Data de publicação
30 de setembro de 2020
Periódico
Revista da Sociedade Brasileira de Medicina Tropical
Resumo
Background – Brazil leads the world in number of firearm deaths and ranks sixth by country in rate of firearm deaths per 100,000 people. This study aims to analyze trends in and burden of mortality by firearms, according to age and sex, for Brazil, and the association between these deaths and indicators of possession and carrying of weapons using data from the global burden of diseases, injuries, and risk factors study (GBD) 2017.
Methods – We used GBD 2017 estimates of mortality due to physical violence and self-harm from firearms for Brazil to analyze the association between deaths by firearms and explanatory variables.
Results – Deaths from firearms increased in Brazil from 25,819 in 1990 to 48,493 in 2017. Firearm mortality rates were higher among men and in the 20–24 age group; the rate was 20 times higher than for women in the same age group. Homicide rates increased during the study period, while mortality rates for suicides and accidental deaths decreased. The group of Brazilian federation units with the highest firearm collection rate (median = 7.5) showed reductions in the rate of total violent deaths by firearms. In contrast, the group with the lowest firearm collection rate (median = 2.0) showed an increase in firearm deaths from 2000 to 2017. An increase in the rate of voluntary return of firearms was associated with a reduction in mortality rates of unintentional firearm deaths (r = −0.364, p < 0.001). An increase in socio-demographic index (SDI) was associated with a reduction in all firearm death rates (r = −0.266, p = 0.008). An increase in the composite index of firearms seized or collected was associated with a reduction in rates of deaths by firearm in the subgroup of females, children, and the elderly (r = −0.269, p = 0.005).
Conclusions – There was a change in the trend of firearms deaths after the beginning of the collection of weapons in 2004. Federation units that collected more guns have reduced rates of violent firearm deaths.
DOI/link
doi.org/10.1186/s12963-020-00222-3
Autoria
Vínculo institucional
Lattes
Orcid
Deborah Carvalho Malta
Escola de Enfermagem, Departamento Materno Infantil e Saúde Pública, Universidade Federal de Minas Gerais
Adauto Martins Soares Filho
Ministério da Saúde do Brasil
Isabella Vitral Pinto
Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais
Maria Cecília de Souza Minayo
Sergio Arouca National School of Public Health, Fundação Oswaldo Cruz
Cheila Marina Lima
Ministério da Saúde do Brasil
Ísis Eloah Machado
Faculdade de Medicina da Universidade Federal de Ouro Preto
Renato Azeredo Teixeira
Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais
Otaliba Libânio Morais Neto
Instituto de Patologia Tropical e Saúde Pública, Universidade Federal de Goiás
Roberto Marini Ladeira
Fundação Hospitalar do Estado de Minas Gerais
Edgar Merchan-Hamann
Universidade de Brasília
Maria de Fatima Marinho de Souza
Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais
Cíntia Honório Vasconcelos
Ministério da Saúde do Brasil
Carlos Cezar Flores Vidotti
Ministério da Saúde do Brasil
Ewerton Cousin
Programa de Pós-graduação em Epidemiologia, Universidade Federal do Rio Grande do Sul
Scott Glenn
Institute for Health Metrics and Evaluation, University of Washington
Catherine Bisignano
Institute for Health Metrics and Evaluation, University of Washington
Adrienne Chew
Institute for Health Metrics and Evaluation, University of Washington
Antonio Luiz Ribeiro
Centro de Telessaúde do Hospital das Clínicas e Departamento de Clínica Médica da Faculdade de Medicina da Universidade Federal de Minas Gerais
Mohsen Naghavi
Institute for Health Metrics and Evaluation, University of Washington