Universidade Federal de Mato Grosso do Sul, Coxim, Brasil.
Universidade do Estado de Mato Grosso, Cáceres, Brasil.
Cad Saude Publica. 2021 Dec 15;37(12):e00281020. doi: 10.1590/0102-311X00281020. eCollection 2021.
This study aimed to analyze the trend in the standardized suicide rates by gender, according to Brazil's geographic regions from 2000 to 2017. Mortality data were retrieved from the Brazilian Mortality Information System database. Linear regression models were used, and Durbin-Watson tests were applied to detect the independence of the residues, as well as Prais-Winsten to control serial autocorrelation. We classified the trends as increasing, decreasing, and stable at 5% significance level. The standardized rate of deaths by suicide for men increased by 75%, from 6.5 to 11.3 deaths per 100,000 inhabitants. For women, the increase was 85%, from 1.6 to 3.0 deaths per 100,000 inhabitants. We found a gradual increase in the standardized suicide rates in all regions for both genders. The growth magnitude of suicide rates in the South is twice for women, whereas for the Northeast it is greater for men. The South and the Central-West regions presented the highest rates, whereas the North the lowest. The trend of standardized rates of suicide is linear and significantly increasing for Brazil and its total geographic regions for both genders. Male and female suicide rates indicate different risk rates according to gender.
本研究旨在分析 2000 年至 2017 年按性别划分的巴西地理区域标准化自杀率趋势。死亡率数据来自巴西死亡率信息系统数据库。使用线性回归模型,并应用 Durbin-Watson 检验来检测残差的独立性,以及 Prais-Winsten 来控制序列自相关。我们将趋势分为增加、减少和稳定三种类型,在 5%的显著性水平下进行分类。男性的标准化自杀率增加了 75%,从每 10 万人 6.5 人增加到 11.3 人。对于女性,这一数字增加了 85%,从每 10 万人 1.6 人增加到 3.0 人。我们发现,两性在所有地区的标准化自杀率都呈逐渐上升趋势。南方女性的自杀率增长幅度是北方的两倍,而北方男性的自杀率增长幅度则更大。南部和中西部地区的自杀率最高,而北部地区的自杀率最低。巴西及其所有地理区域的两性标准化自杀率呈线性增长,且增长显著。男性和女性的自杀率根据性别呈现出不同的风险率。