Análise da tendência da mortalidade por causas externas na população feminina do Espírito Santo

Abstract

Introduction: The external causes of mortality represent a challenge for public health, as they affect various population groups impacting families and society. Objective: To analyze the trend of mortality from external causes in the female population of the state of Espírito Santo in the period between the year 2005 and 2015. Methods: A time series study was carried out with the focus on the analysis of temporal tendency. The death data were collected through the Mortality Information System. Considering the deaths described in Chapter XX (External Causes) of the 10th International Statistical Classification of Diseases and Related Health Problems (ICD-10) and their subcategories. Standardized mortality rates and percentage variation of mortality were calculated using the Microsoft Excel program, the trend analysis was performed using the Statistical Package for the Social Science - SPSS version 20.0 software. Results: Considering all age groups, the analysis showed an increasing trend of mortality from external causes in Brazil (p-value = 0.021) and an increasing trend of deaths from aggression in Brazil, Southeast region and decreasing in Espírito Santo (p-value = 0.049). Throughout the analyzed interval, Espírito Santo showed mortality rates due to external causes with magnitudes higher than the regional and national level. In Espírito Santo, the age group of women from 10 to 49 years of age presented a higher percentage of deaths, in the category race / color there was a higher frequency of deaths of brown and white women (81.44%), single women and widows represented 58.53% of deaths and 50% of deaths occurred in hospitals or other health facilities. Education is the variable with the highest percentage of ignored information (61.58%). This age group stood out, the increasing trend of deaths from aggressions in Brazil, decreasing in the Southeast and in Espírito Santo the decreasing trend from the year 2009 (p-value = 0.006).The deaths due to transport accidents showed a decreasing trend in the Southeast and in Espírito Santo the same phenomenon was observed from the year 2010 (p-value = 0.001). Finally, in the population ages 70 or over, at all levels of analysis, there was an increasing trend in deaths classified as other external causes of accidental injury. Conclusion: The results obtained show the evolution of the mortality rates of the female population, can be useful for the evaluation of the effectiveness of interventions aimed at the causes of death analyzed and express the need to reinforce strategies to face the growing trend of mortality from external causes in the country