哥伦比亚2019冠状病毒病大流行前后自杀死亡率的时间变化联合点回归模型

Q3 Medicine
Julio Ricardo Zuluaga Peña , Juan P. Zuluaga Peña , Ángela P. Vega Landaeta , Eugenio Ferro , Alejandro Lopera Marín , Diana R. Chávez Bejarano , Julián Enrique Barrera López
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引用次数: 0

摘要

冠状病毒病(COVID-19)大流行于2020年3月宣布。这种疾病影响呼吸系统,在2020年和2021年期间显示出很高的发病率和死亡率。神经系统的损害以及抑郁、焦虑、失眠和药物滥用的发生率也有所增加。预防COVID-19感染的公共卫生政策、精神疾病控制和监测的减少以及社会和经济影响可能是导致自杀意念和自杀增加的原因。目前尚不清楚在大流行之前和期间,哥伦比亚的自杀死亡率是否发生了变化。目的描述和分析哥伦比亚2008 - 2020年自杀死亡率的时间变化趋势。方法根据国家记录,计算哥伦比亚在COVID-19大流行期间观察到的自杀死亡率,并将其与前几年(2008-2019年)报告的自杀死亡率进行比较。死亡率按年龄、性别、教育程度、与卫生系统的联系类型、地区和自杀死亡的病因进行分析。采用联合点回归软件3.4.4,估计各变量自杀死亡率的时间变化趋势。估算年变化百分比(APC),并计算其统计学显著性。结果2020年哥伦比亚粗自杀死亡率(每10万居民5.4人)较前3年有所下降。对2008年至2020年间自杀死亡率时间趋势变化的估计显示,男性自杀死亡率下降了5.28 (APC) (p <;在2018年至2020年期间,女性的APC增加了3.75 (p <;0.05)。关于年龄(按五年期计),增加3.87 (APC) (p <;在2012年至2020年期间,15至19岁的人群中测定了0.05)。根据卫生系统隶属方案,2016年至2020年期间估计下降(- 58.45 CPA;p & lt;属于特殊和特殊卫生制度的人0.05);2015 - 2020年(- 53.49 CPA);p & lt;0.05)。结论:与前几年报告的数据相比,哥伦比亚2019冠状病毒病大流行期间的粗自杀死亡率有所下降。尽管所有变量在不同时期的自杀死亡率的时间趋势都发生了显著变化,但在2019年至2020年期间没有发现显著的增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Temporal Changes in Suicide Mortality Rates Before and During the COVID-19 Pandemic in Colombia. A Joint Point Regression Model

Introduction

The coronavirus disease (COVID-19) pandemic was declared in March 2020. This disease affects the respiratory system, and shown high rates of morbidity and mortality during 2020 and 2021. Neurological compromise and increased rates of depression, anxiety, insomnia, and substance abuse have also been described. Public health policies to prevent COVID-19 infection, decrease in control and monitoring of mental illness, and social and economic impact may have contributed to the increase in suicidal ideation and suicides. It is not yet clear if there have been changes in suicide mortality rates in Colombia before and during the pandemic.

Objective

To describe and analyze the changes in the temporal trends of suicide mortality rates in Colombia between 2008 and 2020.

Methods

Based on national records, suicide mortality rates observed in Colombia during the COVID-19 pandemic were calculated and compared with those reported in previous years (2008–2019). Mortality rates were analyzed by age, sex, educational level, type of affiliation to health system, region, and etiology of death by suicide. Using the joint point regression software 3.4.4, changes in time trends in suicide mortality rates were estimated for each mentioned variable. Annual percentage changes (APC) were estimated, and their statistical significance was calculated.

Results

The crude suicide mortality rate in Colombia in 2020 (5.4 per 100 000 inhabitants) decreased compared to those reported in the previous 3 years. Estimates of changes in time trends in suicide mortality rates between 2008 and 2020 showed a decrease in men of −5.28 (APC) (p < 0.05) between 2018 and 2020, and an increase in women of 3.75 (APC) (p < 0.05) between 2011 and 2020. Regarding age (by five-year periods), an increase of 3.87 (APC) (p < 0.05) was determined in people between 15 and 19 years old between 2012 and 2020. According to health system affiliation regimen, decreases were estimated between 2016 and 2020 (−58.45 CPA; p < 0.05) for people affiliated to especial and exceptional health regimes; and between 2015 and 2020 (−53.49 CPA; p < 0.05) for the uninsured.

Conclusions

The crude suicide mortality rate during the COVID-19 pandemic in Colombia decreased compared to what was reported in the previous years. Although significant changes were found in the temporal trends of suicide mortality rates in different periods for all variables, no significant increases were identified between 2019 and 2020.
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来源期刊
Revista Colombiana de Psiquiatria
Revista Colombiana de Psiquiatria Medicine-Psychiatry and Mental Health
CiteScore
2.50
自引率
0.00%
发文量
72
期刊介绍: Revista Colombiana de Psiquiatría (RCP) is a quarterly official publication of Colombian Psychiatry Association (March, June, September and December) and its purpose is to spread different the knowledge models that currently constitute the theoretical and practical body of our specialty. Psychiatrists, psychiatric residents, non psychiatric physicians, psychologists, philosophers or other health professionals or persons interested in this area can take part in the magazine. This journal publishes original works, revision or updating articles, case reports of all psychiatry and mental health areas, epistemology, mind philosophy, bioethics and also articles about methodology of investigation and critical reading.
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