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新冠疫情对巴西统一卫生系统受益人群职业事故发生率的影响:一项中断时间序列研究

Impact of the COVID-19 pandemic on the incidence of occupational accidents among beneficiaries of the Unified Health System in Brazil: an interrupted time series study.

作者信息

Santos Júnior Claudio José Dos, Garcia Klauss Kleydmann Sabino, Antunes José Leopoldo Ferreira, Fischer Frida Marina

机构信息

Faculdade de Saúde Pública, Universidade de São Paulo (USP). Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.

Coordenação-Geral de Vigilância em Saúde do Trabalhador (CGSAT), Ministério da Saúde. Brasília DF Brasil.

出版信息

Cien Saude Colet. 2025 Jan;30(1):e10282023. doi: 10.1590/1413-81232025301.10282023. Epub 2023 Oct 18.

Abstract

The scope of this study was to analyze the impact of the COVID-19 pandemic on the incidence of occupational accidents among beneficiaries of the Unified Health System in Brazil. It was an interrupted time series study, using data on occupational accidents registered by the Unified Health System from 2015 to 2020. The analysis used the Prais-Winsten generalized linear regression model. The results revealed an immediate reduction (β1=-0.02, p<0.05) and a change in trend (β2=-4.46, p<0.05) in the incidence rate of occupational accidents per 10,000 employment links in Brazil and all its macro-regions when the Public Health emergency was declared due to SARS-CoV-2. In the months following the declaration of the Public Health Emergency of National Importance due to COVID-19, the incidence increased (β3=0.49, p<0.05), approaching the levels observed before the pandemic. The average monthly number of accidents decreased from 11.53 to 9.08 per 10,000 employment links after the declaration of the COVID-19 emergency. These findings indicate that the COVID-19 pandemic has modified the trend and magnitude of the incidence rate of occupational accidents in Brazil.

摘要

本研究的范围是分析新冠疫情对巴西统一卫生系统受益人群职业事故发生率的影响。这是一项中断时间序列研究,使用了统一卫生系统2015年至2020年登记的职业事故数据。分析采用了普赖斯-温斯坦广义线性回归模型。结果显示,当因严重急性呼吸综合征冠状病毒2宣布公共卫生紧急情况时,巴西及其所有宏观区域每10000个就业环节的职业事故发生率立即下降(β1=-0.02,p<0.05)且趋势发生变化(β2=-4.46,p<0.05)。在因新冠疫情宣布国家重要公共卫生紧急情况后的几个月里,发生率上升(β3=0.49,p<0.05),接近疫情前观察到的水平。新冠疫情紧急情况宣布后,每10000个就业环节的事故月均数量从11.53降至9.08。这些发现表明,新冠疫情改变了巴西职业事故发生率的趋势和幅度。

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