Spatial study of mortality in motorcycle accidents in the State of Pernambuco, Northeastern Brazil

OBJECTIVE: To analyze the spatial distribution of mortality due to motorcycle accidents in the state of Pernambuco, Northeastern Brazil. METHODS: A population-based ecological study using data on mortality in motorcycle accidents from 01/01/2000 to 31/12/2005. The analysis units were the municipalit...

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Published in:Revista de saúde pública Vol. 45; no. 2; pp. 409 - 415
Main Authors: de Vasconcelos Silva, PHN, de Lima, MLC, da Silveira Moreira, R, de Souza, WV, de Santana Cabral, AP
Format: Journal Article
Language:Portuguese
Published: 01-04-2011
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Summary:OBJECTIVE: To analyze the spatial distribution of mortality due to motorcycle accidents in the state of Pernambuco, Northeastern Brazil. METHODS: A population-based ecological study using data on mortality in motorcycle accidents from 01/01/2000 to 31/12/2005. The analysis units were the municipalities. For the spatial distribution analysis, an average mortality rate was calculated, using deaths from motorcycle accidents recorded in the Mortality Information System as the numerator, and as the denominator the population of the mid-period. Spatial analysis techniques, mortality smoothing coefficient estimate by the local empirical Bayesian method and Moran scatterplot, applied to the digital cartographic base of Pernambuco were used. RESULTS: The average mortality rate for motorcycle accidents in Pernambuco was 3.47 per 100 thousand inhabitants. Of the 185 municipalities, 16 were part of five clusters identified with average mortality rates ranging from 5.66 to 11.66 per 100 thousand inhabitants, and were considered critical areas. Three clusters are located in the area known as sertao and two in the agreste of the state. CONCLUSIONS: The risk of dying from a motorcycle accident is greater in conglomerate areas outside the metropolitan axis, and intervention measures should consider the economic, social and cultural contexts.Original Abstract: OBJETIVO: Analisar a distribuicao espacial da mortalidade por acidentes de motocicleta no estado de Pernambuco. METODOS: Estudo ecologico de base populacional, usando os dados de mortalidade por acidentes de motocicletas ocorridos de 01/01/2000 a 31/12/2005. As unidades de analise foram municipios. Para a analise da distribuicao espacial dos obitos foram construidos coeficientes medios de mortalidade, tendo como numerador os obitos por acidentes de motocicletas registrados no Sistema de Informacoes sobre Mortalidade e, como denominador, a populacao do centra do periodo. Utilizaram-se tecnicas de analise espacial, suavizacao do coeficiente pelo metodo bayesiano empirico local e o diagrama de espalhamento de Moran, aplicados sobre a base cartografica digital do estado. RESULTADOS: O coeficiente medio de mortalidade por acidentes de motocicletas em Pernambuco foi de 3,47/100 mil habitantes. Dos 185 municipios, 16 faziam parte de cinco conglomerados identificados com coeficientes de mortalidade que variaram de 5,66 a 11,66/100 mil habitantes, considerados areas criticas. Tres dessas areas localizam-se na regiao de desenvolvimento sertao e duas no agreste. CONCLUSOES: O risco de morrer por acidente de motocicleta e maior nas areas de conglomerado em regioes fora do eixo metropolitano, sugerindo medidas de intervencao que considerem o contexto de desenvolvimento economico, social e cultural.
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ISSN:0034-8910