Assessment of incompleteness of Mortality Information System records on deaths from external causes in the state of Rio Grande do Sul, Brazil, 2000-2019

Abstract

Objective: to evaluate the incompleteness of Mortality Information System (Sistema de Informações sobre Mortalidade - SIM) data on deaths from external causes (ECs) in the state of Rio Grande do Sul, Brazil, 2000-2019. Methods: This was an ecological study, using SIM data on all deaths from external causes and, specifically, from transport accident, homicides, suicides and falls; the analysis of the trend of incompleteness was performed by means of Prais-Winsten regression, with a 5% significance level. Results: A total of 146,882 deaths were evaluated; sex (0.1%), place of death (0.1%) and age (0.4%) showed the lowest incompleteness in 2019; the proportion of incompleteness showed a decreasing trend for the place of death and schooling, an increasing trend for marital status and a stable trend for age and race/skin color, among all types of death evaluated. Conclusion: the variables analyzed reached a high degree of completion; with the exception of marital status and schooling, for which unsatisfactory scores persisted for deaths from ECs, both total and by subgroups.

Trend in mortality from mental and behavioral disorders due to alcohol use in Brazil, 2010-2021

“…Regarding the limitations of this research, the quality of the Mortality Information System stands out, given the possibility of underrecording of deaths, problems of duplicity and reliability of Death Certificate information, widely reported in the literature, 16 which may also underestimate mortality from mental and behavioral disorders due to use of alcohol, thus compromising interpretation of trends found. However, these limitations did not invalidate the findings of this study in terms of informing public policy implementation, with emphasis on geographically specific actions, prioritizing territories where high mortality rates due to alcohol use were found.…”

“…Em relação às limitações desta pesquisa, destaca-se a qualidade do SIM, dada a possibilidade de sub-registro de óbitos, problemas de duplicidade e confiabilidade das informações da Declaração de Óbito, amplamente relatados na literatura, 16 que podem, inclusive, subestimar a mortalidade por transtornos mentais e comportamentais devidos ao uso do álcool, comprometendo a interpretação das tendências observadas. Contudo, essas limitações não inviabilizaram os achados do presente estudo enquanto subsídios à implementação de políticas públicas, com ênfase em ações geograficamente especificas, priorizando territórios que apresentaram elevados coeficientes de mortalidades em decorrência do uso de álcool.…”

Employment precariousness and the importance of the assessment of fatal occupational injuries on the Mortality Information System

“…Eliane de Freitas Drumond 1 1 Instituto Mário Penna, Núcleo de Ensino e Pesquisa, Belo Horizonte, MG, Brasil…”

“…The research note entitled Assessment of incompleteness of Mortality Information System records on deaths from external causes in the state of Rio Grande do Sul, 2000-2019 1 presented results of an ecological time series study based on the analysis of deaths from external causes (ECs), specifically, from transport accidents, homicides, suicides and falls, occurred in Rio Grande do Sul, registered on the Mortality Information System ( Sistema de Informações sobre Mortalidade - SIM), between 2000 and 2019. There were discrepancies in the decreasing trends observed for sociodemographic variables among the alarming number of deaths analyzed (n = 146,882), according to causes of death.…”