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2018
Disertaciones
1
  • RAUL ELTON ARAUJO BORGES
  • KNOWLEDGE AND EXPERIENCES OF LIVING WITH HIV / AIDS IN A BRAZILIAN BLOG

  • Líder : LUCAS PEREIRA DE MELO
  • Data: 19-feb-2018
  • Resumen Espectáculo
  • Blogs produced by people living with chronic diseases can provide rich descriptions of practices, customs, and social perceptions of the health-disease process. In this way, this virtual space is configured as a new scenario of health promotion, sharing of information and experiences of living with the disease. Therefore, the objective of the study was to analyze the knowledge and experiences shared virtually in a Brazilian blog about HIV / AIDS. It is a socio-anthropological study of a qualitative nature, carried out through virtual ethnography and documentary analysis. 253 posts made by the blog author from March 2011 to July 2016, distributed in the "News", "Diaries" and "Articles" sessions, were used as data sources. The data were analyzed using the thematic coding technique and included the texts produced by the blogger and the comments of the visitors of the page. In the "Articles" and "News" sessions, knowledge and information on the biological and clinical aspects of the virus, treatment and prevention of HIV / AIDS are disseminated. In the "Diaries" session are shared daily experiences of bloggers and followers with HIV. In this sense, comments on the blogger's posts produce a space for sharing knowledge and experiences with the virus. In addition, the discussions in this virtual space seem to bring comfort and ease the difficulties in living with HIV / AIDS in the totality of daily life. The social medicalization present in the speeches of the blogger and the visitors of the page, emphasized, strongly directed to the adherence to the treatment and the safe sex. However, the blog plays an important role for its followers as it enables the sharing of HIV experiences, encourages adherence to treatment and provides scientific information. Anonymity is also emphasized as facilitator of virtual interactions and the formation of support networks. However, the medicalization of discourses may be inclusive for some, but exclusive to others.

2
  • LUIZA DE MARILAC ALVES DA FONSÊCA
  • TRANSLATION, CULTURAL ADAPTATION AND PSYCHOMETRIC PROPERTIES OF THE HURT INSULT THREATENED SCREAM FOR SCREENING DOMESTIC VIOLENCE AGAINST ELDERLY IN BRAZIL
  • Líder : NUBIA MARIA FREIRE VIEIRA LIMA
  • Data: 23-feb-2018
  • Resumen Espectáculo
  • INTRODUCTION: The scientific literature has shown limitations in the production of screening instruments for violence against the elderly in the Brazilian context. Currently, this type of study has been little approached in the Brazilian context, regarding the cross-cultural adaptation of instruments for the elderly population. HITS- Brazil is a brief screening tool for domestic violence against the elderly, which can be used in clinical and domicile contexts, aiming at establishing the risk of violence. This study, because it deals with the translation and adaptation and validation of an instrument that does not originate nor Brazilian validation, followed rigorous methodological criteria in order to guarantee wide reliability and later be applied and used by other researchers for screening of RV against the elderly. OBJECTIVE: This study aimed to translate, adapt and evaluate the psychometric properties (validity and reliability) of the Hurt Insult Threatened Scream (HITS) instrument for the screening of domestic violence against the elderly. METHOD: Study of translation, adaptation and validation. A total of 30 elderly people were recruited for the operational equivalence phase and 48 elderly people aged 65 to 80 years or more of both sexes were recruited, mean age for the two stages was 70.8 years taking into account the two groups. Data on sociodemographic variables, cognitive ability and HITS application were collected. For the analysis of the results we used the descriptive and inferential statistics, for the operational equivalence stage, the equivalence of the items that happened in five stages that evaluated the semantic, idiomatic, experimental and conceptual equivalences for the Brazilian context was evaluated. After this process the measurement equivalence stage was started, which sought to evaluate the validity and reliability of the 48 elderly subjects. RESULTS: The study complied with the five stages of HITS transcultural translation and adaptation process: translations, back translations, synthesis of translations, semantic, idiomatic, experiential and conceptual equivalence analysis by a committee of experts and pre-test in 30 elderly people, which was followed by adjustments of language and concepts, reaching the final form of the instrument, named HITSBrazil. The values obtained through Cronbach's alpha coefficient showed acceptable results for all items (item 1: 0.80, item 2: 0, 75, item 3: 0,80 and item 4: 0,68). In the analysis of inter-examiner agreement we had good agreement for items 1 and 2 and low agreement for items 3 and 4 of the scale. We considered that the low agreement in items 3 and 4 would not negatively imply the overall coxtext of the scale, since we have a high reliability by the cronbach alpha. CONCLUSION: In its final version, HITS-Brazil obtained a high reliability index for the four items when its internal consistency was evaluated, indicating that the results are satisfactory.

