[Decline in homicide rates in São Paulo, Brasil: a descriptive analysis]. 2011

Maria Fernanda Tourinho Peres, and Diego Vicentin, and Marcelo Batista Nery, and Renato Sérgio de Lima, and Edinilsa Ramos de Souza, and Magdalena Cerda, and Nancy Cardia, and Sérgio Adorno
Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil. mftperes@usp.br

OBJECTIVE To describe homicide mortality in the municipality of São Paulo according to type of weapon, sex, race or skin color, age, and areas of socioeconomic inequalities, between 1996 and 2008. METHODS For this ecological time-series study, data about deaths in the municipality of São Paulo were collected from the municipal program for improvement of mortality information, using International Classification of Diseases, 10th revision (ICD-10) codes. Homicide mortality rates (HMR) were calculated for the overall population and specifically for each sex, race or skin color, age range, type of weapon, and occurrence in social deprivation/affluence areas. HMR were adjusted for age using the direct method. The percentage age of variation in HMR was calculated for the study period. For areas of socioeconomic inequalities, the relative risk of death from homicide was calculated. RESULTS HMR fell 73.7% between 2001 and 2008. A reduction in HMR was observed in all groups, especially males (-74.5%), young men between 15 and 24 years of age (-78.0%), and residents in areas of extreme socioeconomic deprivation (-79.3%). The reduction occurred mostly in firearm homicide rates (-74.1%). The relative risk of death from homicide in areas of extreme socioeconomic deprivation, as compared to areas with some degree of socioeconomic deprivation, was 2.77 in 1996, 3.9 in 2001, and 2.13 in 2008. In areas of high socioeconomic deprivation, the relative risk was 2.07 in 1996 and 1.96 in 2008. CONCLUSIONS To understand the reduction in homicide rates in the municipality of São Paulo, it is important to take into consideration macrodeterminants that affect the entire municipality and all population subgroups, as well as micro/local determinants that have special impact on homicides committed with firearms and on subgroups such as the young, males, and residents of areas of high socioeconomic deprivation.

UI MeSH Term Description Entries
D008297 Male Males
D011204 Poverty Areas City, urban, rural, or suburban areas which are characterized by severe economic deprivation and by accompanying physical and social decay. Ghettos,Slums,Area, Poverty,Areas, Poverty,Ghetto,Poverty Area,Slum
D011610 Psychosocial Deprivation The absence of appropriate stimuli in the physical or social environment which are necessary for the emotional, social, and intellectual development of the individual. Deprivation, Psychosocial,Deprivations, Psychosocial,Psychosocial Deprivations
D001938 Brazil A country located on the eastern coast of South America, located between Colombia and Peru, that borders the Atlantic Ocean. It is bordered on the north by Venezuela, Guyana, Suriname, and French Guiana, on the south by Uruguay, and on the west by Argentina. The capital is Brasilia.
D003467 Cultural Deprivation The absence of certain expected and acceptable cultural phenomena in the environment which results in the failure of the individual to communicate and respond in the most appropriate manner within the context of society. Language acquisition and language use are commonly used in assessing this concept. Cultural Disadvantagement,Cultural Deprivations,Cultural Disadvantagements,Deprivation, Cultural,Deprivations, Cultural,Disadvantagement, Cultural,Disadvantagements, Cultural
D005006 Ethnicity A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships. Ethnic Groups,Nationality,Ethnic Group,Nationalities
D005260 Female Females
D005389 Firearms Small-arms weapons, including handguns, pistols, revolvers, rifles, shotguns, etc. Guns,Rifles,Shotguns
D006708 Homicide The killing of one person by another. Murder,Killing,Wrongful Death,Death, Wrongful,Deaths, Wrongful,Homicides,Killings,Murders,Wrongful Deaths
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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