State Of Pernambuco Research Articles

Mortalidade infantil em um estado do Nordeste Brasileiro entre os anos de 2009 e 2018: uma abordagem espaço temporal

Abstract Objective: to present the epidemiological profile of infant mortality and neonatal and post neonatal components, in addition to the temporal dynamics of these events in Pernambuco State between 2009 and 2018. Methods: descriptive, ecological, temporal space study of infant mortality in Pernambuco between 2009 and 2018. Epidemiological and temporal space characteristics were described using the Sistema de Informação sobre Mortalidade (Mortality Information System) and the Sistema de Informação sobre Nascidos vivos.(Information System on Live Births) as data sources. Results: there were 19,436 infant deaths in the period; 13,546 (69.7%) in the neonatal period and 5,890 (30.3%) in the post neonatal period. Male (55.4%), non-white children (74.7%) with low birth weight (63.5%) predominated; mothers were aged between 20 and 29 years (46.6%), with 8-11 years of schooling (43.9%) and preterm pregnancy (65.2%). Although the infant mortality rate decreased during the analyzed decade, high rates persisted in cities in the Sertão (backwoods) and Vale do São Francisco and Araripe macroregions of health services. Conclusions: even though infant mortality declined over the years studied, it is necessary to achieve better rates and confront inequalities and other obstacles that perpetuate the event in Pernambuco State.

MODELOS MISTOS PARA PREDIÇÃO DE NUTRIENTES EM ESPÉCIES DO BIOMA CAATINGA, BRASIL

ABSTRACT Nutrient prediction models applied to tree species from Brazilian Caatinga can be a crucial tool in understanding this biome. The study aimed to fit a mixed model to predict nitrogen (N), phosphorus (P), and potassium (K) content in tree species native to the Caatinga biome located in Floresta municipality, Pernambuco State – PE, Brazil. The following species were considered the area’s most important and evaluated in the present study: Poincianella bracteosa (Tul.) L.P.Queiroz, Mimosa ophtalmocentra Mart. ex Benth, Aspidosperma pyrifolium Mart, Cnidoscolus quercifolius (Mull. Arg.) Pax. & Hoffm, and Anadenanthera colubrina var. cebil (Griseb.) Altschul. Four trees, representing the average circumference in each diameter class, were harvested for NPK quantification. The Spurr model was evaluated for NPK prediction, and species inclusion as a random effect was significant (p > 0.05) in all models. The Spurr model with fixed and random effects presented better statistics than fixed-effect models in all parameters for all nutrients. Generated NPK predicting equations can be a handy tool to understand the impact of wood extraction over Caatinga’s biogeochemical cycles and guide forest management strategies in semi-arid regions of the world.

Influência da caminhada e da corrida na dor femoropatelar

Abstract Due to the ease of its practice, walking / running can be performed in such a way that there is no adequate control or monitoring, resulting in the appearance of injuries, highlighting patellofemoral pain. Thus, the present study aimed to verify the levels of patellofemoral pain in walk / run practitioners. The sample consisted of 318 individuals, selected in a non-probabilistic manner, for convenience and adherence, including over 18 years old, both sexes, living in the state of Pernambuco, Brazil, who practiced walking / running. Data collection was performed using an online questionnaire on the google platform. Participants who agreed to participate answered a sociodemographic questionnaire, the International Physical Activity Questionnaire (IPAQ) and a subscale of patellofemoral pain and osteoarthritis of the KOOS questionnaire. Data were presented using descriptive statistics (mean and standard deviation), submitted to inferential statistics using Student's t test, ANOVA with Bonferroni's post hoc to show the effect of comparisons, considering a significance level of 5% (p <0.05). There were no significant differences between the variables analyzed (p = 0.599; ES = 0.06), suggesting that there is no difference in patellofemoral pain in practitioners of walking / running between the sexes and different levels of physical activity; research with larger samples and monitoring of more variables, in the search for more assertive results, should be carried out.

“Do mesmo jeito que existe cachorro branco e preto”: uma análise acerca das intersecções entre raça e saúde

Abstract This paper reflects on the Family Health Strategy (ESF) workers’ understanding of racial relationships and health intersections. We conducted semi-structured interviews with ESF teams’ professionals in the State of Pernambuco, Brazil, whose data were analyzed in light of the discussions that focused on the racial theme. The results point to discrepancies between different health models in the daily routine, race/skin color invisibility in training and professional work, and whiteness as a structuring element of race relationships. The study reaffirms the need for Public Health to focus on the intersection between the issue of race/skin color and healthcare relationships and invest in the training of professionals regarding race discussions.