3
  • HARYELLE NARYMA CONFESSOR FERREIRA
  • Profile of functioning and disability of children with microcephaly associated with congenital Zika virus in Brazil

  • Líder : EGMAR LONGO HULL
  • Data: 26-feb-2018
  • Resumen Espectáculo
  • Introduction: The increase number of cases of microcephaly in Brazil and its association with the Zika virus (ZIKV) constitutes a public health problem of international concern. The International Classification of Functioning, Disability and Health (ICF) guides comprehensive assessments incorporating the important role of contextual factors.  Objective: The objective of this study was to describe the functioning of children with microcephaly caused by ZIKV in states of the Northeast in Brazil. Methods: This is a cross-sectional descriptive study. Demographics characteristics, head circumference and other data were collected from clinical charts, physical examinations, tests, and interviews with children and their parents. The Brazilian Portuguese version of the brief ICF core set for cerebral palsy (CP) was used. Each ICF category received a qualifier, which ranged from 0 to 4 (no problem, slight problem, moderate problem, serious problem, complete problem). For environmental factors, 0 represents no barrier and -4, a total barrier; +0, no facilitator and +4, a complete facilitator. Evaluators in each setting were trained  on how to use the brief ICF core set categories for CP in 20- hour courses. Results: Thirty-four children with microcephaly caused by ZIKV (18 girls and 16 boys) were enrolled in four rehabilitation services in Rio Grande do Norte and Paraíba, Brazil. The mean age of participants was 21 months, head circumference Z scores ranged from 0.92 to -5.51. The profile of functioning revealed complete problem in the majority of the body functions categories. Areas of activities and participation were highly impacted, in particular those covered by mobility related categories. Immediate family support was the main facilitator influencing functioning in this population. Regarding environmental factors, the majority of the sample reported complete facilitator for immediate family, friends and for health services, systems and policies. Conclusion: This is the first study describing the profile of functioning of congenital ZIKV using an ICF-based tool in Brazil.  Our findings reinforce the need to maximize health care and access to information - based on the ICF-  for the multi professional teams, administrators, family members and children. Service provision for children with ZIKV-related microcephaly should be family-centered, considering modifiable contextual factors and highlighting functional goals. to ensure optimal levels of participation in household, school and community-based activities in our region.

     

4
  • LUANA CAROLINE DE ASSUNÇÃO CORTEZ CORREA
  • URINARY INCONTINENCE IS ASSOCIATED WITH PHYSICAL PERFORMANCE DECLINE IN COMMUNITY-DWELLING OLDER WOMEN – RESULTS FROM THE INTERNATIONAL MOBILITY IN AGING STUDY (IMIAS)

  • Líder : SAIONARA MARIA AIRES DA CAMARA
  • Data: 26-feb-2018
  • Resumen Espectáculo
  • Introduction: With aging, women present worse physical performance when compared to men of similar ages, suggesting that there are factors related to sex or gender, such as variables of reproductive history that may explain these differences. High parity and early maternal age are related to the occurrence of urogynecologic changes, such as Urinary Incontinence (UI), and it is also known that women who had many children and / or were mothers in adolescence have worse health conditions in old ages, including worse physical performance. Hypothesize that women who report UI have worse physical performance and a more pronounced reduction of UI over the years. However, there is a gap in the literature to prove these hypotheses. Objectives: To evaluate if there is a relationship between urinary incontinence and physical performance in older women from five sites with different socioeconomic conditions and to evaluate the influence of urinary incontinence on the change in physical performance over a two-year period. Methodology: This is a longitudinal observational study derived from the International Mobility in Aging Study (IMIAS), conducted in Saint-Hyacinthe (Quebec, Canada), Kingston (Ontario, Canada), Manizales (Colombia), Tirana (Albania) and Natal (Brazil). In this study, approximately 200 older women (65 and 74 years old) from each locality, residents on community, were evaluated in the years of 2012, 2014 and 2016. The present study presents data collected in 2014 and 2016. For the evaluation, socioeconomic data, anthropometric measures and reproductive history were collected. Physical performance was assessed using the Short Physical Performance Battery (SPPB) following a standardized protocol that measures balance, gait and lower limbs strength. The SPPB final score is a sum of the points of each test, ranging from 0 to 12 points (4 points for each test). Urinary incontinence was assessed by self-report of episodes of involuntary loss of urine in the last week, classified as "none in the past 7 days" and "some in the last 7 days". The cross-sectional relationship between UI and SPPB was assessed by multiple linear regression analysis. The evaluation of the longitudinal effect of UI on the SPPB score over 2 years was evaluated by analysis of mixed linear models. In both analyzes, covariables were considered: age, study site, education, income sufficiency, and parity. Results: The sample was composed by 915 women with mean age of 71.2 (± 2.88). The prevalence of urinary incontinence ranged from 11.4% (Natal) and 30.7% (Kingston). The women who reported some loss of urine presented a significantly lower SPPB mean than the others, even in the fully adjusted models (β = 0.469, p = 0.009). In addition, they show a significantly greater reduction in SPPB scores over two years than women who did not report UI. Conclusion: UI is associated with worse results in SPPB and negatively influences physical performance over two years, since women with UI have a more pronounced decline in physical performance in this period. These findings serve as the basis for the planning and implementation of early interventions to improve the aging profile of women and the quality of life of this population.

