Mortality in motorcycle accidents in Alagoas (2001-2015): temporal and spatial modeling before and after the “lei seca”

Abstract

SUMMARY OBJECTIVE To analyze the epidemiological profile and the Spatio-temporal distribution of mortality in motorcycle accidents in Alagoas before (2001-2007) and after the “Lei seca” (2008-2015). METHODS This is a mixed ecologic study. All deaths in the state with the codes V20-V29 (ICD-10) as the basic cause were included in the study. Sociodemographic variables and mortality rates per sex were analyzed. For the temporal analysis, the inflection point regression model was used. For spatial analysis, the rates were smoothed by the Local Empirical Bayesian Model and, subsequently, the Global and Local Moran statistic was used to identify the spatial clusters of risk. RESULTS There were 1458 deaths caused by motorcycle accidents in the period studied; the following characteristics about the victims stand out: male (91.29%), economically active age (82.93%), and brown race (78.12%). In the male population, there was a growth trend between 2001 and 2007 (19.0%, p<0.001), and a decline from 2008 (-11.2%, p<0.001). Spatial modeling showed that the areas with the highest risk of mortality are located in the agreste and sertão of the state (p = 0.01). CONCLUSION Mortality in motorcycle accidents is an important public health problem in Alagoas, with an emphasis on male mortality and geographic concentration within the state.

Temporal evolution of traffic accident mortality rates in the State of São Paulo, Brazil, in the period 2009-2019

“…After the law (2008-2015), the opposite occurred, with a decline for both groups. For women, the behavior was the same in both periods, which also demonstrates that more public policies are needed to reduce traffic accidents for this population 20 .…”