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Spatial association of homicide rate with violence, sociodemographic, and public security factors: global burden of disease study 2018 for municipalities in Brazil.
Soares Filho, A M; Vasconcelos, C H; Cunningham, M; Ribeiro, A L P; Naghavi, M; Malta, D C.
Afiliação
  • Soares Filho AM; Postgraduate Program in Public Health, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address: dcmalta@uol.com.br.
  • Vasconcelos CH; Ministry of Health, Health Surveillance Secretariat, Brasília, Distrito Federal, Brazil.
  • Cunningham M; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Ribeiro ALP; Postgraduate Program in Public Health, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
  • Naghavi M; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  • Malta DC; Postgraduate Program in Public Health, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Public Health ; 227: 16-23, 2024 Feb.
Article em En | MEDLINE | ID: mdl-38103272
ABSTRACT

OBJECTIVES:

To analyse spatial-temporal changes and spatial association of homicide rates with violence, sociodemographic, public security and human rights indicators in Brazilian municipalities. STUDY

DESIGN:

An ecological study using homicide estimates from the Global Burden of Disease and population from the Brazilian Ministry of Health, 2000 to 2018. The explanatory variables come from the systems of mortality, notifications of violence and security, and the Brazilian Institute of Geography and Statistics.

METHODS:

Moran indices and maps identified clusters of high and low risk for homicides in three trienniums (p < 0.05). Multivariate linear and spatial regressions estimated explanatory factors' contributions for the last triennium.

RESULTS:

Municipalities with high rates of homicides (>34/100,000) doubled, reaching 21.5 %. Those rates were concentrated in big cities, and increased in smaller municipalities. Increases in critical areas were found in the Northeast and North regions more than 40 % in the states of Sergipe, Bahia, Ceará, Rio Grande do Norte and Roraima. Decreases occurred in the Southeast and Midwest regions more than 35 % in São Paulo and Rio de Janeiro states. The spatial model, with an 18.9 % higher R2 (0.706), showed a positive association for records of violence, Blacks, low-level education, municipalities >50,000 inhabitants and municipalities with homicide and municipal police.

CONCLUSIONS:

An increase in and the interiorisation of homicide risk areas in Brazil was observed, with displacement among regions (from the Southeast to the North/Northeast). The level of violence was the main explanatory factor for homicides. Territorial space proved to be important to understand and prevent lethal crime.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Carga Global da Doença / Homicídio Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Public Health Ano de publicação: 2024 Tipo de documento: Article País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Carga Global da Doença / Homicídio Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Public Health Ano de publicação: 2024 Tipo de documento: Article País de publicação: Holanda