number of workers was public administration, defense, and social security. The highest socioeconomic indicators were observed in the state capital Macapá. Non-hazardous waste management was the activity concentrating the highest absolute number of occupational accidents.

CONCLUSIONS

This study highlighted important socioeconomic contrasts within the state. The significant increases in the gross domestic product and number of workers are signs of development, but the high number of occupational accidents represents a serious public health problem.

摘要

引言

阿马帕州位于巴西的合法亚马逊地区,由16个市组成。其历史以社会脆弱性和工业采矿为特征;因此,应结合可能的社会历史和地理影响来分析其当前的社会经济和职业背景。

目的

分析和/或描述该州工人的流行病学概况、职业事故、社会经济背景以及工人数量的时间演变及其与该州国内生产总值的关系。

方法

这是一项基于官方公开数据的分析性时间序列研究。我们使用简单回归测试来分析工人数量与国内生产总值之间的关系,并评估工人数量的时间趋势。研究期间为2007年至2017年。

结果

工人数量随时间呈上升趋势(R = 0.902;p < 0.001),2007年至2017年间相对增长了49.8%。我们观察到工人数量的年度增长与该州国内生产总值之间存在正相关关系(R = 0.899;p < 0.001)。工人平均数量最多的经济活动是公共行政、国防和社会保障。在州首府马卡帕观察到最高的社会经济指标。非危险废物管理是职业事故绝对数量集中最多的活动。

结论

本研究突出了该州内重要的社会经济差异。国内生产总值和工人数量的显著增加是发展的迹象,但大量的职业事故代表了一个严重的公共卫生问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1232/8447650/24cd4742b713/rbmt-19-02-0181-g01.jpg

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