巴西的女性凶杀案：2000-2018 年全球疾病负担研究

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES

Lancet Regional Health-Americas Pub Date : 2024-11-07 DOI:10.1016/j.lana.2024.100935

Nadia Machado de Vasconcelos , Juliana Bottoni de Souza , Adauto Martins Soares Filho , Polyanna Helena Coelho , Sofia Reinach , Caroline Stein , Crizian Saar Gomes , Luisa Sorio Flor , Emmanuela Gakidou , Antonio Luiz Pinho Ribeiro , Deborah Carvalho Malta

{"title":"巴西的女性凶杀案：2000-2018 年全球疾病负担研究","authors":"Nadia Machado de Vasconcelos , Juliana Bottoni de Souza , Adauto Martins Soares Filho , Polyanna Helena Coelho , Sofia Reinach , Caroline Stein , Crizian Saar Gomes , Luisa Sorio Flor , Emmanuela Gakidou , Antonio Luiz Pinho Ribeiro , Deborah Carvalho Malta","doi":"10.1016/j.lana.2024.100935","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Female homicides are a public health-relevant issue, and its spatial distribution may evidence socioeconomic vulnerabilities. This study aims to analyze the temporal and spatial trends of female homicides in Brazil and investigate socioeconomic-demographic factors associated with it.</div></div><div><h3>Methods</h3><div>This is an ecological, descriptive, and analytical epidemiological study investigating the age-standardized female homicide rate in all Brazilian municipalities between 2000 and 2018, divided into three periods. Spatial and temporal analyses were conducted using the Global Moran's Index and LISA to identify clusters of high and low rates. Rates were also calculated by population size and means of violence across macro-regions. For the last period, a multivariable linear regression model analyzed the association of female homicide rates with social, economic, and geographic factors.</div></div><div><h3>Findings</h3><div>Female homicide rates in Brazil remained high during the studied period, with differences in trends between regions. Among the potentially associated factors, it was observed that male homicide rate, the high percentage of violent deaths among black women and those with low levels of education, in addition to the low Gross Domestic Product (GDP) <em>per capita</em>, were positively associated with female homicide, whereas larger cities were negatively associated.</div></div><div><h3>Interpretation</h3><div>These findings show that Brazil is a country with a high risk of female homicide. Nevertheless, the vulnerability of women is unequally distributed in the country. Female homicides are mostly caused by domestic conflicts but can also be influenced by changes in the urban and social contexts.</div></div><div><h3>Funding</h3><div>This project is funded by the <span>Bill & Melinda Gates Foundation</span>.</div></div>","PeriodicalId":29783,"journal":{"name":"Lancet Regional Health-Americas","volume":"40 ","pages":"Article 100935"},"PeriodicalIF":7.0000,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Female homicides in Brazil: global burden of disease study, 2000–2018\",\"authors\":\"Nadia Machado de Vasconcelos , Juliana Bottoni de Souza , Adauto Martins Soares Filho , Polyanna Helena Coelho , Sofia Reinach , Caroline Stein , Crizian Saar Gomes , Luisa Sorio Flor , Emmanuela Gakidou , Antonio Luiz Pinho Ribeiro , Deborah Carvalho Malta\",\"doi\":\"10.1016/j.lana.2024.100935\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Female homicides are a public health-relevant issue, and its spatial distribution may evidence socioeconomic vulnerabilities. This study aims to analyze the temporal and spatial trends of female homicides in Brazil and investigate socioeconomic-demographic factors associated with it.</div></div><div><h3>Methods</h3><div>This is an ecological, descriptive, and analytical epidemiological study investigating the age-standardized female homicide rate in all Brazilian municipalities between 2000 and 2018, divided into three periods. Spatial and temporal analyses were conducted using the Global Moran's Index and LISA to identify clusters of high and low rates. Rates were also calculated by population size and means of violence across macro-regions. For the last period, a multivariable linear regression model analyzed the association of female homicide rates with social, economic, and geographic factors.</div></div><div><h3>Findings</h3><div>Female homicide rates in Brazil remained high during the studied period, with differences in trends between regions. Among the potentially associated factors, it was observed that male homicide rate, the high percentage of violent deaths among black women and those with low levels of education, in addition to the low Gross Domestic Product (GDP) <em>per capita</em>, were positively associated with female homicide, whereas larger cities were negatively associated.</div></div><div><h3>Interpretation</h3><div>These findings show that Brazil is a country with a high risk of female homicide. Nevertheless, the vulnerability of women is unequally distributed in the country. Female homicides are mostly caused by domestic conflicts but can also be influenced by changes in the urban and social contexts.</div></div><div><h3>Funding</h3><div>This project is funded by the <span>Bill & Melinda Gates Foundation</span>.</div></div>\",\"PeriodicalId\":29783,\"journal\":{\"name\":\"Lancet Regional Health-Americas\",\"volume\":\"40 \",\"pages\":\"Article 100935\"},\"PeriodicalIF\":7.0000,\"publicationDate\":\"2024-11-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Lancet Regional Health-Americas\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2667193X2400262X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Lancet Regional Health-Americas","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2667193X2400262X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

