Malta Deborah Carvalho, Reis Gabriela Maciel Dos, Veloso Guilherme Augusto, Cardoso Laís Santos de Magalhães, Hartz Zulmira Maria de Araújo, Cunningham Matthew, Naghavi Mohsen
Universidade Federal de Minas Gerais, Department of Maternal and Child Nursing and Public Health - Belo Horizonte (MG), Brazil.
Universidade Federal de Minas Gerais, School of Nursing, Graduate Program in Nursing - Belo Horizonte (MG), Brazil.
Rev Bras Epidemiol. 2023 Apr 21;26Suppl 1(Suppl 1):e230010. doi: 10.1590/1980-549720230010.supl.1. eCollection 2023.
To describe the patterns of overall mortality and mortality from external causes and the temporal evolution in the municipalities of the Paraopeba River Basin, before the socio-environmental disaster of the Brumadinho dam and, additionally, to investigate the correlation between mortality and socioeconomic deprivation in these municipalities.
Global Burden of Disease Study mortality estimates for 26 municipalities in the state of Minas Gerais, Brazil, were analyzed. Rates of overall mortality and mortality from external causes were estimated in the triennia (T) T1 (2000 to 2002), T2 (2009 to 2011), and T3 (2016 to 2018). Pearson's correlation coefficient measured the association between mortality rates and socioeconomic deprivation, according to the Brazilian Deprivation Index (IBP).
There was a decrease in overall mortality in the Paraopeba River Basin from 717.7/100 thousand to 572.6/100 thousand inhabitants, and in most municipalities between T1-T3. Mortality from external causes increased from 73.3/100 thousand to 82.1/100 thousand, and it was higher in these municipalities compared with the mean for Brazil and Minas Gerais. Deaths from suicide and interpersonal violence increased from 29.6/100 thousand to 43.2/100 thousand in most of the 26 municipalities. Death rates due to unintentional injuries decreased during the period, and those due to transport injuries, increased. There was a positive correlation between socioeconomic deprivation and the percent change in mortality rates.
Despite the strong presence of mining activity in the region, such did not reflect in the improvement of the sanitary situation. Death rates due to external causes increased in the period, associated with inequalities, which must be considered in the planning for the recovery of the disaster areas.
描述布鲁马迪纽大坝发生社会环境灾难之前，帕拉奥佩巴河流域各市的总死亡率和外部原因死亡率模式及其时间演变，并此外调查这些市死亡率与社会经济剥夺之间的相关性。
分析了巴西米纳斯吉拉斯州26个市的全球疾病负担研究死亡率估计值。在2000年至2002年（T1）、2009年至2011年（T2）和2016年至2018年（T3）这三个三年期内估计了总死亡率和外部原因死亡率。根据巴西剥夺指数（IBP），用皮尔逊相关系数衡量死亡率与社会经济剥夺之间的关联。
帕拉奥佩巴河流域的总死亡率从每10万居民717.7例降至572.6例，且在大多数市中，T1至T3期间呈下降趋势。外部原因死亡率从每10万居民73.3例增至82.1例，与巴西和米纳斯吉拉斯州的平均水平相比，这些市的该死亡率更高。在26个市中的大多数，自杀和人际暴力导致的死亡从每10万居民29.6例增至43.2例。在此期间，意外伤害导致的死亡率下降，而交通伤害导致的死亡率上升。社会经济剥夺与死亡率变化百分比之间存在正相关。
尽管该地区矿业活动盛行，但这并未反映在卫生状况的改善上。在此期间，外部原因导致的死亡率上升且与不平等现象相关，这在灾区恢复规划中必须予以考虑。
