scholarly journals Mortality and years of life lost to suicide in Rio Grande do Norte, Brazil, 2000-2015

2019 ◽  
Vol 41 ◽  
pp. e45972
Author(s):  
Emelynne Gabrielly de Oliveira Santos ◽  
Kelly Graziani Giacchero Vedana ◽  
Isabelle Ribeiro Barbosa

Analyze the epidemiological profile of and years of life lost to suicide in Rio Grande do Norte, Brazil, from 2000 to 2015. This is an ecological study in which data on death were sourced from the Mortality Information System. Years of Potential Life Lost were calculated over the historical series. A total of 2,266 deaths by suicide were analyzed, identified during the period, with the most frequent cases being those occurring at home, by hanging, among men, black people, single people and the elderly. More Years of Potential Life Lost were counted in the economically active age group (30-39 years old). Thus, recognizing the epidemiological characteristics of suicide in Rio Grande do Norte may guide more effective actions and strategies targeting risk populations and reinforces the need for further studies focusing on regions with the highest rates in the state. Moreover, mental health care must be adapted to age and gender, besides approaching social support needs and feeling of belonging.

Author(s):  
Deborah Araujo Policarpo ◽  
Eduarda Cristina Alves Lourenzatto ◽  
Talita Costa e Silva Brito ◽  
Daise Aparecida Rossi ◽  
Roberta Torres de Melo

COVID-19 is considered by the World Health Organization to be a global public health emergency, which presents regional divergences that affect the epidemiological profile of the disease and are associated with political, economic, social and behavioral aspects. We aimed to analyze the epidemiological characteristics of the disease in the microregion of Uberlândia, Brazil, in order to determine risk factors that contributed to progression of SARS-CoV-2 virus. A cross-sectional study was conducted about micro- and macro-determinants combined with the significance analysis of suspected and confirmed cases in 18 municipalities during the epidemiological weeks (EW) 9 to 26. There were 34,046 notifications, of which 4935 (14.49%) people were diagnosed with COVID-19. Of these, 282 (5.71%) required hospital care and 40 (0.81%) died. Age and presence of associated comorbidities were decisive in the variations of incidence and lethality rates. In general, young people were the most affected and the elderly people, the most exposed to the serious and lethal form (p < 0.0001). Comorbidities such as diabetes and cardiopathies increased 33.5 times the death risk. The dispersion of the virus was centrifugal, in the inter as well as in the intra-municipal level. The disorderly implementation of municipal decrees applied in a decentralized manner in the municipalities seems to have contributed for the incidence rates increasing in the EW 25 and 26.


2011 ◽  
Vol 5 (8) ◽  
pp. 1855
Author(s):  
Aurelice Pires Gama ◽  
Richardson Augusto Rosendo da Silva ◽  
Francisco Arnoldo Nunes de Miranda ◽  
Danyella Augusto Rosendo da Silva Costa