5
  • RENATA FONSÊCA SOUSA DE OLIVEIRA
  • IMPROVING ACCESS AND QUALITY OF PRIMARY HEALTH CARE: BETWEEN VOICES AND LOOKS
  • Líder : CECILIA NOGUEIRA VALENCA
  • Data: 26-feb-2018
  • Resumen Espectáculo
  • INTRODUCTION: In order to strengthen the National Primary Care Policy, in 2011 the National Program for Improving Access and Quality of Primary Care (PMAQ / AB) was established with the aim of mobilizing local actors, qualifying management practices, access and induce changes in the conditions of operation of health services. OBJECTIVE: To analyze the perception of municipal health managers and primary care workers about the National Program for Improving Access and Quality of Basic Care. METHODOLOGY: This is a descriptive and exploratory study, with a qualitative approach. Included in the study were managers or members of the municipal health management responsible for conducting the PMAQ in the municipalities investigated, as well as higher-level PHC workers from the FHS who participated in the 2nd cycle of the PMAQ in 2014. Participants in the study total of 43 subjects, of whom 6 were managers and / or representatives of the management and 36 professionals of the Basic Attention. Two techniques were used to collect information: the focus group and the semi-structured interview. Thus, during the analysis, three thematic nuclei emerged: "Voices and looks about the PMAQ"; "Impacts produced in the health services from the experience in the PMAQ: interlacing multiple glances" and "PMAQ's Fragilities: The journey forward". The study was approved by the Research Ethics Committee of the Faculty of Health Sciences / FACISA, with the number of Opinion 1,707,601. RESULT AND DISCUSSION: PMAQ is a guiding tool for health actions and services, favoring the orientation, improvement and introducing changes in the work process. Some challenges presented were dissatisfaction in the allocation of the financial incentives from the program, increase of tasks and discontinuity of the actions practiced. Conclusion: The PMAQ allowed to subsidize the co-production of new arrangements and redirects to strengthen the programs belonging to Primary Health Care.

6
  • ADILLA CONCEICAO BRITO DE AZEVEDO
  • Evaluation of the Work Context, Sleep Quality and Daytime Sleepiness of High School Teachers of Public School in the Interior of the Rio Grande do Norte

