Mortalidade de imigrantes internacionais no Município de São Paulo, de 2006 a 2015

Abstract

feminina. Conclusão: As ondas mais antigas apresentaram perfil de mortalidade com mais óbitos em idades mais elevadas do que as populações de brasileiros e das ondas mais recentes, com variabilidade entre as nacionalidades que compõem estas últimas, com destaque para a população de bolivianos, que apresentou pior perfil, com óbitos em idades jovens e proporção maior de causas externas do que as demais nacionalidades.Palavras-chave: Mortalidade. Imigrantes. Sistemas de Informação. ABSTRACTSilveira RC. Mortality of international immigrants in the city of São Paulo, from 2006 to 2015 [dissertation]. São Paulo: Faculdade de Saúde Pública da USP; 2019. Introduction: Changes arising from the process of restructuring production implies the mobility of capital and population, in different parts of the world. The process of migration in search of better living conditions involves a series of events that may be traumatic and may put the migrant at risk.Restrictions related to unstable and precarious employment situation, as well difficulty in obtaining social protection, can influence their health. Costs associated with health care can be barriers to the use of health services. Objective: To evaluate the quality of information and the death profile of the immigrant population in the city of São Paulo, from 2006 to 2015. Methods: We used the Mortality Information System -SIM database from 2006 to 2015 and the 2010 census data. The incompleteness were analyzed for variables: gender, age, race/ skin color, education, place of death, occupation and certifying physician . The naturalness variable was used to classify deaths among immigrants and nationals and to classify them between old (Portuguese, Japanese and Italian) and recent migratory waves (Argentine, Bolivian, Chilean, Chinese and South Korean). Proportional mortality by gender, age and race/ skin color, and Swaroop & Uemura and Potential Years ol Life Lost (PYLL) indicators wereanalyzed. To measure the risk of death, crude and standardized mortality rates were calculated by age group for 2010. Results: Regarding the quality of DO's completeness , the variables gender, age, place of death and race/skin color were classified as excellent for immigrants and Brazilians. The certifying physician variable was classified as good, education and occupation as regular, except for education among Brazilians, which was poor.The only one variable that showed an incompleteness growth was the certifying physician. Immigrant deaths accounted for 6.2% of total deaths in the period, with higher volume for older waves (62.7%) compared to more recent ones (7.1%). In all nationalities, male deaths were more frequent, especially the Chilean population (63.6%). Deaths from older waves presented higher concentration of the elderly, especially in the older age groups.The same did not happen with the most recent waves, in which Bolivians had the lowest average age at death (50.3 years). The three main causes of death were the same in both immigrants and Brazilians. For male deaths, external ca...

Mortality of Bolivian immigrants in São Paulo, Brazil: analysis of avoidable causes

“…Nationality was taken from the death certificate. The number of ignored cases was minimal, accounting for only two deaths in 2007 13 .…”

“…The comparison of mortality between immigrant and nonimmigrant populations can help understand possible differences and ultimately indicate the need for actions to reduce health inequalities 11 . Given the scarcity of studies on mortality among immigrants in Brazil 13 , the aim of this study was to compare mortality among Bolivian immigrants and nonimmigrants in São Paulo, focusing on avoidable causes of death during the period 2007-2018.…”

Mortalidade de imigrantes bolivianos em São Paulo, Brasil: análise de causas evitáveis

“…A partir da variável naturalidade na Declaração de Óbito (DO), foram identificados os óbitos de naturais da Bolívia e do Brasil. O número de casos ignorados para essa variável é mínimo, sendo de apenas dois óbitos em 2007, o restante do período tem 100% de completude 13 .…”

“…A comparação de perfis de mortalidade entre populações imigrante e nativa colaboram para a compreensão de possíveis diferenças e, em última análise, podem indicar a necessidade de ações para reduzir desigualdades em saúde 11 . Pesquisas sobre a mortalidade entre os imigrantes no Brasil são escassas 13 , assim, o objetivo deste estudo foi analisar a mortalidade da população boliviana comparada à da população brasileira, residente no município de São Paulo, com ênfase na análise das causas de morte potencialmente evitáveis, no período de 2007 a 2018.…”