Guimarães Rafael Alves, de Sena Kamylla Guedes, de Morais Neto Otaliba Libânio, Malta Deborah Carvalho
Faculdade de Enfermagem. Universidade Federal de Goiás, Goiânia, Goiás, Brasil; Instituto de Patologia Tropical e Saúde Pública. Universidade Federal de Goiás, Goiânia, Goiás, Brasil.
Instituto de Patologia Tropical e Saúde Pública. Universidade Federal de Goiás, Goiânia, Goiás, Brasil.
Injury. 2023 Mar 11. doi: 10.1016/j.injury.2023.03.004.
To estimate the magnitude and factors associated with self-reported road traffic injuries (RTI) in Brazil.
Cross-sectional study conducted using data from individuals aged 18 years or older, participants in the 2019 National Health Survey, a population-based conducted on 88,531 adult individuals in Brazil. Three indicators were analyzed: (i) Proportion (%) of individuals aged 18 years or older who were involved in RTI in the past 12 months; (ii) Proportion (%) of car drivers who were involved in RTI in the past 12 months; and (iii), Proportion (%) of motorcycle drivers who were involved in RTI in the past 12 months. In the inferential analysis, multiple Poisson regression was used to analyze the association between demographic and socioeconomic variables and RTI, stratified for the general population, population of car and motorcycle drivers.
The estimated prevalence of self-reported RTI in the past 12 months was 2.4%. The South, Southeast, Northeast, Central-West, and North regions of Brazil had prevalences of 2.0%, 2.1%, 2.7%, 3.2%, and 3.4%, respectively. The results also show that most developed regions (South and Southeast) showed the lowest prevalence's, the highest frequencies were observed in those with lower socioeconomic development levels (Central-West, North, and Northeast). The prevalence was also higher in the subgroup of motorcyclists when compared to car drivers. In the general sample, the Poisson model showed an association between male sex, younger age, low level of education, residing outside capitals and metropolitan regions, in the North, Northeast and South regions and the prevalence of RTI. In car drivers, similar associations were found, except for area of residence. In motorcycle drivers, young age, low level of education, living in urban areas were associated with increased prevalence of RTI.
The prevalence of RTI is still high within the country, with disparities between regions, affecting more motorcyclists, young people, males, individuals with low education, and residents of the countryside.
评估巴西自我报告的道路交通伤害（RTI）的严重程度及相关因素。
采用横断面研究，数据来自年龄在18岁及以上的个体，这些个体参与了2019年全国健康调查，该调查以巴西88531名成年人为基础进行。分析了三个指标：（i）过去12个月内参与RTI的18岁及以上个体的比例（%）；（ii）过去12个月内参与RTI的汽车驾驶员的比例（%）；以及（iii）过去12个月内参与RTI的摩托车驾驶员的比例（%）。在推断性分析中，使用多重泊松回归分析人口统计学和社会经济变量与RTI之间的关联，并按总体人群、汽车和摩托车驾驶员人群进行分层。
过去12个月自我报告的RTI估计患病率为2.4%。巴西的南部、东南部、东北部、中西部和北部地区的患病率分别为2.0%、2.1%、2.7%、3.2%和3.4%。结果还表明，大多数发达地区（南部和东南部）的患病率最低，社会经济发展水平较低的地区（中西部、北部和东北部）患病率最高。与汽车驾驶员相比，摩托车驾驶员亚组的患病率也更高。在总体样本中，泊松模型显示男性、年轻、教育水平低、居住在首都和大都市地区以外、在北部、东北部和南部地区与RTI患病率之间存在关联。在汽车驾驶员中，除居住地区外，也发现了类似的关联。在摩托车驾驶员中，年轻、教育水平低、生活在城市地区与RTI患病率增加有关。
该国RTI的患病率仍然很高，地区之间存在差异，对摩托车驾驶员、年轻人、男性、低教育程度个体和农村居民的影响更大。