  • Líder : JANE CARLA DE SOUZA
  • Data: 28-feb-2018
  • Resumen Espectáculo
  • The work in the social and financial context goes beyond of subsistence. Teachers have a responsibility to contribute to make pupils citizens capable of recognizing and to be aware of their own role in society. However, teaching profession is related to work overload, inadequate work conditions and violence context in the school, among other problems characteristic of this profession. In addition, the presence of health problems, including those related to sleep, is increasingly common. Therefore, the aim of this study was to evaluate the work context, the sleep schedules and quality, and daytime sleepiness of high school teachers of public school in the Trairi region of Rio Grande do Norte. Besides, the second aim was evaluate the relationship between the work context and the sleep quality and daytime sleepiness of these teachers. For this, it was aplied an identification questionaire; the Work Context Avaliation Scale (EACT), based on factors, work condition (F1), work organization (F2) and socio-professional relations (F3); the Pittsburgh Sleep Quality Index (IQSP) and Epworth Sleepiness Scale (ESE) for 61 teachers of both sexes, aged 39.7 ± 9.2 years. The factors "working conditions" and "work organization" were classified as critical/severe by the majority of the teachers, while "socio-professional relations" were considered satisfactory by half of the study population. Most items related to these factors were evaluated as critical/serious, such as poor working conditions, uncomfortable physical environment, work rhythm, tasks fulfilled under pressure, non-existent autonomy and poor communication between subordinate and leadership. In addition, 69% of teachers had poor sleep quality and 49% had excessive daytime sleepiness. With regard to sleep quality according to the assessment of the work context, it was observed that teachers who evaluated socio-professional relations as critical / severe (mean rank 36.11) are more likely to have poor sleep quality to those that evaluated as satisfactory (mean rank 26.94 - U = 321, p < 0.05). In relation to sex, poor sleep quality is present in 69% of both sexes (X² = 0.00, p > 0.05), while excessive daytime sleepiness is more frequent in women (55%) than in to men (44% - X² = 4.88, p < 0.05). Teachers' bedtime was on average at 11:26 ± 1:25 p.m., the waking time at 6:06 ± 1:16 p.m., and sleep duration was 6:10 ± 1:07 p.m. The Mann-Whitney test shows that teachers with poorer sleep quality (mean rank 26.56) sleep 36 minutes less (5:58 ± 1: 06h) than teachers with good sleep quality (6:34 ± 1: 04h; mean rank 35.53 - U = 256.00, p < 0.05). These results have great importance in the knowledge of the work context of the teacher, reinforcing the need to create spaces for discussion and possible proposals for the elaboration of policies aimed at this professional, which help in the supply of needs listed by the worker himself. In addition, it is necessary to carry out further studies that try to clarify which factors related to the work context may be contributing to poor sleep quality and daytime sleepiness present in these professionals.

     

2017
Disertaciones
1
  • FRANCISCO ASSIS VIEIRA LIMA JUNIOR
  • ZikaVirus x Congenital anomalies: from presume daudienceto real data of the temporo-spatial distribution in the state of Rio Grande do Norte

  • Líder : SILVANA ALVES PEREIRA
  • Data: 20-nov-2017
  • Resumen Espectáculo
  • INTRODUCTION: In the middle of 2015, Brazil experienced an increase in cases of notification of infection by Zika Virus and the increase in cases of Microcephaly and Guillain-Barré Syndrome, and later confirmed the association between these clinical entities. The northeast region was the most affected and environmental, economic and social factors can negatively influence this distribution. However, it is known that congenital anomalies have always occurred throughout Brazilian territory and it is believed that there is no difference in the spatial distribution pattern of anomalies before and after ZIKV. OBJECTIVE: to evaluate the temporal-spatial distribution of congenital and ZIKV anomalies reported cases in the mesoregions of Rio Grande do Norte. METHODOLOGY: This is an ecological, retrospective study, that evaluated the reported cases of congenital anomalies in Rio Grande do Norte before and after the ZIKV epidemy through a spatial analysis, whose data were grouped in SPSS 13.0 and analyzed in TERRAVIEW version 4.2 .2. RESULTS: The rate of congenital anomalies in pre-ZIKV period was 6.2 cases / 1,000 live births and in the post ZIKV period, it increased to 13.95 cases / 1,000 live births, a result of the increase in reported cases. It was visualized in the distribution cartography that the Agreste Potiguar mesoregion is the one with the highest number of reported cases of ZIKV, as well as the region with the highest number of cases of congenital anomalies in the period studied.CONCLUSION: The present study revealed that congenital anomalies were always present in the state and no other action was raised with such importance as in the Zika period. Strategies to minimize cases of congenital anomalies through family planning actions, maternal age control, vaccination programs, control of the sale of abortive drugs, combat to drugs addiction, alcohol and tobacco use can easily be developed and gain media acceptance, which is not always perceived

2
  • ISABELLE FERREIRA DA SILVA SOUZA
  • ASSESSMENT OF ENERGY CONSUMPTION AND NUTRIENTS OF ELDERLY AND PAINFUL KNOWLEDGE IN THE COMMUNITY

