Acidentes de trabalho fatais em Palmas, Tocantins, Brasil: oportunidades perdidas de informação

Temporal trend and magnitude of previdenciary benefits for workplace accidents in Brazil

OBJECTIVE

To analyze the temporal trend and magnitude of national indicators of previdenciary benefits for workplace accidents issued and granted by the Social Security of Brazil.

METHODS

Secondary data from Social Security from 2008 to 2019 were used. The trend and percentage variation of the indicators were estimated through Prais-Winsten generalized linear regression.

RESULTS

A total of 9,220,372 previdenciary benefits for workplace accidents were issued by the Social Security of Brazil in the period, costing approximately R$ 8.4 billion and representing about 2.0% of the net value of all benefits paid. None of the categories of previdenciary benefits for workplace accidents showed an increasing trend. The highest variation in the benefits granted and issued for workplace accidents occurred in temporary disability benefit (B91), with an annual percentage variation of -54.00% and -29.29%, respectively.

CONCLUSION

A reduction in magnitude and an overall decreasing trend were observed in the historical series of national indicators of benefits granted and benefits issued related to workplace accidents in Brazil from 2008 to 2019.

Occupational inequalities and gender differences: work accidents, Brazil, 2019

OBJECTIVE

To analyze the distribution and association of sociodemographic and occupational factors with self-reported work accidents (WA) in a representative sample of the Brazilian population, with emphasis on occupational class, and to examine gender differences in this distribution.

METHODS

A population-based cross-sectional study, using data from the 2019 National Health Survey (PNS), analyzed the responses of a sample of adults aged 18 or over. Factors associated with WA were investigated using binary logistic regression and hierarchical analysis using blocks (sociodemographic and occupational variables). The final model was adjusted by variables from all blocks, adopting a significance level of 5%. The values of odds ratios (OR) and respective confidence intervals were obtained.

RESULTS

Among the participants, 2.69% reported having suffered a WA, with a higher prevalence in men (3.37%; 95%CI 2.97-3.82%) than in women (1.86%; 95%CI 1.55-2.23%). The analysis identified that age group, night work, working hours, and exposure to occupational risks were associated with WA, with emphasis on gender differences. The class of manual workers, both qualified (ORwomen = 2.87; 95%CI 1.33-6.21 and ORmen = 2.46; 95%CI 1.37-4.40) and unskilled (ORwomen = 2.55; 95%CI 1.44-4.50 and ORmen = 3.70; 95%CI 1.95-7.03), had a higher chance of WA than the class of managers/professionals.

CONCLUSION

Occupational factors contributed significantly to the increase in the probability of WA for men and women, with greater magnitude among those positioned in the lower strata of the occupational structure. The results obtained are clues for working out WA prevention actions.

Occupational accident indicators among Social Security beneficiaries: temporal trend and magnitude in Brazil and its regions, 2009-2019

OBJECTIVE

To evaluate the temporal trend and magnitude of occupational accident indicators among Social Security beneficiaries in Brazil and its regions from 2009 to 2019.

METHODS

A time series study was conducted on occupational accident indicators in the regions of Brazil, from 2009 to 2019. Data were retrieved from the Statistical Yearbook of Occupational Accidents and the Statistical Yearbook of Social Security. Prais-Winsten generalized linear regression models were used to estimate trends, and annual percentage change and their respective 95% confidence intervals were obtained.

RESULTS

There were 7,253,923 occupational accidents during the study period. The average incidence rate was 16.3 per 1,000 employment relationships, with a decreasing trend (APC = 4.3%; 95%CI -5.63;-3.26).

CONCLUSION

Brazil and its regions showed an overall decreasing trend in indicators representing morbidity burden and the magnitude of occupational accidents.

MAIN RESULTS

In Brazil, despite regional inequalities, there has been a decrease in occupational accident rates reported to Social Security.

IMPLICATIONS FOR SERVICES

The results suggest improvements in working conditions, control and prevention of occupational accidents among these workers and contribute to targeting measures to prevent and control these diseases in the regions with the highest incidence.

PERSPECTIVES

Further research could explore trends according to professional category and economic activity sector, aimed at improving the monitoring of safety conditions and the wellbeing of workers in the regions of Brazil.

Incidence and time trend of occupational accidents in the textile and clothing industry: analysis of Santa Catarina, Brazil, between 2008 and 2017

OBJECTIVE

To estimate the incidence and time trend of typical work accidents in the textile and clothing industry in Santa Catarina from 2008 to 2017.

METHODS

This was a retrospective epidemiological study based on data from the Annual Social Information Report (RAIS). The time trend was analyzed by calculating the average annual change and logistic regression.

RESULTS

There was a downward trend in the incidence of occupational accidents in Santa Catarina during the period studied (8.8%). The highest incidence occurred in 2008 among men (12.6%), workers aged between 40 and 49 years (6.7%), black people (7.4%), people with less than 12 years of education (5.0%), with an average income of 3 to 7 minimum wages (7.0%), with up to 4 years of employment (6.9%), workers in the manufacture of textile products (10, 3%), medium-sized establishments (that is, between 100 and 499 workers; 7.9%) and in the regions of Greater Florianópolis (7.0%) and Vale do Itajaí (6.8%).

CONCLUSIONS

The risk for typical occupational accidents dropped significantly over the period studied. However, future studies are needed to analyze new relationships that may point to other associated factors. It is hoped that this study can contribute to support measures for the prevention, promotion, protection and rehabilitation of the health of workers in this production sector.

[Factors associated with quality of work accident records in Brazil's Mortality Information System]

This study aimed to identify factors associated with the quality of fatal work accident records in the Brazilian Mortality Information System in individuals 18 to 65 years of age from 1998 to 2013. The quality of the record of possible causal relationship between accidents and the work <acidtrab>, a field that appears on death certificates and is exclusive to accidents among external causes, was analyzed with two variables: (1) record "ignored" (R-IGN, yes/no); (2) missing or inconsistent records (R-AUS, yes/no). A total of 665,531 deaths were located, of which 67.7% of the <acidtrab> records showed poor quality. Factors associated with record "ignored" were: male sex; white skin color; schooling less than university; non-blue-collar workers or non-farmers; death certificate issued by the Forensic Medical Office (IML); Southeast and Northeast regions of the country; and death in hospital. Missing or inconsistent records were associated with: age greater than 34 years; non-white skin color; no schooling; all regions of Brazil except the Southeast; death in hospital or at home; police report as the source of information; and death certificate issued by the IML. The factors independently associated with poor quality of completion of the field <acidtrab> included individual dimensions, source issuing the death certificate, place of death, and geographic variables. The findings reveal the need to improve the quality of death records in hospitals, the IML, and police reports, besides training and supervising teams throughout Brazil.