Malta Deborah Carvalho, Bernal Regina Tomie Ivata, Vasconcelos Nádia Machado de, Ribeiro Adalgisa Peixoto, Vasconcelos Lêda Lúcia Couto de, Machado Elaine Leandro
Universidade Federal de Minas Gerais, School of Nursing, Department of Maternal and Child Nursing and Public Health - Belo Horizonte (MG), Brazil.
Universidade Federal de Minas Gerais, School of Nursing, Gradute Program in Nursing - Belo Horizonte (MG), Brazil.
Rev Bras Epidemiol. 2023 Apr 21;26Suppl 1(Suppl 1):e230006. doi: 10.1590/1980-549720230006.supl.1. eCollection 2023.
To analyze the prevalence of work-related accidents, according to sociodemographic and occupational variables, in 2013 and 2019.
Cross-sectional study using data from the National Survey of Health (PNS) 2013 and 2019. Typical work accidents (WA), commuting accidents (CA), and Total Work Accidents (TWA) were evaluated. Prevalence values and 95% confidence intervals (95%CI) of TWA in 2013 and 2019 were estimated according to the explanatory variables and for Federative Units and capitals. In 2019, the prevalence and 95%CI according to explanatory variables were estimated using prevalence ratios (PR), both crude and adjusted for sex and age group.
TWA prevalence decreased from 4.96% (95%CI 4.55-5.38) in 2013 to 4.13% (95%CI 3.80-4.46) in 2019. In 2013, the state of Pará prevailed in TWA, and the state of Mato Grosso in 2019. The prevalence of WA and CA in 2019 were: 2.64% (95%CI 2.37-2.91) and 1.60% (95%CI 1.40-1.80). In 2019, the prevalence for TWA were higher for men (PR: 1.92; 95%CI 1.62-2.27); in the 18-29 age group (PR: 2.71; 95%CI 1.99-3.68); people with elementary school and some high school (PR: 2.09; 95%CI 1.57-2.78); and Black individuals (PR: 1.43; 95%CI 1.12-1.84). People without formal employment contract had a lower prevalence of TWA (PR: 0.77; 95%CI 0.66-0.90). WA was higher in rural areas (PR: 1.32; 95%CI 1.09-1.60).
There was a reduction in TWA between 2013 and 2019. Men, young people, Black people, and individuals with lower level of education, residents in rural areas had higher prevalence of WA in 2019, demonstrating a relationship between health-disease-accident processes.
根据社会人口统计学和职业变量，分析2013年和2019年与工作相关事故的发生率。
采用2013年和2019年全国健康调查（PNS）的数据进行横断面研究。评估典型工作事故（WA）、通勤事故（CA）和总工作事故（TWA）。根据解释变量以及联邦单位和首府，估计2013年和2019年TWA的发生率值和95%置信区间（95%CI）。在2019年，根据解释变量，使用发生率比（PR）估计发生率和95%CI，包括粗发生率比以及按性别和年龄组调整后的发生率比。
TWA发生率从2013年的4.96%（95%CI 4.55 - 5.38）降至2019年的4.13%（95%CI 3.80 - 4.46）。2013年，帕拉州TWA发生率最高，2019年是马托格罗索州。2019年WA和CA的发生率分别为：2.64%（95%CI 2.37 - 2.91）和1.60%（95%CI 1.40 - 1.80）。2019年，男性的TWA发生率更高（PR：1.92；95%CI 1.62 - 2.27）；18 - 29岁年龄组（PR：2.71；95%CI 1.99 - 3.68）；小学和初中文化程度的人（PR：2.09；95%CI 1.57 - 2.78）；以及黑人（PR：1.43；95%CI 1.12 - 1.84）。没有正式劳动合同的人TWA发生率较低（PR：0.77；95%CI 0.66 - 0.90）。农村地区的WA发生率更高（PR：1.32；95%CI 1.09 - 1.60）。
2013年至2019年期间TWA有所下降。2019年，男性、年轻人、黑人、教育程度较低的人以及农村居民的WA发生率较高，表明健康 - 疾病 - 事故过程之间存在关联。
