The relation between external causes and mortality hump and their impact in the variability of age at death in Brazil from 2000 to 2020
mortality; hump; rectangularization; compression
In the 20th century, a significant reduction in the variability of age at death was observed in developed countries, which can be attributed to the historical decline in the risk of death in almost all ages of the human life course. This process of reduction in the variability of age at death means that there was a decrease in the dispersion of deaths by age around a mean, median or modal value of age at death of individuals in a population. This decrease is one of the assumptions for the mortality compression process. Another assumption of the compression process would be that human life would have a biological limit of longevity, which would approximate the shape of the survival function to a more rectangular shape, a process called rectangularization of the survival curve. On the other hand, other authors argue that the rectangularization process does not imply the existence of a biological limit to longevity. Therefore, the rectangularization process could occur even with a displacement of deaths to increasingly advanced ages, a theory called shifting mortality, which gained notoriety more recently, as the compression process does not have well-defined formal hypotheses. Departing for an analysis of the issue in Brazil, from 1940 onwards there was a change in the morbidity and mortality profile, which would make the process of compression-rectangularization possible to be observed in the country. However, as much as the change in the Brazilian morbidity and mortality profile may have facilitated the possible occurrence of this process, premature deaths can act as a brake. Among the main causes of premature death worldwide are the so-called external causes, which represent a significant portion of deaths. It is explained that external causes are the main causes that make up the demographic phenomenon of the hump of mortality. Therefore, the general objective of this study is to evaluate the impact of deaths from external causes of hump on the variability of age at death in the Federative Units (UFs) of Brazil in the period determined between 2000 and 2020. In addition, it is also intended to verify whether the shifting mortality process is taking shape in the country. Furthermore, the objective is also to evaluate the impact of deaths from external causes that most contributed to the appearance of the hump on life expectancy at birth. As preliminary results, it is observed that in male humps the magnitude measures showed a progressive growth, which is not observed for female humps. In determining the causes of death that most contributed to the occurrence of humpback mortality in young Brazilian adults between 2000 and 2020, it was found that the cause of violence was the one that most contributed to the occurrence in men in all years of study. Among women, in all years, there is a prevalence of violence and traffic accidents.