Pea crab-oyster interspecific interaction on tropical coast: Brachyuran pinnotherid Zaops ostreum (Say, 1817) living in the host bivalve ostreid Crassostrea brasiliana (Lamarck, 1819)

In this study, we report the association between the pea crab Zaops ostreum (Say, 1817) living in the oyster Crassostrea brasiliana (Lamarck, 1819), collected in an estuarine region of Northeast Brazil. Oysters were collected along the mouth of the Santa Cruz Channel, Barra de Catuama (State of Pernambuco), between 2016 and 2017. A total of 224 oysters and 38 crabs were collected. Relative density of Z. ostreum was 16.96% (7.14% for males and 9.82% for females) in analyzed oysters. Prevalence during dry season ranged from 6.25% to 15.60%, whereas in rainy season ranged from 3.10% to 12.50%. Z. ostreum proportion of females to males was 1:0.73. Most occurrences were female-male couples (79.29%) with no isolated males or triple occupancy being observed. Female-male couples and ovigerous females were detected throughout most of the studied period, possibly indicating a distinct reproduction behaviour on tropical areas. This association expands knowledge on the aspects of social behaviour and host range of Z. ostreum, remarkably associated with bivalves of the Family Ostreidae.

Negociação das políticas/práticas curriculares: o desenvolvimento profissional de professores(as) orientado para a decisão curricular

ABSTRACT This paper aims to highlight the possibilities and impossibilities of policies/programs negotiation processes to contribute to the teachers’ professional development oriented towards curricular decision-making. Using the defense of autonomy of the exercise of teaching enactment, it is considered that professional development permeates the idea of teachers constituting themselves as curricular decision-makers, understood as capacity for action that is developed from the articulation between individual efforts of the subject, available resources and contextual factors. The theoretical-methodological orientation is based on the unstable and undecidable relationship between particularity and universality. The locus of data collection on curricular policies/practices was the municipality of Caruaru, located in the state of Pernambuco, Brazil, with the material available on the Caruaru Platform Instituto Qualidade no Ensino (IQE) [Quality in Teaching Institute] and the IQE official website. The analysis of these materials shows disputes around the meaning of curricular policies/practices in this municipality built from the discourses of global educational reforms and national policies that have been proposing, through curricular standardization, the attempt to close the production of contextual curricular responses. However, despite these limitations, it is believed that there is a possibility for teachers to act in the structure gaps to dispute, along with policies, other meanings of teaching enactment that stimulate professional development based on autonomy and considering teaching knowledge.

Description of deaths from cervical cancer in the population of Recife-PE, from 2019 to 2021

Cancer of the Uterus (UCC) is a disease that affects thousands of women worldwide, where, present the factor for the pathology, the presence of HPV viruses 16 and 18. The screening of UCC in Brazil is performed through the cytological exam, however, along with this and examination there are barriers that need to be overcome. It is identified that this neoplasm has a high incidence and prevalence in the Brazilian female population, especially in the State of Pernambuco in its capital Recife. Thence, in the State every day occurs a death as a result of UCC. So, to occur an organized screening of the and accurate to get diagnosis of where the women in the age group are for screening, focus on women of higher risk age group and who do not do the pathological cite examination. To verify the data for organized UCC screening, number of women in eligible age group, locality of residence and cytological coverage in the population of Recife-PE. This is an epidemiological cohort study with a cross-sectional, descriptive approach , with a quantitative approach, whose data were collected through the secondary database of the Primary Care Information System (SISAB/SUS), E-SUS AB, provided by DATASUS/Ministry of Health. The population consisted of women registered in the E-SUS AB, registered in the Health Units of the Health Districts (SD) in the city of Recife-PE, in the temporal cohort from the years 2019 to 2021. The results showed that in a total population of 481,453 women, 164,650 women underwent the preventive examination. That is not even 34% of the population. Deaths from UCC is predominant among the 40-49 years, with 26% of the population, between the years 2019-2021. Confirming 67 deaths in 2021, with predominance in the II, IV and VII District. That with the high number of incidence and deaths from UCC, the present study can raise awareness of women for the participation of screening, whether by the "Papanicolau" or by HPV-DNA, and thus contribute to the reduction of the incidence and deaths from UCC.

