Resumo Introdução O suicídio é uma das três causas de morte mais frequentes no mundo e varia conforme o sexo e a idade. Objetivo Analisar a tendência da mortalidade por suicídio nas regiões brasileiras no período de 1996 a 2015 e sua associação com o sexo e a faixa etária. Método Estudo ecológico de série temporal, utilizando os óbitos por suicídio analisados por regiões no período de 1996 a 2015 contidos no Sistema de Informações sobre Mortalidade. Para avaliação da tendência da mortalidade por suicídio, foi considerado o modelo de regressão de Prais-Winsten. Para comparar os percentuais de mortalidade por sexo e faixa etária, foi utilizado o teste qui-quadrado. Resultados Observou-se tendência crescente de óbitos por suicídio nas regiões Norte (1,73%, Coef = 0,007; p-valor < 0,001), Nordeste (2,30%, Coef = 0,010; p-valor = 0,006) e Sudeste (1,41%, Coef = 0,006; p-valor < 0,001) e decrescente no Sul (-0,57%, Coef = -0,002; p-valor = 0,001), além de predomínio de homens no percentual de óbitos (p < 0,001). Conclusão O suicídio é considerado importante problema de saúde pública, necessitando de ações para divulgação dos riscos e programas de prevenção.
INTRODUCTION Cross-cultural adaptations of questionnaires in developing countries, such as Brazil, have fostered a major debate involving the fields of economics, health, politics and culture. 1 Today, with the development and dissemination of the Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures 2 and of the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN), 3 standardization of cross-cultural adaptation relating to culture, language and country is providing positive outcomes within scientific and clinical contexts. Within healthcare sciences, especially in the field of prevention and rehabilitation of musculoskeletal injuries, it is common to use questionnaires to measure self-reported outcomes, mainly in relation to pain and functional disability. 4-6 Among the questionnaires for screening of musculoskeletal injuries, in addition to instruments that were created by researchers for specific evaluations, 7,8 the Nordic Musculoskeletal Questionnaire (NMQ) stands out through its widespread use for locating musculoskeletal pain in diverse populations. 9-12 However, the NMQ does not have a severity score, and it is not possible to use it to make inferences about functional disability. Therefore, as a way to fill this gap, the Self-Estimated Functional Inability because of Pain (SEFIP) questionnaire was developed and published in 1999. This is an instrument created based
Introduction: Congenital syphilis is considered a severe public health problem because it accounts for approximately 40% of the perinatal mortality rates, 25% of stillbirths, and 14% of neonatal deaths, in addition to causing severe consequences for the fetus. This study aimed to describe the rates of congenital syphilis in children under one year of age in Brazilian capitals from 2009 to 2016. Methods: Ecological time series study, using rates of congenital syphilis in children under one year of age and living in Brazilian capitals. The Prais-Winsten regression model was used to assess the trend. Results: A total of 44,056 cases of congenital syphilis in children under one year of age were reported in Brazilian capitals between 2009 and 2016. The highest rate of congenital syphilis in children under one year of age occurred in 2016 in Porto Alegre (31.07/1,000 live births). The Northeastern capitals showed high rates, particularly the capital Recife (23.67/1,000 live births). Conclusions: Congenital syphilis represents a major challenge for public policies. The need for improvements in the quality of prenatal care is highlighted, as it is essential to reduce the alarming rates.
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