Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities

Detalhes bibliográficos
Autor(a) principal: Aiquoc,Kezauyn de Miranda
Data de Publicação: 2022
Outros Autores: Souza,Ana Mayara Gomes de, Souza,Talita Araujo de, Medeiros,Arthur de Almeida, Barbosa,Isabelle Ribeiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista brasileira de epidemiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2022000100425
Resumo: ABSTRACT Objective: The aim of this study was to analyze the relationship between adolescent and young adult homicide mortality rates in Brazilian municipalities according to gender, race, and contextual characteristics at the municipal and federation unit levels. Methods: This is an ecological study that used secondary data available from the death records of the Mortality Information System and socioeconomic data from the Brazilian Census. The dependent variables were homicide mortality rates among people aged 15–29 years by sex and race from 2015 to 2017. The contextual variables were related to education, income, schooling, and vulnerability. Multilevel linear regression was applied in an ecological model to verify the first- and second-level variables’ effect. Each variable’s effect was estimated using β and its respective confidence intervals (95%CI) and statistical significance. Results: There was a direct and significant relationship between the adolescent and young adult mortality rates and the homicide mortality rates among adults, regardless of sex and race/skin color. However, this relationship was more pronounced among black adolescents and young adults. At the federative unit level, the human development index was significantly related to the mortality rates of black men, white men, and white women. Conclusion: There is racial inequality in adolescent and young adult mortality from violence in Brazil; the rates are related to municipal characteristics, such as violence in the adult population and inequalities in education and social protection.
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spelling Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalitiesViolenceHomicideRacismSocioeconomic factorsMultilevel analysisABSTRACT Objective: The aim of this study was to analyze the relationship between adolescent and young adult homicide mortality rates in Brazilian municipalities according to gender, race, and contextual characteristics at the municipal and federation unit levels. Methods: This is an ecological study that used secondary data available from the death records of the Mortality Information System and socioeconomic data from the Brazilian Census. The dependent variables were homicide mortality rates among people aged 15–29 years by sex and race from 2015 to 2017. The contextual variables were related to education, income, schooling, and vulnerability. Multilevel linear regression was applied in an ecological model to verify the first- and second-level variables’ effect. Each variable’s effect was estimated using β and its respective confidence intervals (95%CI) and statistical significance. Results: There was a direct and significant relationship between the adolescent and young adult mortality rates and the homicide mortality rates among adults, regardless of sex and race/skin color. However, this relationship was more pronounced among black adolescents and young adults. At the federative unit level, the human development index was significantly related to the mortality rates of black men, white men, and white women. Conclusion: There is racial inequality in adolescent and young adult mortality from violence in Brazil; the rates are related to municipal characteristics, such as violence in the adult population and inequalities in education and social protection.Associação Brasileira de Saúde Coletiva2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2022000100425Revista Brasileira de Epidemiologia v.25 2022reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1980-549720220025info:eu-repo/semantics/openAccessAiquoc,Kezauyn de MirandaSouza,Ana Mayara Gomes deSouza,Talita Araujo deMedeiros,Arthur de AlmeidaBarbosa,Isabelle Ribeiroeng2022-10-14T00:00:00Zoai:scielo:S1415-790X2022000100425Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2022-10-14T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false
dc.title.none.fl_str_mv Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities
title Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities
spellingShingle Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities
Aiquoc,Kezauyn de Miranda
Violence
Homicide
Racism
Socioeconomic factors
Multilevel analysis
title_short Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities
title_full Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities
title_fullStr Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities
title_full_unstemmed Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities
title_sort Gender and race inequalities in adolescent and young adult homicide mortality rates: a multilevel ecological analysis of Brazilian municipalities
author Aiquoc,Kezauyn de Miranda
author_facet Aiquoc,Kezauyn de Miranda
Souza,Ana Mayara Gomes de
Souza,Talita Araujo de
Medeiros,Arthur de Almeida
Barbosa,Isabelle Ribeiro
author_role author
author2 Souza,Ana Mayara Gomes de
Souza,Talita Araujo de
Medeiros,Arthur de Almeida
Barbosa,Isabelle Ribeiro
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Aiquoc,Kezauyn de Miranda
Souza,Ana Mayara Gomes de
Souza,Talita Araujo de
Medeiros,Arthur de Almeida
Barbosa,Isabelle Ribeiro
dc.subject.por.fl_str_mv Violence
Homicide
Racism
Socioeconomic factors
Multilevel analysis
topic Violence
Homicide
Racism
Socioeconomic factors
Multilevel analysis
description ABSTRACT Objective: The aim of this study was to analyze the relationship between adolescent and young adult homicide mortality rates in Brazilian municipalities according to gender, race, and contextual characteristics at the municipal and federation unit levels. Methods: This is an ecological study that used secondary data available from the death records of the Mortality Information System and socioeconomic data from the Brazilian Census. The dependent variables were homicide mortality rates among people aged 15–29 years by sex and race from 2015 to 2017. The contextual variables were related to education, income, schooling, and vulnerability. Multilevel linear regression was applied in an ecological model to verify the first- and second-level variables’ effect. Each variable’s effect was estimated using β and its respective confidence intervals (95%CI) and statistical significance. Results: There was a direct and significant relationship between the adolescent and young adult mortality rates and the homicide mortality rates among adults, regardless of sex and race/skin color. However, this relationship was more pronounced among black adolescents and young adults. At the federative unit level, the human development index was significantly related to the mortality rates of black men, white men, and white women. Conclusion: There is racial inequality in adolescent and young adult mortality from violence in Brazil; the rates are related to municipal characteristics, such as violence in the adult population and inequalities in education and social protection.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2022000100425
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1980-549720220025
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Associação Brasileira de Saúde Coletiva
publisher.none.fl_str_mv Associação Brasileira de Saúde Coletiva
dc.source.none.fl_str_mv Revista Brasileira de Epidemiologia v.25 2022
reponame:Revista brasileira de epidemiologia (Online)
instname:Associação Brasileira de Saúde Coletiva (ABRASCO)
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reponame_str Revista brasileira de epidemiologia (Online)
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repository.name.fl_str_mv Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)
repository.mail.fl_str_mv ||revbrepi@usp.br
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