Identificação dos fatores de manejo associados à ocorrência do Mormo em equídeos no Nordeste do Brasil

ABSTRACT: Glanders is a contagious zoonotic infectious disease characterized by an acute or chronic condition that mainly affects equids and is caused by Burkholderia (B.) mallei. From January 2005 to December 2017, 697 farms with positive cases of this disease were registered in Brazil, with the Northeast region accounting for 61.4% (428/697) of the total number of cases. This study conducted an epidemiological study of B. mallei infections that occurred in farms in the states of Pernambuco, Paraíba, Ceará and Alagoas. For this purpose, investigative questionnaires were applied to six farms where there were outbreaks of glanders and 11 farms where there were no reports of glanders between 2017 and 2021, and statistical analysis of the factors associated with the occurrence of glanders in Northeastern Brazil was performed. Factors such as the purpose of rearing (P = 0.023), lack of information on disease transmission modes (P = 0.034), failure to carry out periodic tests for glanders diagnosis (P = 0,029), no request for glanders tests prior to the purchase of new animals periodic tests for glanders diagnosis (P = 0.029), not requiring a negative test for glanders in the acquisition of animals (P = 0.06), use of extensive breeding systems(P = 0.027), and poor stall hygiene were associated with disease occurrence (P = 0.001). Understanding the factors related to the occurrence of glanders in the Northeast Region of Brazil helps to establish management measures that minimize bacteria transmission, thereby reducing the number of cases in the region and economic losses associated with glanders.

Evaluation of the perception of Green IT practices in a public educational institution

TI GREEN consists of an aggregate of ways to use technological resources in a more sustainable way. Thus, this article aims to evaluate the perception of Green IT practices aimed at sustainable development in a public educational institution in the state of Pernambuco, from the point of view of the institution's employees. With regard to methodology, the study was classified as to approach, as qualitative through a case study applied in a public educational institution, located in Pernambuco, northeastern Brazil. With the intention of answering the objectives of the research, a semi-structured interview was used, with a sample represented by a total of 15 interviewees crowded in the rectory of the researched public teaching institution. The sample was collected for convenience and the results are characteristic of this sample. The results showed that regarding the overall sustainable development of the institution, employees have a bad or very bad view of the institution's sustainable development practices. Regarding the Green IT practices, it was possible to verify that most employees are unaware of the legitimate practices. In this way, this article highlights the importance that Green IT implementation can have on sustainable awareness at an individual and institutional level.

Biomarkers Profile of the Mysterious 2019 Oil Spill on the Northeast Coast of Brazil and Discrimination from Unreported Events

In 2019, large amounts of oil reached the northeast coast of Brazil, causing damage to the environment and the local economy, especially in the state of Pernambuco. In order to correlate with possible sources, investigation was made of the geochemical biomarkers of the oils using “gold standard” forensic protocols from the European Committee for Standardization (CEN). The biomarkers study was improved by using gas chromatography-tandem mass spectrometry (GC-MS/MS), rather than the standard protocol that suggests use of the selected ion monitoring (SIM) method. Analysis was made of thirteen oil samples from the Pernambuco coast, in order to identify their degrees of similarity and the possible presence of oils from unreported spills. The use of eighteen diagnostic ratios and multivariate analysis revealed a cluster formed by eleven samples with biomarker distributions typical of oil from the 2019 spill. However, two samples had anomalous fingerprints, especially due to the absence of the 18α(H)-oleanane and 18β(H)-oleanane isomers. Both the CEN protocol applied for the classical biomarkers and a comprehensive Fourier transform mass spectrometry (FT-MS) analysis of polar compounds confirmed the dissimilarities between the samples. The findings suggested that these two oils could have originated from an event unrelated to the mysterious 2019 spill.