  • Líder : MARCELO CARDOSO DE SOUZA
  • Data: 01-dic-2017
  • Resumen Espectáculo
  • Introduction: The increase in life expectancy has led to new public health challenges in the population, such as chronic diseases. Among the main chronic osteoarticular diseases, we can mention osteoarthritis (OA) of the knees, characterized mainly by pain in the knees, which limits the accomplishment of daily activities. In this context, the literature suggests that there is a positive correlation between knee OA development and obesity, in addition, overweight is one of the most significant modifiable factors in worsening symptoms. Thus, it is relevant to determine if elderly women with knee pain compared to the asymptomatic elderly, present differences in food consumption. Objective: To evaluate the habitual energy and nutrient intake of elderly women with and without pain in the knees, living in Santa Cruz/RN. Methodology: This is a cross-sectional study, with elderly (n=100) symptomatic and asymptomatic regarding knee pain. Food intake was determined by the 2-day mean of the 24-hour Reminder. The diets were analyzed in Dietbox®. The individual energy requirement was estimated using formulas and total calorie consumption was analyzed considering the range of 97 to 103% of energy expenditure. Macronutrient suitability was checked according to the Acceptable Macronutrient Distribution Ranges. The mean intake of fatty acids, cholesterol and fiber was analyzed according to the values proposed by the IV Brazilian Directive on Dyslipidemias. The micronutrient inadequacy was estimated by the Estimated Average Requirement method as the cutoff point and the water consumption was evaluated based on the recommendation of the Food Guide for the Brazilian Population. To analyze the data, the Statistical Package for the Social Sciences version 20.0 was used. For the comparison of the data distributions between the groups, Student's t-tests or the Mann-Whitney test were used according to normality, as evaluated by the Kolmogorov-Smirnov test. Results: The mean age was 67 (±8.0) years for the asymptomatic group and 67 (±9.0) years for the symptomatic group. As for the energy consumption, macronutrients, fatty acids, cholesterol, fiber and water, there were differences between the groups, which were not statistically significant. The energy intake was inadequate in 96.1% of the asymptomatic ones and in 93.9% of the symptomatic ones. There were also no statistically significant differences among the elderly women regarding the dietary intake of micronutrients, except for the usual consumption of zinc mineral (p value = 0.033), the symptomatic group had an average zinc intake lower than the asymptomatic group. In the groups, the greatest inadequacies (> 50%) were for vitamins A, D, E and folic acid and magnesium and calcium. The lowest inadequacies were for vitamin C and pyridoxine (values between 21.6% and 22.4%). Inadequate intake of vitamin D (100% of those evaluated) is highlighted. Conclusion: Among the groups, high prevalence of inadequacy for caloric intake, saturated fatty acid consumption, cholesterol, fiber, water intake, macros and micronutrients were observed. However, no statistically significant differences were observed in nutrient intake, except for the zinc mineral, since the symptomatic elderly had an average zinc intake lower than the asymptomatic group.

3
  • ROSA SA DE OLIVEIRA NETA
  • EVALUATION OF NUTRITIONAL STATUS, FUNCTIONALITY AND MUSCULAR FORCE IN ELDERLY WITH AND NO PAIN IN THE KNEES OF THE OF SANTA CRUZ CITY / RN

  • Líder : MARCELO CARDOSO DE SOUZA
  • Data: 01-dic-2017
  • Resumen Espectáculo
  • Introduction: Brazil undergoes profound changes in its age structure, the proportion of individuals over 60 years has been increasing rapidly. In Santa Cruz / RN, approximately, 11.7% of the population is in this age group. However, although the elderly exhibit longer life expectancy, they are more likely to be exposed to chronic diseases, such as osteoarticular diseases. This accelerated population aging requires preparation for the social and economic consequences that arise from it and entails new social challenges and global public health in the population. Objective: To evaluate the nutritional status, functionality and muscular strength of elderly women with and without knee pain. METHODS: This is a cross-sectional study carried out with elderly women with or without pain in the knees, residents of the city of Santa Cruz / RN, attending the physical therapy clinic of the Faculty of Health Sciences of Trairi (FACISA-UFRN) . Data were collected through the application of a standardized questionnaire containing identification information, health aspects, anthropometric data and body composition (Body Mass Index, bioimpedance, folds and body circumferences). In addition, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire, which evaluates the functionality (6-minute walking test - TC6M - and Timed Up and Go -TUG) and muscular strength Palmar gripping (FPP). Statistical Package for the Social Sciences (SPSS) software version 20.0 was used to analyze the data. Results: A total of 100 elderly women, 49% with knee pain (symptomatic) and 51% asymptomatic, with a mean age of 67 (± 9.0) and 67 (± 8.0) years, p = 0.527, respectively. The mean BMI was 30.7 (± 4.37) kg / m² in the symptomatic elderly and, as in the control group, 29.3 (± 4.64) kg / m² p = 0.125, indicating excess weight. The nutritional variables that presented significant differences between the groups (p <0.05) were the waist circumference (PC) and the arm (CP) and the Waist Hip Ratio (WHR), being the highest values obtained by the group with pain in the Knees Regarding the functional variables, all showed significant differences between the groups (p <0.05), the worst results being obtained by the symptomatic group. The correlation between the variables related to the nutritional status of the symptomatic elderly and those related to the functionality was performed. The correlation between WOMAC and BMI, PC and WHR were not significant, weak and positive. When correlating the nutritional variables with the 6MWT, it is verified that between 6MWT and PC, Neck Perimeter and WHR were weak and negative. The correlation between 6MWT and BMI, lean mass and body fat% were not significant, weak and positive. The correlations between TUG and BMI, PC and WHR were not significant, weak and positive. The correlation between lean mass and right hand strength (r = 0.070, p = 0.627), and lean mass and left hand strength (r = 0.070; p = 0.627) were shown to be weak, positive, and non-significant. Conclusion: The elderly women with knee pain presented overweight and functional deficits when compared to the control group. It was found that the symptomatic elderly had a higher WOMAC score, indicating worse functionality and higher indicators of overweight (BMI, PC and WHR); the same was true in the TUG test, which indicates falls, since the longer the time to perform , The values of these nutritional variables were higher. It was also observed that the lower the waist, neck and waist-hip ratio, the greater the distance walked by the elderly in the walking test (6MWT). On the other hand, the elderly women with higher percentages of high lean mass had greater muscle strength.

