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[2000 - 2021年墨西哥杀人案不平等趋势:纵向生态研究 2000年至2021年墨西哥杀人案发生率的不平等:纵向生态研究]

[Trend in inequities in homicides in Mexico, 2000-2021: longitudinal ecological studyDesigualdades nas taxas de homicídios do México no período de 2000 a 2021: estudo ecológico longitudinal].

作者信息

Velasco-Calderón Omar, Castañeda Andrés, Gutiérrez Juan Pablo

机构信息

Facultad de Medicina Universidad Nacional Autónoma de México Ciudad de México México Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México.

出版信息

Rev Panam Salud Publica. 2023 Aug 2;47:e112. doi: 10.26633/RPSP.2023.112. eCollection 2023.

Abstract

OBJECTIVE

To document trends in inequity in homicide rates in Mexico for the period 2000-2021, at the state and national levels.

METHODS

An observational, longitudinal ecological study was conducted in which standardized homicide mortality rates were estimated, by municipality and sex. Municipalities were classified in five groups, according to the Social Lag Index. The absolute inequality gap was obtained, as well as differences between groups with very high and very low social lag, for each year of the study period.

RESULTS

In the 32 states, an increase was observed in the rate of death by homicide, with higher rates among men but a greater relative increase among women (+127.86% vs. +110.03%). The absolute gap between municipalities with very high and very low social lag narrowed in the period, due to higher homicide rates in municipalities with low social lag and a modest reduction in municipalities with very high social lag.

CONCLUSIONS

In Mexico, between 2000 and 2021, the absolute gap in deaths by homicide between municipalities with very high and very low social lag declined due to higher homicide rates in municipalities with lower social lag. It is necessary to strengthen policies and actions aimed at addressing the social determinants of interpersonal violence.

摘要

目的

记录2000 - 2021年期间墨西哥州和国家层面杀人率不平等的趋势。

方法

开展了一项观察性纵向生态研究,按市和性别估计标准化杀人死亡率。根据社会滞后指数,将市分为五组。在研究期间的每一年,得出绝对不平等差距以及社会滞后程度非常高和非常低的组之间的差异。

结果

在32个州,杀人死亡率有所上升,男性死亡率更高,但女性的相对增幅更大(分别为 +127.86% 和 +110.03%)。由于社会滞后程度低的市杀人率较高,而社会滞后程度非常高的市杀人率略有下降,该时期社会滞后程度非常高和非常低的市之间的绝对差距缩小。

结论

在墨西哥,2000年至2021年期间,社会滞后程度非常高和非常低的市之间杀人死亡的绝对差距缩小,原因是社会滞后程度低的市杀人率较高。有必要加强旨在解决人际暴力社会决定因素的政策和行动。

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