Avaliação de infecção por Borrelia sp. em mamíferos domésticos, selvagens e carrapatos do Parque Nacional do Catimbau, Pernambuco

ABSTRACT: Spirochetes in the genus Borrelia (Spirochaetes) are the etiological agents of two zoonotic diseases that have rodents as reservoirs: the Lyme disease, transmitted by ixodid ticks (Ixodidae), and tick-borne relapsing fever, which is transmitted mostly by argasid ticks (Argasidae). The information on the epidemiology of pathogens that affect animals is scarce, especially in places that have been barely studied, such as the Caatinga biome. Thus, in the present study, we aimed to detect DNA of Borrelia in the blood of wild and domestic mammals, as well as in ticks collected in the Catimbau National Park, State of Pernambuco, Northeast Brazil. Blood was collected from 77 captured wild animals belonging to Didelphidae (45), Echimyidae (21), Cricetidae (7), Caviidae (2), and Dasypodidae (2) families. Additionally, blood samples from 120 sheep, 119 goats, 70 dogs, and 47 cattle were obtained. A total of 286 ticks were collected in the environment and identified as Ornithodoros cf. tabajara (188) and Ornithodoros rietcorreai (98); in addition, larvae of Ornithodoros spp. were collected on Thrichomys laurentius (4 specimens) and Monodelphis domestica (1); larvae of O. rietcorreai on Didelphis albiventris (2) and T. laurentius (1); Amblyomma parvum on T. laurentius (4); Rhipicephalus sanguineus (sensu lato) on dogs (121) and Rhipicephalus microplus on cattle (47). All blood samples, 120 free-living ticks, 46 O. rietcorreai and 74 O. cf. tabajara, and 12 R. sanguineus s.l. were submitted to DNA extraction to perform a polymerase chain reaction (nested PCR), aiming at amplifying a fragment of the flaB gene present in all species of Borrelia. Only one free-living specimen of O. cf. tabajara (1.3%) was positive. Negative detections in mammals may be related to the absence of infection or the low concentration of the spirochetes in the hosts. The low prevalence of Borrelia found in ticks can be explained by the low infection rates that these spirochetes depict in their vectors. New studies focusing on the detection of antibodies, as well as on the sequencing and isolating Borrelia spp. should be encouraged for a better understanding of the epidemiology of these bacterial agents in the region.

Fatores associados às formas graves e aos óbitos por esquistossomose e aplicação do linkage probabilístico nas bases de dados, Pernambuco, 2007–2017

ABSTRACT Objective: To verify the agreement of data on severe forms and deaths from schistosomiasis recorded in the Brazilian Notifiable Diseases Information System and the Mortality Information System, sociodemographic variables with the occurrence of severe forms and deaths, and the temporal trend of the disease in the state of Pernambuco, Brazil. Methods: This is an ecological, descriptive, time series study with data on severe forms and deaths from schistosomiasis in Pernambuco, from 2007 to 2017. For the linkage between databases, a function was developed in python programming language, using the Soundex method. To identify sociodemographic and health factors that correlated with the dependent variables, Pearson’s correlation test was applied. For trend analysis, linear regression was applied. Results: We identified 9,085 severe cases, 1,956 deaths, and 186 cases in the linkage. The correlation between the average positivity rate with the general water supply and waste collection was 0.22 and 0.26 respectively. We verified a correlation of the average cumulative mortality rate with water supply by well or spring (r=0.27), water supply by the general network (r=0.3), waste collection (r=0.42), and road urbanization (r=0.29). We found 3,153 severe forms in 2007 with a decrease trend and 205 deaths in 2010, without a trend pattern. Conclusion: There is a need for greater investments in disease control and in the quality of information, especially in the record of severe forms, considering that, due to the pathophysiology of the disease, death only occurs when the individual develops the chronic form, and its notification on the Notifiable Diseases Information System is imperative.

Neurological diseases of viral origin in cattle in the state of Pernambuco, Brazil: clinical and anatomopathological study

Resumo Os estudos relacionados as doenças neurológicas assumem grande importância na Medicina Veterinária, particularmente os que envolvem animais de produção como os bovinos, em virtude da grande importância sanitária e de saúde pública. Nesse contexto, este trabalho teve como objetivo descrever a frequência de ocorrência dos principais achados clínicos, laboratoriais e anatomopatológicos dos bovinos diagnosticados com doenças neurológicas de origem viral. Realizou-se a triagem no livro de registro geral dos pacientes com enfermidades que cursaram com sintomatologia neurológica e que foram diagnosticados através de exame anatomopatológico e/ou complementares com enfermidades de origem viral, os quais deram entrada (vivos ou mortos) na Clínica de Bovinos de Garanhuns-UFRPE no período de janeiro de 2009 a dezembro de 2019. As informações obtidas foram inseridas em um banco de dados elaborado no programa de computador Microsoft Excel 2010® distribuídas em dados clínicos, laboratoriais e anatomopatológicos. Os achados clínicos das enfermidades neurológicas de etiologia viral foram muito variados e inespecíficos, sendo os achados anatomopatológicos, aliados aos métodos laboratoriais, de importância fundamental para o estabelecimento do diagnóstico. A elevada frequência dos casos de raiva neste estudo demonstra a importância sanitária desta enfermidade para a pecuária bovina, como também para a saúde pública. Ressalta-se a importância da inclusão da febre catarral maligna e da meningoencefalite herpética no diagnóstico diferencial das doenças neurológicas na região, assim como a adoção de medidas sanitárias.

