Abstract
To analyze mortality and years of life lost due to death or disability (disability-adjusted life years - DALYs) for interpersonal violence and self-harm, comparing 1990 and 2015, in Brazil and Federated Units, using estimates produced by the Global Burden of Disease 2015 (GBD 2015). Secondary data analysis of estimates from the GBD 2015, producing standardized death rates and years of life lost due to death or disability. The main source of death data was the Mortality Information System, submitted to correction of underreporting of deaths and redistribution of garbage codes. From 1990 to 2015, homicide mortality rates were stable, with a percentage variation of -0.9%, from 28.3/100 thousand inhabitants (95% UI 26.9-32.1) in 1990 to 27.8/100,000 (95% UI 24.3-29.8) in 2015. Homicide rates were higher in Alagoas and Pernambuco, and there was a reduction in São Paulo (-40.9%). Suicide rates decreased by 19%, from 8.1/100,000 (95% UI 7.5-8.6) in 1990 to 6.6/100,000 (95% UI 6.1-7,9) in 2015. Higher rates were found in Rio Grande do Sul. In the ranking of external causes for years of life lost due to death or disability (DALYs), firearm aggression predominated, followed by transportation accidents; self-inflicted injuries were in sixth place. The study shows the importance of external causes among young people and men as a cause of premature death and disabilities, which is a priority problem in the country. The Global Burden of Disease study may support public policies for violence prevention.
Highlights
Global Burden of Disease (GBD) study estimated 973 million people injured and 4.8 million deaths from accidents and violence around the world in 2013
This study aimed at analyzing the mortality and years of life lost due to death or disability (DALYs) from interpersonal violence and self-harm, comparing 1990 and 2015, in Brazil and federated units (FUs), using estimates produced by the 2015 GBD study. This is a study based on secondary data used in the estimates of 2015 GBD, which applied the methodology proposed by the Institute for Health Metrics and Evaluation (IHME) at the University of Washington, United States of America[13]
In Brazil, deaths by external causes accounted for 134,931 deaths in 1990 and 168,018 in 2015, and the rates were reduced by 22.8% during the period, from 105.1 (95% UI 105.1-81.2) to 81.2/100,000 (95% UI 77.4-85.4), within the limit of significance
Summary
Global Burden of Disease (GBD) study estimated 973 million people injured and 4.8 million deaths from accidents and violence around the world in 2013. The main causes of death were road traffic accidents (29.1%), suicides (17.6%), falls (11.6%), and homicide (8.5%). 5.8% (56.2 million) had to be hospitalized and 38.5% (21.7 million) sustained fractures[1]. GBD data indicate reduction in homicide rates worldwide, with regional differences. In Asia and Europe, the rates decreased, but in the Americas, East Africa, and other regions they remained high. Noteworthy is the increase of years of life lost due to death or disability (disability-adjusted life years – DALYs) in Latin America and sub-Saharan Africa, owing to homicides[2]. Suicide is the second leading cause of death from violence globally, the third in Brazil, and a major contributor to DALYs1,3
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Revista brasileira de epidemiologia = Brazilian journal of epidemiology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
