Social Determination of Road Traffic Mortality in the Metropolitan District of Quito, 2013
DOI:
https://doi.org/10.17533/udea.rfnsp.v36n3a04Keywords:
traffic accident, social segregation, social class, epidemiological profile, spatial distribution of the population, genderAbstract
Introduction: The classic conceptual frameworks have achieved a partially effective explanation and action on mortality due to traffic accidents (ta). New frameworks are needed for its understanding as a social phenomenon and its socio-spatial distribution, and would make effective the right to equitable, safe and sustainable transport. Objective: To establish the socio-spatial distribution of ta deaths in the Metropolitan District of Quito (mdq) in 2013 and its determining processes. Methodology: Through a multi-stage exploratory study: documentary review, database analysis, file link and survey of a relative of the deceased, ta mortality was analyzed for the mdq based on the categories of critical epidemiology: “socio-spatial segregation”, “social class” and “epidemiological profile”. Results: Important differences were found in mortality by homogeneous zone, rates of 7.84 and 18.82 per hundred thousand inhabitants for the wealthy and deteriorated popular residential zones, respectively; by social class, 58% of deaths occurred in the poorer group; by gender, 81.5% of men died, and by age groups, the mortality rate was 19.08 per hundred thousand inhabitants, over 65 years of age. Conclusions: The distribution of ta deaths is related to the segregation of space in Quito, the livelihoods of social groups, their forms of work and consumption (mobility). It is worth paying attention to types of work that use motorcycles, as well as the social construction of gender and the mediation of alcohol consumption patterns. There is a need for participative construction of preventative measures based on homogeneous zones, social groups and cultural processes.
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References
(1). DaCoTA. Road Safety Management, Deliverable 4.8p of the EC FP7 project DaCoTA [internet]. 2012. Disponible en: http://safetyknowsys.swov.nl/safety_issues/pdf/road%20safety%20management.pdf
(2). Organización Mundial de la Salud (OMS). Informe sobre la situación mundial de la seguridad vial 2015. OMS; 2015.
(3). Organización Mundial de la Salud (OMS). Informe sobre la situación mundial de la seguridad vial 2013. OMS; 2013.
(4). Ecuador, Instituto Nacional de Estadísticas y Censos (INEC). Anuario de estadísticas vitales, nacimientos y defunciones. INEC; 2010.
(5). Mohan D, Tiwari G, Khaayesi M, Muyia Nafunkho F. Prevención de lesiones causadas por el tránsito. Manual de capacitación. OMS [internet]; 2008. Disponible en: http://whqlibdoc.who.int/publications/2008/9789275316306_spa.pdf
(6). World Resources Institute. Sustainable & Safe: A Vision and Guidance for Zero Road Deaths. Washington DC USA; 2008.
(7). Breilh, J. Epidemiología crítica: ciencia emancipadora e interculturalidad. Buenos Aires: Lugar Editorial; 2003.
(8). Breilh, J. Epidemiología crítica latinoamericana: raices, desarrollos recientes y ruptura metodológica. En: Morales C y Eslava JC, editores. Tras las huellas de la determinación. Memorias del Seminario interuniversitario de determinación social de la salud. Bogotá, 2014. pp. 19-76.
(9). Breilh J, Granda E. Investigación de la salud en la sociedad. Guía pedagógica sobre un nuevo enfoque del método. Quito: CEAS ediciones; 1980.
(10). Ramalho W. Abordajes espaciales en la Salud Pública. Serie: Capacitación y actualización en geoprocesamiento en Salud, vol. 1. Brasilia DF: Ministerio de Salud; 2006. pp. 5-17.
(11). Breilh J, Granda E, Campaña A, Betancourt O. Ciudad y muerte infantil 2.a ed. Quito: CEAS ediciones; 1987.
(12). Breilh J, Tillería Y. Aceleración global y despojo en el Ecuador. El retroceso del derecho a la salud. Quito: UASB - Abya Yala. 2009.
(13). Ecuador, Instituto Nacional de Estadísticas y Censos. Censo de Población y Vivienda 2010. INEC; 2010. Disponible en: http://www.ecuadorencifras.gob.ec/resultados/
(14). Osorio J. Fundamentos del análisis social. La realidad social y su conocimiento. Mexico: Fondo de Cutura Económica; 2001.
(15). Asociación Médica Mundial. Declaración de Helsinki: Principios éticos para las investigaciones médicas en seres humanos. Revisada en Fortaleza Brasil [internet]. Octubre 2013. Disponible en: http://www.isciii.es/ISCIII/es/contenidos/fd-investigacion/fd-evaluacion/fd-evaluacion-etica-investigacion/Declaracion-Helsinki-2013-Esp.pdf
(16). Organización Mundial de la Salud. Informe sobre la situación mundial de la seguridad vial 2004. OMS; 2004.
(17). Nobre P. Violencia y muerte en el tráfico. Recife. Editora Universitaria UFPE; 2013.
(18). Vasconcellos E. Strategies to improve traffic safety in Latin America. Paper presented as a contribution to the World Bank Workshop on Urban Transport Strategy, Santiago, Chile, 6-9 November 2000.
(19). Cabrera G, Velásquez N, Orozco A. Movilidad: aporte para su discusión. Rev. Fac. Nac. Salud Pública. 2015;33(3):429-34.
(20). Rodríguez M, Cámelo F, Chaparro P. Seguridad vial en Colombia en la década de la seguridad vial: resultados parciales 2010-2015. Rev. Univ. Ind. Santander Salud. 49(2):280-9.
(21). Vasconcellos E. Risco no trânsito, omisión o calamidad: Impactos do incentivo a motocicleta en Brasil. Sao Paulo: Instituto Movimento [internet[, 2013. pp. 30-50. [citado 2017 may. 10]. Disponible en: http://files-server.antp.org.br/_5dotSystem/download/dcmDocument/2013/08/29/0D2E1C9E-38D9-478A-A24D-BB121A3A295A.pdf
(22). Secretaría de Movilidad del DMQ. Información histórica del parque automotor revisado en el DMQ 2003-2012. Comunicación personal.
(23). Menéndez E. Salud y género: aportes y problemas. Salud y Genero. 2006;2(1):5-7.
(24). De Beauvoir S. El segundo sexo. Los hechos y los mitos. Buenos Aires. Siglo Veinte; 1949.
(25). Breilh J. El género entre fuegos. Inequidad y esperanza. Quito: CEAS Ediciones; 1996.
(26). Pedrouzo V. Causas de los accidentes de tránsito desde una visión de la medicina social . El binomio alcohol-tránsito. Rev. Méd. Urug. 2004;20(3):178-86.
(27). Almeida-Filho N, Lessa I, Magalhes L, Araújo M, Aquino E, Kawachi I, et al. Alcohol drinking patterns by gender, ethnicity, and social class in Bahia, Brazil. Rev. Saude Publica. 2004;38(1):45-54.
(28). Casanova L, Borges G, Mondragón L, Medina E, Cherpitel M. El alcohol como factor de riesgo en accidentes. Salud Mental. 2001;24(5):3-11.
(29). DaCoTA Alcohol. Deliverable 4.8a of the EC FP7 project DaCoTA [internet], 2012. [citado 2018 may. 14]. Disponible en: http://safetyknowsys.swov.nl/Safety_issues/pdf/Alcohol.pdf/.
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