Mortality among Brazilian adolescents and young adults between 1990 to 2019: an analysis of the Global Burden of Disease study

Abstract Mortality indicators for Brazilians aged between 10 and 24 years old were analyzed. Data were obtained from the Global Burden of Disease (GBD) 2019 Study, and absolute numbers, proportion of deaths and specific mortality rates from 1990 to 2019 were analyzed, according to age group (10 to 14, 15 to 19 and 20 to 24 years), sex and causes of death for Brazil, regions and Brazilian states. There was a reduction of 11.8% in the mortality rates of individuals aged between 10 and 24 years in the investigated period. In 2019, there were 13,459 deaths among women, corresponding to a reduction of 30.8% in the period. Among men there were 39,362 deaths, a reduction of only 6.2%. There was an increase in mortality rates in the North and Northeast and a reduction in the Southeast and South states. In 2019, the leading cause of death among women was traffic injuries, followed by interpersonal violence, maternal deaths and suicide. For men, interpersonal violence was the leading cause of death, especially in the Northeast, followed by traffic injuries, suicide and drowning. Police executions moved from 77th to 6th place. This study revealed inequalities in the mortality of adolescents and young adults according to sex, causes of death, regions and Brazilian states.

摘要：本研究针对10~24岁巴西人群的死亡相关指标展开分析。研究数据源自《2019年全球疾病负担（Global Burden of Disease, GBD）研究》，按年龄组（10~14岁、15~19岁、20~24岁）、性别、死亡原因，对1990年至2019年巴西全国、各区域及各州的死亡绝对数、死亡占比与特定死亡率进行了分析。研究期内，10~24岁人群的整体死亡率下降11.8%。2019年，女性死亡人数达13459例，相较研究初期下降30.8%；男性死亡人数为39362例，仅下降6.2%。巴西北部与东北部地区的死亡率有所上升，而东南部与南部各州的死亡率则出现下降。2019年，女性首要死亡原因为交通事故伤害，其次依次为人际暴力、孕产妇死亡与自杀。男性的首要死亡原因为人际暴力（在东北部地区尤为突出），其次依次为交通事故伤害、自杀与溺水。警方处决事件的顺位从第77位跃升至第6位。本研究揭示了巴西青少年与青年群体的死亡率在性别、死亡原因、区域及各州层面存在显著不平等。