Feitosa Ana Lys Marques, Ribeiro Déborah Ellen de Matos, do Nascimento Fernando Ferraz, Bandeira Hilda Maria Martins, Mascarenhas Márcio Denis Medeiros, Rodrigues Malvina Thaís Pacheco
Programa de Pós-Graduação em Saúde e Comunidade, Universidade Federal do Piauí, Teresina, PI, Brazil.
Rev Bras Med Trab. 2024 Feb 16;21(4):e20231111. doi: 10.47626/1679-4435-2023-1111. eCollection 2023 Oct-Dec.
Occupational accidents represent a severe and complex public health issue.
To identify temporal trends in occupational mortality in Brazil from 2010 to 2019.
This was an ecological study with time series analysis using data from the Brazilian Ministry of Health Mortality Information System (Ministério da Saúde/ Sistema de Informações sobre Mortalidade). The mortality rate was calculated using Prais-Winsten estimation.
In the study period, 34,683 work-related deaths were recorded in Brazil, with a higher occurrence among White (51.0%) men (94.3%) aged 20 to 39 years (44.8%). The highest proportion of deaths (16.5%) was identified in the state of São Paulo. Regarding sex, temporal trends were stable for both men (annual percentage change [APC] = -1.7; 95%CI -3.9 to 0.7) and women (APC = -0.8; 95%CI -1.8 to 0.2). The age groups up to 19 years (APC = -5.1; 95%CI -9.0 to l.l) and 20 to 39 years (APC = -3.3; 95%CI -6.0 to -0.5) showed a decreasing trend, while the remaining age groups showed a stable trend. Black race had a decreasing trend (APC = -8.1; 95%CI -10.7 to -5.5), while White (APC = -2.3; 95%CI -38.0 to 0.2) and mixed races (APC = -1.2; 95%CI -5.2 to 2.9) had a stable trend. Eight states showed a decreasing trend; only the state of Pará (APC = 2.1; 95%CI 0.8 to 3.4) showed an increasing trend, while the other states had a stable trend.
Temporal trends in occupational mortality were stable for most of the indicators evaluated. There is a lack of measures contributing to occupational safety and health in Brazil.
职业事故是一个严重且复杂的公共卫生问题。
确定2010年至2019年巴西职业死亡率的时间趋势。
这是一项生态研究，采用巴西卫生部死亡率信息系统（Ministério da Saúde/ Sistema de Informações sobre Mortalidade）的数据进行时间序列分析。死亡率使用普雷斯-温斯顿估计法计算。
在研究期间，巴西记录了34683例与工作相关的死亡病例，其中20至39岁的白人男性（占比51.0%）死亡人数最多（占94.3%）。圣保罗州的死亡比例最高（16.5%）。在性别方面，男性（年度百分比变化[APC]= -1.7；95%置信区间-3.9至0.7）和女性（APC = -0.8；95%置信区间-1.8至0.2）的时间趋势均较为稳定。19岁及以下年龄组（APC = -5.1；95%置信区间-9.0至1.1）和20至39岁年龄组（APC = -3.3；95%置信区间-6.0至-0.5）呈下降趋势，而其他年龄组呈稳定趋势。黑人种族呈下降趋势（APC = -8.1；95%置信区间-10.7至-5.5），而白人（APC = -2.3；95%置信区间-38.0至0.2）和混血种族（APC = -1.2；95%置信区间-5.2至2.9）呈稳定趋势。八个州呈下降趋势；只有帕拉州（APC = 2.1；95%置信区间0.8至3.4）呈上升趋势，其他州呈稳定趋势。
所评估的大多数指标的职业死亡率时间趋势较为稳定。巴西缺乏有助于职业安全与健康的措施。
