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2003 年至 2022 年期间,巴西因故意服用药物导致的死亡率上升:与地区和全球危机的关系。

The rise in mortality due to intentional self-poisoning by medicines in Brazil between 2003 and 2022: relationship with regional and global crises.

机构信息

Technical Office, Oswaldo Cruz Foundation, Eusébio, Brazil.

Leonidas and Maria Deane Institute, Oswaldo Cruz Foundation, Manaus, Brazil.

出版信息

Front Public Health. 2024 Jul 11;12:1428674. doi: 10.3389/fpubh.2024.1428674. eCollection 2024.

Abstract

In recent years, suicide rates in Brazil have increased, but little is known about the temporal behavior and characteristics of suicides due to intentional self-poisoning by medicines. The aim of the present study was to provide an overview of sociodemographic characteristics and place of death related to suicide due to intentional self-poisoning by medicines, to evaluate the trend of mortality rates in Brazil between 2003 and 2022, and its relationship with regional and global crises. Ecological time series study with data from the Mortality Information System of the Brazilian Ministry of Health, related to individuals aged 10 years and over, who committed suicides due to intentional drug overdose, in the period from 2003 to 2022. The analyses were performed in the R environment in RStudio. Between 2003 and 2022, there was a predominance of deaths in women (55.5%), individuals aged 30-49 years (47.2%), of White race/color (53.2%), occurring in health facilities (67.0%), using drugs or unspecified substances (40.4%); a higher concentration in the southern region (22.8%) and a positive trend in mortality rates due to intentional drug overdose, especially from 2016 onwards. A rise of 264% was observed in the comparison of 2022 and 2003. A peculiar sociodemographic profile was observed in the victims of intentional self-poisoning by medicines and a positive temporal trend in mortality rates, especially in a period marked by regional and global crises.

摘要

近年来,巴西的自杀率有所上升,但由于药物故意自我中毒导致的自杀的时间行为和特征知之甚少。本研究旨在概述与药物故意自我中毒导致的自杀相关的社会人口统计学特征和死亡地点,评估 2003 年至 2022 年巴西的死亡率趋势及其与区域和全球危机的关系。这是一项基于巴西卫生部的死亡信息系统数据的生态时间序列研究,涉及 2003 年至 2022 年期间因故意药物过量自杀的 10 岁及以上个体。分析在 R 语言环境中的 RStudio 中进行。2003 年至 2022 年间,女性(55.5%)、30-49 岁人群(47.2%)、白种人/肤色(53.2%)、在医疗机构(67.0%)、使用药物或未指明物质(40.4%)的自杀者居多;南部地区(22.8%)的死亡率浓度较高,且故意药物过量导致的死亡率呈正趋势,特别是自 2016 年以来。与 2003 年相比,2022 年的死亡率上升了 264%。在药物故意自我中毒的受害者中观察到了一个特殊的社会人口统计学特征,且死亡率呈正时间趋势,尤其是在区域和全球危机时期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce7f/11269127/b87e7e03852a/fpubh-12-1428674-g001.jpg

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