ABSTRACTObjective: to identify the sociodemographic and epidemiological characteristics of users attended in the Testing and Counseling Centre (TCC) in the city of Natal, Rio Grande do Norte, Brazil. Method: this is a descriptive, documental, and retrospective study of a sample of 789 records of users, considering the following criteria: patients attended between January and December 2010 whose data contained in the source books were complete. The data were collected through a structured form and analyzed through the software Microsoft Excel. The project was approved by the Committee of Ethics in Research Involving Human Subjects of Universidade Federal do Rio Grande do Norte, under the Certificate for Ethical Appreciation (CEA) 0145.0.051.000-10. Results: most users were adolescents, mainly female subjects, single, and living in the northern area of the city. The number of positive HIV and VDRL test reports is small considering the number of people examined (5.4% and 1.4%, respectively). Conclusion: there is a need for informatization of the TCC records and development of new studies on this context in order to verify if the low proportion of positive testing results might be related to the adoption of preventive measures among the population. Descriptors: counseling; acquired immune deficiency syndrome; HIV; healthcare service. RESUMOObjetivo: identificar as características sociodemográficas e epidemiológicas de usuários atendidos no Centro de Testagem e Aconselhamento (CTA) do município de Natal-RN. Método: estudo descritivo, documental e retrospectivo de uma amostra de 789 registros de usuários, considerando os seguintes critérios: pacientes atendidos entre janeiro e dezembro de 2010 e cujos dados contidos nos livros de registro estivessem completos. Os dados foram coletados por meio de um roteiro estruturado e posteriormente analisados utilizando-se a ferramenta Microsoft Excel. O projeto teve aprovação do Comitê de Ética em Pesquisas com seres humanos da Universidade Federal do Rio Grande do Norte, sob o Certificado de Apresentação para Apreciação Ética (CAAE) n. 0145.0.051.000-10. Resultados: a maior parcela dos usuários foi composta por adolescentes, com predominância do sexo feminino, solteiras e procedentes da região administrativa norte do município. O número de registros positivos nos testes de HIV e VDRL é pequeno em relação ao total dos examinados (5,4% e 1,4%, respectivamente). Conclusão: há necessidade de informatização nos registros do CTA e de novos estudos sobre essa realidade para verificar se a baixa proporção de testes positivos estaria relacionada com a adoção de medidas de prevenção entre a população. Descritores: aconselhamento; síndrome de imunodeficiência adquirida; HIV; serviço de saúde. RESUMENObjetivo: identificar las características socio-demográficas y epidemiológicas de usuarios atendidos en el Centro de Análisis e Información (CTA) del municipio de Natal – RN. Método: se trata de estudio descriptivo, documental y retrospectivo de una muestra de 789 registros de usuarios, considerando los siguientes criterios: pacientes atendidos entre enero y diciembre de 2010 y cuyos datos contenidos en los libros de registro estuvieran completos. Los datos se recogieron por medio de un guión estructurado, y posteriormente analizados utilizando la herramienta Microsoft Excel. El proyecto fue aprobado por el Comité de Ética en Investigaciones en seres humanos de la Universidad Federal de Río Grande do Norte, bajo Certificado de Presentación para Apreciación Ética (CAAE) nº 0145.0.051.000-10. Resultados: la mayor parte de los usuarios fue compuesta por adolescentes, con predominio del sexo femenino, solteras procedentes de la región administrativa norte del municipio. El número de registros positivos en los análisis de VIH y VDRL es pequeño en relación al total de los analizados (5,4 % y 1,4% respectivamente). Conclusión: se necesita informatizar los registros del CTA y nuevos estudios sobre esta realidad para verificar si la baja proporción de análisis positivos estaría relacionada a la adopción de medidas de prevención entre la población. Descriptores: información; síndrome de inmunodeficiencia adquirida; VIH; servicio de sanidad.


2002 ◽  
Vol 18 (6) ◽  
pp. 1509-1517 ◽  
Author(s):  
Ana Rosária Sant'Anna ◽  
Marta Julia Marques Lopes

The authors present a quantitative and qualitative study on homicides among teenagers in Porto Alegre, Rio Grande do Sul State, Brazil, based on a historical series during the 1990s and the life and death histories in this group, with a special focus on 1997. In that year there were 68 homicides in which the victims were from 10 to 19 years old. Of the 68, 62 were males and only 6 females, or a ratio of 10:1, showing that young males are more vulnerable and susceptible to being murdered. The data indicate that cause of death is influenced by gender culture and that homicides are based on power and status symbols characterizing a kind of virility. This expression of virility in the shaping of violence also appears in the domination of the female body observed in homicides with young women as the victims. The life and death histories of these teenagers highlight the pertinence of the gender-based analysis as a theoretical-analytical category, in addition to analyses considering socioeconomic aspects and social inequity.


2015 ◽  
Vol 23 (5) ◽  
pp. 910-918 ◽  
Author(s):  
Mellina Yamamura ◽  
Marcelino Santos-Neto ◽  
Rebeca Augusto Neman dos Santos ◽  
Maria Concebida da Cunha Garcia ◽  
Jordana de Almeida Nogueira ◽  
...  

Objective: to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil.Method: an ecological study, in which the population consisted of 114 cases of death from tuberculosis. Bivariate analysis was carried out, as well as point density analysis, defined with the Kernel estimate.Results: of the cases of death from tuberculosis, 50 were the immediate cause and 64 an associated cause. Age (p=.008) and sector responsible for the death certificate (p=.003) were the variables that presented statistically significant associations with the cause of death. The spatial distribution, in both events, did not occur randomly, forming clusters in areas of the municipality.Conclusion: the difference in the profiles of the cases of death from tuberculosis, as a basic cause and as an associated cause, was governed by the age and the sector responsible for the completion of the death certificate. The non-randomness of the spatial distribution of the cases suggests areas that are vulnerable to these events. Knowing these areas can contribute to the choice of disease control strategies.


2020 ◽  
Vol 9 (9) ◽  
pp. e189996821
Author(s):  
Dayara de Nazaré Rosa de Carvalho ◽  
Viviane Ferraz Ferreira de Aguiar ◽  
Lorena Nayara Alves Neves ◽  
Celice Ruanda Oliveira Sobrinho ◽  
Dandara de Fátima Ribeiro Bendelaque ◽  
...  