摘要

背景女性凶杀案是一个与公共卫生相关的问题，其空间分布可能证明了社会经济的脆弱性。本研究旨在分析巴西女性凶杀案的时间和空间趋势，并调查与之相关的社会经济-人口因素。方法这是一项生态学、描述性和分析性流行病学研究，调查了 2000 年至 2018 年期间巴西所有城市的年龄标准化女性凶杀案发生率，分为三个时期。使用全球莫兰指数和 LISA 进行了空间和时间分析，以确定高比率和低比率的集群。此外，还按人口规模和宏观区域的暴力指数计算了比率。在最后一段时期，一个多变量线性回归模型分析了女性凶杀率与社会、经济和地理因素之间的关联。研究结果在研究期间，巴西的女性凶杀率居高不下，不同地区之间的趋势存在差异。在可能相关的因素中，除了人均国内生产总值（GDP）低之外，男性杀人率、黑人妇女和受教育程度低的妇女暴力死亡比例高与女性杀人案呈正相关，而大城市则呈负相关。然而，妇女的脆弱性在全国的分布并不均衡。女性凶杀案主要由家庭冲突引起，但也可能受到城市和社会环境变化的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Female homicides in Brazil: global burden of disease study, 2000–2018

Background

Female homicides are a public health-relevant issue, and its spatial distribution may evidence socioeconomic vulnerabilities. This study aims to analyze the temporal and spatial trends of female homicides in Brazil and investigate socioeconomic-demographic factors associated with it.

Methods

This is an ecological, descriptive, and analytical epidemiological study investigating the age-standardized female homicide rate in all Brazilian municipalities between 2000 and 2018, divided into three periods. Spatial and temporal analyses were conducted using the Global Moran's Index and LISA to identify clusters of high and low rates. Rates were also calculated by population size and means of violence across macro-regions. For the last period, a multivariable linear regression model analyzed the association of female homicide rates with social, economic, and geographic factors.

Findings

Female homicide rates in Brazil remained high during the studied period, with differences in trends between regions. Among the potentially associated factors, it was observed that male homicide rate, the high percentage of violent deaths among black women and those with low levels of education, in addition to the low Gross Domestic Product (GDP) per capita, were positively associated with female homicide, whereas larger cities were negatively associated.

Interpretation

These findings show that Brazil is a country with a high risk of female homicide. Nevertheless, the vulnerability of women is unequally distributed in the country. Female homicides are mostly caused by domestic conflicts but can also be influenced by changes in the urban and social contexts.

Funding

This project is funded by the Bill & Melinda Gates Foundation.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Lancet Regional Health-Americas Multiple-

CiteScore

8.00

自引率

0.00%

发文量

期刊介绍： The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.