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2000年至2020年巴西土著人民的自杀:一项描述性研究
Jacyra Azevedo Paiva de Araujo1, Érika Fialho1, Flávia Jôse Oliveira Alves1
1Center of Data and Knowledge Integration for Health (CIDACS), Fiocruz, R. Mundo, 121. Salvador, Bahia, Brazil.
Lancet regional health. Americas
|September 21, 2023
概括
巴西原住民的自杀率高得令人震惊,是全国平均水平的两倍多,特别是在年轻年龄段. 针对性预防策略对于特定地区的弱势土著社区至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 之前的研究表明,澳大利亚,加拿大和巴西少数民族的自杀率更高.
- 巴西的土著人民面临着不成比例的高自杀率,据报道,在各种社区都有集群.
研究的目的:
- 分析2000年至2020年巴西土著人民全国自杀率趋势.
- 将这些趋势与非土著人口进行比较.
主要方法:
- 一项生态研究利用2000年至2020年间来自巴西死亡信息系统 (SIM) 的自杀数据.
- 使用人口普查和估计人口数据计算自杀死亡率.
- 趋势分析比较土著和非土著的自杀率.
主要成果:
- 2020年,巴西原住民的自杀率是普通人口的2.5倍 (17.57对6.35每10万).
- 中西部地区的发病率最高 (2008年为58.8/10万人),10-24岁年龄组受影响最大.
- 在土著和非土著人群中观察到自杀率的统计显著增加;亚马逊州和马托格罗索杜苏尔州在土著人群中显示出严重的增加.
结论:
- 尽管总体增加了,但巴西原住民,特别是年轻人中,自杀率仍然不成比例地高.
- 迫切需要为脆弱的土著人口量身定制的自杀预防策略.
- 进一步的研究应该确定高风险族群和亚马逊和马托格罗斯索杜苏尔等地区的风险因素.
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