Seleção genotípica de pré-cultivares de feijão carioca e carioca precoce para o Agreste-Sertão de Pernambuco, Brasil

ABSTRACT: Genotype x environment interactions represent a major challenge in identifying and selecting genotypes responsive to different climate and soil conditions. This research evaluated and selected pre-cultivars of carioca bean and early carioca bean based on adaptability, stability, and grain yield. In the 2014 crop season, two regional competition trials were conducted in the state of Pernambuco: carioca beans (14 genotypes in Arcoverde, Belém de São Francisco, Caruaru and São João) and early carioca beans (11 genotypes in Araripina, Arcoverde, and Caruaru) and, in the 2015 crop season, with early carioca beans (11 genotypes in Araripina, Arcoverde, and Brejão). Parameters were estimated by mixed models, and the selection was performed using the Harmonic Mean of Relative Performance of Genetic Values (HMRPGV) method following three strategies: i) selection based on predicted genetic value with no interaction; ii) selection according to predicted genetic value considering each location; and iii) simultaneous selection for grain yield, adaptability, and stability. The environments influenced the phenotypic expression of the carioca and early carioca bean genotypes, representing a specific adaptation. The genotypes BRS Notável, BRS Estilo and BRS Pérola, of carioca beans, and CNFC 15875, BRS Notável and CNFC 15630, of early carioca beans, had the best results in the environments tested, regarding, simultaneously, adaptability to different soil and climate conditions, performance stability, and grain yield.

Ações em tecnologia assistiva com mulheres hospitalizadas

Abstract Introduction Hospitalization can render women’s health more fragile for a variety of reasons, potentially impacting their autonomy and independence. Within this scenario, interventions using assistive technology can enhance women’s occupational performance. Objective To discern the assistive technology actions undertaken by occupational therapists for women in hospital settings. Method This descriptive, retrospective, and exploratory study with a quantitative approach was conducted from August to December 2021. It utilized secondary data from 155 medical records of women who received occupational therapy in neurology, oncology, and mental health wards at a university hospital in Recife, state of Pernambuco, Brazil. Instruments included a structured questionnaire for characterization and a checklist to trace assistive technology actions. Data analysis was performed using Microsoft Excel. Results Out of 155, 48 patients benefited from assistive technology interventions by occupational therapists. These interventions included evaluation services, prescription, manufacturing, use guidance, and training. The primary devices were orthoses for upper limbs and aids for activities of daily living in the neurology sector, with cushions being prominent in the oncology sector. A common goal was the enhancement of occupational performance. Conclusion Most assistive technology actions occurred in the oncology and neurology wards, focusing on low-cost products. There is a recognized need to refine the monitoring process for assistive technology use, invest more in assistive technology services, and promote research in this field to generate further evidence.

Temporal evolution of anemia in children aged six to 59 months in the state of Pernambuco, Brazil, 1997 to 2016

To analyze the temporal evolution of anemia in children aged six to 59 months in Pernambuco, based on population surveys from 1997, 2006, and 2016 and the factors associated with the situation in 2016. The field studies took place in the participants' households, in the Recife Metropolitan Area, as well as in the urban and rural inland. The trend study of anemia in children used data from the State Health and Nutrition Survey (Pesquisa Estadual de Saúde e Nutrição - PESN) II (40.9%) and III (32.8%). Datafrom PESN IV were collected using questionnaires administered to families to verify socioeconomic and individual conditions, as well as anthropometric - weight and height - and biochemical - hemoglobin - records. We adopted the test for trend in proportion for the time trend study and Poisson regression for hypothesis tests for the associated factors. Statistically significance was set at a p-value<0.05. In 2016, the prevalence of anemia was 24.2%, indicating a significant reduction in disease incidence. In children aged 6-23 months, this number decreased from PENS II and III to PENS IV - 63 and 55.6 to 37.7% (p<0.001), respectively. In 2016, the statistically significant variables for anemia in children were maternal hemoglobin, child's age, current or recent case of diarrhea, and weight-for-age index. Between 1997 and 2016, anemia rates decreased, showing an epidemiological trend that can contribute to continuously improve the health of children under five years of age in Pernambuco.

