Mortality and potential years of life lost by road traffic injuries in Brazil, 2013

Abstract

OBJECTIVE To estimate the potential years of life lost by road traffic injuries three years after the beginning of the Decade of Action for Traffic Safety.METHODS We analyzed the data of the Sistema de Informações sobre Mortalidade (SIM – Mortality Information System) related to road traffic injuries, in 2013. We estimated the crude and standardized mortality rates for Brazil and geographic regions. We calculated, for the Country, the proportional mortality according to age groups, education level, race/skin color, and type or quality of the victim while user of the public highway. We estimated the potential years of life lost according to sex.RESULTS The mortality rate in 2013 was of 21.0 deaths per 100,000 inhabitants for the Country. The Midwest region presented the highest rate (29.9 deaths per 100,000 inhabitants). Most of the deaths by road traffic injuries took place with males (34.9 deaths per 100,000 males). More than half of the people who have died because of road traffic injuries were of black race/skin color, young adults (24.2%), individuals with low schooling (24.0%), and motorcyclists (28.5%). The mortality rate in the triennium 2011-2013 decreased 4.1%, but increased among motorcyclists. Across the Country, more than a million of potential years of life were lost, in 2013, because of road traffic injuries, especially in the age group of 20 to 29 years.CONCLUSIONS The impact of the high mortality rate is of over a million of potential years of life lost by road traffic injuries, especially among adults in productive age (early mortality), in only one year, representing extreme social cost arising from a cause of death that could be prevented. Despite the reduction of mortality by road traffic injuries from 2011 to 2013, the mortality rates increased among motorcyclists.

Acidentes de transporte terrestre: estudo Carga Global de Doenças, Brasil e unidades federadas, 1990 e 2015

“…In the end of the analysis period (2008), the rates were similar (4.7/100 thousand people) to the mortality rates of pedestrians (5.4/100 thousand people). Andrade and Mello-Jorge 6 found that the mortality rates per 100 thousand residents, from 2011 on, among motorcycle riders had already overcome those of pedestrians and automobile occupants, which remained unchanged in 2012 and 2013. This discrepancy in the mortality rates of motorcycle riders, pedestrians, and automobile occupants, if we compare GBD data with those from the SIM, can be due to the process of death codes redistribution and adjustments of garbage codes used in the GBD.…”

“…There has been a decrease of pedestrian deaths since 2007 5 . In 2013, there were 42,266 deaths with a mortality rate of 21/100 thousand people and 1.3 million of potential years of life lost due to injuries in younger age ranges 6 .…”

Prevalence and Factors Associated with Driving Under the Influence of Alcohol in Brazil: An Analysis by Macroregion

“…Rates in the other macroregions were 69.4 (North), 69.8 (South), and 88.6 (Southeast) per 100,000 inhabitants [3]. A study using data from the Mortality Information System found that in 2013 RTIs-related mortality rates in each macroregion were 30.0 (Central-West), 23.5 (Northeast), 23.4 (South), 22.4 (North), and 26.8 (Southeast) per 100,000 [4]. In this study, the prevalence of self-reported RTIs within the previous 12 months was lowest in the Southeast (5.1%; 95.0% CI: 3.9-6.6) and South (5.6%; 95.0% CI: 4.2-7.6) macroregions, and higher in the Central-West (7.4%; 95.0% CI: 5.5-9.9), Northeast (8.2%; 95.0% CI, 6.5-10.1), and North (11.2%; 95.0% CI: 8.4-14.8) (data not shown in tables).…”

“…In 2013, RTIs were the cause of 170,805 admissions to the Brazilian public health system (Sistema Único de Saúde-in Portuguese), a rate of 85 admissions per 100,000 inhabitants, with the highest rates found in the Central-West and Northeast macroregions [3]. A mortality rate by RTIs of 21 deaths per 100,000 inhabitants was observed in Brazil in 2013, with the highest rate found in the Central-West macroregion [4]. Estimates show that RTIs-related deaths can result in costs of up to 6% of gross domestic product (GDP) [5].…”

<b>Risco relacionado ao consumo de tabaco e álcool em homens trabalhadores metalúrgicos/ Risk related to comsumption of tobacco and alcohol in men metalurgical workers<b>

“…Isso resulta em elevados encargos aos sistemas previdenciário e de saúde, constituindo a principal causa de anos potenciais de vida perdidos por acidentes e violências. Beber em binge determina maior gravidade das lesões e fatalidade dos acidentes (3,18) .…”