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2011 - 2018年巴西学校环境中青少年故意自我伤害报告的时间趋势

Temporal trend of adolescent intentional self-harm notifications in the school environment, Brazil, 2011-2018.

作者信息

Aragão Conceição de Maria Castro de, Mascarenhas Márcio Dênis Medeiros

机构信息

Universidade Federal do Piauí, Programa de Pós-Graduação em Saúde e Comunidade, Teresina, PI, Brasil.

出版信息

Epidemiol Serv Saude. 2022;31(1):e2021820. doi: 10.1590/S1679-49742022000100028.

DOI:10.1590/S1679-49742022000100028
PMID:35544870
Abstract

OBJECTIVE

To analyze the trend of adolescent intentional self-harm notifications in the school environment, Brazil, 2011 to 2018.

METHODS

This was an ecological time series study, with data from the Notifiable Health Conditions Information System, using the Prais-Winsten linear regression model.

RESULTS

A total of 1,989 cases were notified. Notification rates ranged from 0.09 to 2.75/100,000 inhabitants, with an increasing trend, both in females (APC= 66.0%; 95%CI 39.0;98.3) and male (APC = 55.2%; 95%CI 29.9;85.4). The North region showed a stationary trend, while the Southeast and South regions showed an increasing trend, especially Rio de Janeiro (APC = 85.5%; 95%CI 58.0;117.8) and Paraná (APC = 73.6%; 95%CI 41.9;112.3). In the Midwest region, only the state of Mato Grosso do Sul showed a rising trend (APC = 54.5%; 95%CI 16.9;104.2).

CONCLUSION

There was an increasing trend in adolescent intentional self-harm notifications in the school environment in Brazil, during the study period.

摘要

目的

分析2011年至2018年巴西学校环境中青少年故意自我伤害报告的趋势。

方法

这是一项生态时间序列研究,数据来自法定健康状况信息系统,采用普赖斯-温斯坦线性回归模型。

结果

共报告了1989例病例。报告率在0.09至2.75/10万居民之间,呈上升趋势,女性(年平均百分比变化=66.0%;95%置信区间39.0;98.3)和男性(年平均百分比变化=55.2%;95%置信区间29.9;85.4)均如此。北部地区呈平稳趋势,而东南部和南部地区呈上升趋势,尤其是里约热内卢(年平均百分比变化=85.5%;95%置信区间58.0;117.8)和巴拉那州(年平均百分比变化=73.6%;95%置信区间41.9;112.3)。在中西部地区,只有南马托格罗索州呈上升趋势(年平均百分比变化=54.5%;95%置信区间16.9;104.2)。

结论

在研究期间,巴西学校环境中青少年故意自我伤害的报告呈上升趋势。

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