Mortalidade por raça-cor em Vitória-ES : análise da informação e das desigualdades em saúde

• Autor(a) principal: Fiorio, Nathalia Modenesi
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
• Texto Completo: http://repositorio.ufes.br/handle/10/5695
• topic: Information systems; Records of mortality; Distribution by color or race; Sistemas de informação; Registros de mortalidade; Distribuição por raça ou cor; Saúde Coletiva; Sistemas de recuperação da informação; Mortalidade; Raças; Cor da pele; Epidemiologia; 614

The use of mortality data for analysis of the health of the population contributes to the planning and evaluation of public policies and actions, assist in the identification and understanding of inequalities in health. For this it is essential that the data are of quality ensuring the reliability of information. Inequalities in health are being discussed in recent decades and stand out as a public health problem, therefore, the identification of indicators and variables that explain this problem is essential role in the search. In order to analyze the differences in mortality by cause among the race / color in the years 2003 to 2006 in Vitória / ES were collected and analyzed secondary data from the Mortality Information System (MIS). The study covers all the deaths over 15 years living in Vitória / ES between the years 2003 and 2006 (n = 7,312). We performed a review of the completeness of the race / color in 1995, the year of its implementation in the system, until 2006. Then, the period from 2003 to 2006 was selected to present linearity with respect to completeness of the dependent variable. The remaining variables were sex, age and cause of death. Bivariate analysis were performed between the dependent variable (race / color) and independent variables (gender, age and cause). For the analysis of inequalities between categories of race or color, were composed proportional mortality rates by age and cause, with the denominator the estimated value from the 2000 Census, conducted by IBGE. In addition, we analyzed the average and median age of death by cause and race. Finally, it was calculated the relative risk by sex, age and cause. For the analysis of differences between means was used in a way ANOVA, followed by Tukey test. It was also calculated the relative risk and in both the level of significance was of p <0.05 and 95% CI. The results suggest increased completeness of race / color in SIM since their deployment, from 99% (1996) to 16% in 2005. As for the causes of deaths, these are presented both in relation to different race or color, and between sexes and ages. Among blacks, compared to whites showed a higher relative risk of death for mental and behavioral disorders, RR-9.29 (2.14 - 40.38); causes ill-defined, RR 8.71 (1.99 -- 38.07), and external causes, RR - 5.71 (3.83 - 8.51). For black women, we found RR-2.38 (1.15 - 4.94) for external causes and 0.52 (0.35 - 0.78) for neoplasms, which is a protective factor. In the analysis of mortality by age and race, we found a variation of up to 33 years (diseases of the nervous system). It was concluded that there was an increase completeness of race / color SIM in the city of Vitoria, however need to be made increasing efforts aiming to improving the information of mortality, particularly with regard to socio-demographic variables. Were found racial inequalities / ethnic mortality in general and for causes, especially the mortality Mental Disorders and external causes, in addition to the early death that occurs in the black population, even when the cause of death is the same.