4
  • EMELYNNE GABRIELLY DE OLIVEIRA SANTOS
  • SPATIAL-TEMPORAL ANALYSIS OF SUICIDE MORTALITY IN RIO GRANDE DO NORTE IN THE PERIOD 2000 TO 2015
  • Líder : ISABELLE RIBEIRO BARBOSA
  • Data: 04-dic-2017
  • Resumen Espectáculo
  • Suicide is one of the most pervasive types of violent deaths in the world, so demographic and epidemiological transitions have contributed to the overall increase in the burden of this disease. Despite the spread of suicide prevention programs in Brazil, the mortality situation in this country is worrisome, especially in some regions where there is an increase in the percentage of deaths. The objective of this study was to analyze the spatio-temporal distribution of suicide mortality in the State of Rio Grande do Norte (NR) between 2000 and 2015. This is a mixed ecological study that evaluated the deaths due to suicide registered in the RN, occurring in the period from January 1, 2000 to December 31, 2015. Death data were obtained from the Mortality Information System, and population information was obtained from the Brazilian Institute of Geography and Statistics. Spatial analysis was performed using crude rates, standardized rates and rates by Bayesian estimators. Univariate analysis was performed using the Moran Global and Local Index to evaluate the intensity and significance of spatial clusters using the Terraview 4.2 software. The spatial bivariate analysis was performed by crossing the sociodemographic variables with mortality rates standardized by suicide using GeoDa software 1.6.1. The Lost Potential Years of Life were also calculated throughout the historical series. Joinpoint regression with standardized rates (world population) was used to estimate the Annual Percentage Change (APC), the 95% confidence interval and the inflection points of the curve, in order to verify the mortality trend for suicide In the RN using the software Joinpoint 4.5.0. The classical statistical analysis was applied to evaluate the correlation between the variables of the study and for that was used the software SPSS 23.0. There were 2,266 deaths from suicide from 2000 to 2015, with the ratio between the sexes being 5: 1 in the last year. The spatial analysis showed poor spatial autocorrelation (I<0.3) for the Standardized Mortality Rates (PMT) for both sexes, with formation of spatial agglomerates in the Seridó Region, mainly for males. The bivariate analysis showed the formation of clusters in the Seridó Region with the HDI and Aging variables. Bayesian estimators showed a homogenization of mortality rates, especially in municipalities with small population groups. 6,3582.5 potential years of life were lost throughout the historical series. In addition, a trend of increased male mortality up to 2003 (APC= 15.3%, CI= 9.2-21.8) was observed, followed by a period of stability. For females, the tendency was for stability (APC= 0.4%, 95% CI= 0.9-1.7). The analysis of variance also pointed to the absence of statistically significant differences (p>0.05) between standardized rates and the size of municipalities and health regions for most of the study years. It is concluded that the mortality due to suicide in RN state is unequally distributed in the territory, being spatially associated to the areas with the best socioeconomic indicators. There is no significant trend of increase, however the differences between the regions and according to the size of the municipalities increased during the historical series.

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