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Geographical clusters and social risk factors for suicide in the city of São Paulo, 2006-2015: An ecologic study.
Bando, Daniel Hideki; Barrozo, Ligia Vizeu; Volpe, Fernando Madalena.
Afiliação
  • Bando DH; Institute of Natural Sciences, Federal University of Alfenas (UNIFAL-MG), Alfenas, Brazil.
  • Barrozo LV; School of Philosophy, Literature and Human Sciences, University of São Paulo, São Paulo, Brazil.
  • Volpe FM; Hospital Foundation of the State of Minas Gerais (FHEMIG), Belo Horizonte, Brazil.
Int J Soc Psychiatry ; 66(5): 460-468, 2020 08.
Article em En | MEDLINE | ID: mdl-32345084
BACKGROUND: To identify geographical clusters of suicide in São Paulo, Brazil (2006-2015) and to verify the associations of suicide with sociocultural characteristics of its 96 districts. METHODS: Spatial scan test was used to detect the geographical clusters. Correlation and multiple regression techniques were used to estimate the association of socioeconomic and cultural variables with suicide. RESULTS: The mean suicide rate was 4.8/100,000. Three clusters were identified which are as follows: one of increased risk in downtown and two of decreased risk in the South and in the Southeast. The mean suicide rate of the high-risk clustered districts (7.99/100,000) presented significantly higher average incomes per household, higher proportion of formally educated, of no religious affiliation, of recent migrants, of all-times migrants and lower proportion of married. The multiple model selected two independent risk factors - people with no religious affiliation (ß = 0.182) and of recent migrants (ß = 0.278) - and two protective factors - the proportion of married (ß = -0.185) and of total migrants (ß = -0.075), which jointly explained 58.4% of the variance. CONCLUSION: Durkheimian social and cultural risk factors for suicide were confirmed. Compared to a previous study period (1996-2005), suicide rates and geographical clusters remained relatively stable in the subsequent decade (2006-2015).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Suicídio Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Equity_inequality Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Soc Psychiatry Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Suicídio Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Aspecto: Equity_inequality Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Soc Psychiatry Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido