Padrões espaciais de mortalidade e diferenciais sócio-econômicos na cidade do Rio de Janeiro

Abstract

Health situation analysis has been used to understand complex health processes and to contribute to decision-making in public policies. This paper analyzes the spatial relationship between mortality patterns in the city of Rio de Janeiro (1996-1998) and socioeconomic profiles of neighborhoods. Mortality data were collected from the Municipal Health Department and population data were obtained from the National Census Bureau (IBGE) (1991 and 1996). Neighborhoods were aggregated through the K-means cluster method into 4 homogeneous socioeconomic groups, and the mortality indicators distribution was analyzed by different strata. General mortality, circulatory disease mortality, mortality from poorly defined causes, and mortality from violent causes all displayed large differences among socioeconomic groups. The spatial pattern of the socioeconomic strata allowed the identification of different living conditions, which involved specific mortality patterns. Higher socioeconomic strata presented low mortality figures for all causes.

Análise espacial da ocorrência de dengue e condições de vida na cidade de Nova Iguaçu, Estado do Rio de Janeiro, Brasil

“…A influência das desigualdades sociais sobre a situação de saúde de populações vem sendo discutida em diversos estudos de forma ampla 7,8 ou sob análises de eventos específicos 9,10,11,12 . Alguns autores abordam a relação entre variáveis relacionadas às condições de vida da população e a ocorrência da dengue; entretanto os resultados encontrados são divergentes 13,14,15,16,17 .…”

Diferenciais de mortalidade por escolaridade da população adulta brasileira, em 2010

“…Esses resultados como um todo sobre os diferenciais de mortalidade segundo o nível de escolaridade para as Grandes Regiões Brasileiras mostram coerência com a literatura, que aponta inúmeras evidências de melhores condições de saúde e maior expectativa de vida entre a população de alta escolaridade 1,2,3,4,5,6,7,10,11,13,14,25,26,27 .…”

Understanding the social determinants of TB and HIV in South Asia

“…The underlying causes of these diseases are diverse and run deep into economic and social systems. Studies have suggested that TB patients were concentrated in areas with high population density, poor environmental and sanitation conditions [59][60] , and that treating HIV and AIDS is an action not only against the disease, but more about addressing the social and economic roots. Studies have found that incidence rates are clearly higher in areas with average and lower socioeconomic levels and concluded that TB-HIV co-infection is a disease of social complexity, and the methods of elimination are limited not merely to health, but also on improving housing, transportation and nutrition [57] .…”