"The same way as there are black and white dogs": an analysis of the intersections between race and health.

This paper reflects on the Family Health Strategy (ESF) workers' understanding of racial relationships and health intersections. We conducted semi-structured interviews with ESF teams' professionals in the State of Pernambuco, Brazil, whose data were analyzed in light of the discussions that focused on the racial theme. The results point to discrepancies between different health models in the daily routine, race/skin color invisibility in training and professional work, and whiteness as a structuring element of race relationships. The study reaffirms the need for Public Health to focus on the intersection between the issue of race/skin color and healthcare relationships and invest in the training of professionals regarding race discussions.

Impacto do Programa Academia da Saúde nas internações hospitalares por acidente vascular cerebral no Estado de Pernambuco, Brasil

This study aimed to evaluate the impact of the Health Gym Program (HGP) on hospital admissions for stroke in the state of Pernambuco, Brazil. This policy impact evaluation used a quasi-experimental approach consisting of a difference-in-differences estimator, weighted by propensity score matching to deal with potential confounding variables. The study comprised socioeconomic, demographic, and epidemiological data from official Brazilian databases from 2010 to 2019. The treatment group was composed of the 134 municipalities that implemented the HGP since 2011. The 51 municipalities that did not were allocated to the comparison group. The nearest neighbor algorithm (N5) was used to pair treatment and comparison group municipalities and create the weights to evaluate the average treatment effect on the treated (ATT) in the difference-in-differences estimator. In 2010, 2,771 people were hospitalized for stroke (0.51% of all hospitalizations) and in 2019, 11,542 (2%). Municipalities that implemented the HGP had 18.37% fewer hospitalizations than their counterparts in the comparison group. The program's impact in reducing hospitalization rates was incrementally greater among men (ATT: -0.1932) and those aged 71 to 80 years (ATT: -0.1911). All results were statistically significant at the 5% level. The HGP reduced hospitalization for stroke in several population groups, but primarily in those whose underlying prevalence of stroke is highest, reinforcing the importance of public investments in health promotion policies designed to encourage lifestyle changes.

Youth empowerment in health: a theoretical structure of literacy practices.

To develop a theoretical structure on literacy practices committed to health empowerment, based on the understanding of school adolescents and members of a Quilombola community in the State of Pernambuco, Brazil. Interpretative analysis, based on the assumptions of the Grounded Theory and Symbolic Interactionism. For data collection, Culture Circles were conducted with 18 adolescents from October 2020 to August 2021. The theoretical archetype is structured based on the recognition of vulnerable youth context, and the development of potential through collective relations built by dialogue, trust, shared knowledge construction, and the use of technologies. The theoretical structure on literacy practices committed to empowerment through the understanding of adolescents runs through the framework of a substantive theory that culminates in a perspective of agency and recognition of their needs.

Evolution of the information completeness on suicides in the state of Pernambuco, Brazil, from 1996 to 2015

Resumo Introdução O suicídio representa um importante problema de saúde pública no mundo. Considerado um fenômeno complexo, está associado a fatores sociais, biológicos e demográficos. A qualidade dos dados registrados na declaração de óbito é fundamental para conhecer a magnitude deste problema e subsidiar a construção de indicadores epidemiológicos que contribuem para a eficiência da gestão em saúde. Objetivo Analisar a evolução da completude dos registros de suicídio do Sistema de Informações sobre Mortalidade (SIM) no estado de Pernambuco, entre 1996 e 2015. Métodos Calculou-se a proporção de completude das variáveis da Declaração de Óbito. Para análise da tendência da completude, empregou-se o modelo de regressão Joinpoint. Resultados Houve tendência de aumento de completude das variáveis analisadas, com destaque para “raça/cor”, “estado civil” e “escolaridade”, com aumento superior a 60,0%. Conclusão A análise de tendência temporal mostrou melhoria no preenchimento dos dados sobre suicídio no SIM, porém, ainda figura o desafio de alcançar menos de 5,0% de incompletude para todas as variáveis. A avaliação da completude dos registros de suicídio contribui com o sistema de vigilância e com o aprimoramento das estatísticas vitais relacionadas às causas externas.