Introduction: Cancer is classified as a set of cells that have a disordered growth and without specific functions, in which they affect the systems, being that the main population affected is the elderly, due to the associated risk factors, being highlighted the process of cell aging. Objective: to trace the clinical-epidemiological profile of the oncogeriatric patient seen in public hospitals of high complexity in the State of Pará, in the 2014-2018 historical series. Methodology: This is an epidemiological, descriptive retrospective study with a quantitative approach. The study was carried out in the month of June 2020 with information from secondary data, coming from the Hospital Cancer Registry Computerization System for oncogeriatric patients seen in high complexity hospitals in the state of Pará in the period from 2014 to 2018. Results: if the total of 8,184 oncogeriatrics patients seen in hospitals in Pará and the distribution of sociodemographic data found the predominance of the male population, in the age group between 60 and 69 years old, brown race, most have only incomplete fundamental level. Conclusion: It is necessary for professionals to carry out health education practices for this public, in order to raise awareness and encourage self-care, so that these rates are overcome and they can age with a better quality of life.


Author(s):  
Silke Behrendt ◽  
Barbara Braun ◽  
Randi Bilberg ◽  
Gerhard Bühringer ◽  
Michael Bogenschutz ◽  
...  

Abstract. Background: The number of older adults with alcohol use disorder (AUD) is expected to rise. Adapted treatments for this group are lacking and information on AUD features in treatment seeking older adults is scarce. The international multicenter randomized-controlled clinical trial “ELDERLY-Study” with few exclusion criteria was conducted to investigate two outpatient AUD-treatments for adults aged 60+ with DSM-5 AUD. Aims: To add to 1) basic methodological information on the ELDERLY-Study by providing information on AUD features in ELDERLY-participants taking into account country and gender, and 2) knowledge on AUD features in older adults seeking outpatient treatment. Methods: baseline data from the German and Danish ELDERLY-sites (n=544) were used. AUD diagnoses were obtained with the Mini International Neuropsychiatric Interview, alcohol use information with Form 90. Results: Lost control, desired control, mental/physical problem, and craving were the most prevalent (> 70 %) AUD-symptoms. 54.9 % reported severe DSM-5 AUD (moderate: 28.2 %, mild: 16.9 %). Mean daily alcohol use was 6.3 drinks at 12 grams ethanol each. 93.9 % reported binging. More intense alcohol use was associated with greater AUD-severity and male gender. Country effects showed for alcohol use and AUD-severity. Conclusion: European ELDERLY-participants presented typical dependence symptoms, a wide range of severity, and intense alcohol use. This may underline the clinical significance of AUD in treatment-seeking seniors.


2018 ◽  
Vol 41 (1-2) ◽  
pp. 53-60
Author(s):  
Eric S. King

This article examines Lorraine Hansberry’s play A Raisin in the Sun by exploring the conflict between a traditionally Southern, Afro-Christian, communitarian worldview and certain more destabilizing elements of the worldview of modernity. In addition to examining the socio-economic problems confronted by some African Americans in the play, this article investigates the worldviews by which these Black people frame their problems as well as the dynamics within the relationships of a Black family that lives at the intersection of racial, class, and gender inequality in Chicago during the latter 1950s.


2020 ◽  
Author(s):  
Aml Ghanem

COVID-19 is a global crisis that requires a deep understanding of infection pathways to facilitate the development of effective treatments and vaccines. Telomere, which is regarded as a biomarker for other respiratory viral infections, might influence the demographic distribution of COVID-19 infection and fatality rates. Viral infection can induce many cellular remodeling events and stress responses, including telomere specific alterations, just as telomere shortening. In brief, this letter aims to highlight the connection between telomere shortening and susceptibility to COVID-19 infection, in addition to changes in telomeric length according to the variation of age and gender of confirmed cases with COVID-19 infection. To sum up, the correlation is revealed from the available data that connect telomere length and COVID-19 infection, demonstrated in the fact that the elderly patients and males are more susceptible to COVID-19 due to shortening in their telomere length.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Héctor Pifarré i Arolas ◽  
Enrique Acosta ◽  
Guillem López-Casasnovas ◽  
Adeline Lo ◽  
Catia Nicodemo ◽  
...  

AbstractUnderstanding the mortality impact of COVID-19 requires not only counting the dead, but analyzing how premature the deaths are. We calculate years of life lost (YLL) across 81 countries due to COVID-19 attributable deaths, and also conduct an analysis based on estimated excess deaths. We find that over 20.5 million years of life have been lost to COVID-19 globally. As of January 6, 2021, YLL in heavily affected countries are 2–9 times the average seasonal influenza; three quarters of the YLL result from deaths in ages below 75 and almost a third from deaths below 55; and men have lost 45% more life years than women. The results confirm the large mortality impact of COVID-19 among the elderly. They also call for heightened awareness in devising policies that protect vulnerable demographics losing the largest number of life-years.


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